241265 01/22/15 a r C4q*
CITY OF CARMEL, INDIANA VENDOR: 358637
d i ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: $""*'"274.24"
CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 241265
''tiy>uN go? CHICAGO IL 60675-1701 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 94838 274.24 AUTO REPAIR & MAINTEN
® TERMS: NET 30 unless otherwise specified.A SERVICE
CrosspoontCHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL
BE CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. If a discrepancy is found,call your servicing
Y location immediately&we will promptly respond.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-94838
(317)244-7251 Remit To:75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 1 OF 3
CARMEL, IN 46032- CARMEL, IN 46032- CHARGE
HT BOB VANVOORST - 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
12-JAN-2015 10-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 07-JAN-2015 73068965 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. t.71LEAGE/HOURS PUMP CODE UNIT NO.
154912 87126 32791 E41
Ilk s
OSN/MSN1VIN BCST2029
COMPLAINT 1.THE CHECK ENGINE LIGHT IS ON
2. IT HAS A F/C FOR THE EGR PRESSURE
3. ALSO REPLACE THE CRANKCASE FILTER, HE HAS NEVER CHANGED IT-HE
WOULD LIKE TO PURCHASE AN ADDITIONSL FILTER TO TAKE WITH HIM TOO
ESTIMATE IS FOR REPLACEMENT OF THE CRANKCASE FILTER AND SECOND
FILTER PER CUSTOMER REQUEST THERE IS A 100.00 DEDUCTIBLE THAT
APPLIES TO THE WARRANTY PORTION OF THE REPAIR. , ALSO THIS UNIT HAD
A DIFF PRESSURE SENSOR FAILED.
CAUSE DSBGK6834
DIFF PRESSURE SENSOR FAILURE.
COVERAGE FACTORY/CUSTOMER
REMARK WE APPRECIATE YOUR BUSINESS ! THANK YOU.
1 1 4938761 GASKET,EXH GAS RCN VALVE CECO 7.26 7.26 '
1 1 3104230 GASKET,EXH GAS RCN VALVE CECO 30.36 30.36
1 1 4944527 GASKET,CONNECTION CECO 10.24 10.24
3 3 4932615 GASKET,CONNECTION CECO 4.70 14.10 '
1 1 4921728 SENSOR,PRESSURE CECO 153.39 153.39
2 2 3682826 SEAL,GROMMET CECO 2.85 5.70
2 2 3049221 SEAL,O RING CECO 3.57 7.14
1 1 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 13.41 13.41 '
DEL.TO HOLD
AREA!!!llllllll!ll!!I!!!!!!!!!!!!IIII
1 1 CV50628 CV FLG 110.25 110.25
ORDERED ITEM CV50603 FLG TYLER WILL PULL
1 1 5271480 SEAL,O RING CECO 5.81 5.81 '
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
® TERMS: NET 30 unless otherwise specified.A SERVICE
CrosspoIntCHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL
BE CHARGED ON PAST DUE ACCOUNTS. Please check this
�,. invoice for accuracy. If a discrepancy is found,call your servicing
location immediately&we will promptly respond.
INDIANAPOLIS BRANCH HAZININE
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-94838
(317)244-7251 Remit To:75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 2 OF 3
CARMEL, IN 46032- CARMEL, IN 46032- •• CHARGE "
HT BOB VANVOORST- 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
12-JAN-2015 10-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL.DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 07-JAN-2015 73068965 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO.
154912 87126 32791 E41
ON ME "060'. mm, 1
OSN/MSNNIN BCST2029
AS PER BRANDON/BCC 01/09/2015
4:32
1 1 S923-E DRAINCOCK CECO 10.11 10.11
AS PER BRANDON/BCC 01/09/2015
4:32
1 1 CV50628 CV FLG 110.25 110.25
TYLER WILL PULL//TO PUT IN
CUST TRUCK//PER JOSH
PARTS: 478.02
PARTS COVERAGE CREDIT: 367.77CR
TOTAL PARTS: 110.25
SURCHARGE TOTAL: 0.00
LABOR: 1,040.00
LABOR COVERAGE CREDIT: 996.00CR
TOTAL LABOR: 44.00
MISC.: 119.99
MISC.COVERAGE CREDIT: O.00CR
TOTAL MISC.: 119.99
ADJUSTMENT-LABOR TTS 19.99
WARRANTY DEDUCTIBLE 100.00
WARRANTIES APPLIED: DIST WARRANTY
FACTORY
FREE CUSTOMER SERVICE
TAX EXEMPT NUMBERS: IN 003120155 002 0 TAXES:
STATE 0.00
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
c TERMS:NET 30 unless otherwise specified.A SERVICE
s . can CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL
BE CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. If a discrepancy is found,call your servicing
location immediately&we will promptly respond.
INDIANAPOLIS BRANCH • •
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 7�mitTo:75
01-94838
(317)244-7251 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 3 OF 3
CARMEL, IN 46032- CARMEL, IN 46032- CHARGE***
HT BOB VANVOORST - 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
12-JAN-2015 10-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 07-JAN-2015 73068965 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
154912 87126 32791 E41
gi
OSN/MSNNIN BCST2029
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS SUB TOTAL: 274.24
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER TOTAL TAX: 0.00
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD. TOTAL AMOUNT: US$ 274.24
AUTHORIZED BY(print name) SIGNATURE DATE
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
94838 E41 $274.24
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cummins Crosspoint
IN SUM OF $
75 Remittance Drive, Suite 1701
Chicago, IL 60675-1701
$274.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 94838 43-510.00 $274.24 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
JAN2 0 2015
s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund