241702 02/03/15 a CITY OF CARMEL, INDIANA VENDOR: 358637
ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: $****...236.63*
CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 241702
'aif>tiN.c��. CHICAGO IL 60675-1701 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 96646 236.63 AUTO REPAIR & MAINTEN
® TERMS:NET 30 unless otherwise specified.A SERVICE
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 Effinmim
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-96646
(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 5
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
28-JAN-2015 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA / FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-JAN-2015 73029381 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO.
155453 86457 25604 E44
OSNIMSNNIN BCST2030
COMPLAINT '...--FIRE TRUCK KEEP INSIDE""""""
1. THE CHECK ENGINE LIGHT COMES ON-
WHEN IT DOES THEY SHUT THE TRUCK DOWN AND RESTART IT AND ITS FINE-
YESTERDAY IT HAPPENED 3 TIMES
SEE JOE TO TILT THE CAB
ESTIMATE IS FOR 100.00 WARRANTY DEDUCTIBLE AND FOR OIL AND FILTERS
THAT WILL NOT BE COVERED UNDER WARRANTY.
CAUSE DSBGN2506
CRANKCASE BREATHER PLUGGED
ENGINE OIL LEAKS AT
ROCKER HOUSING
VALVE COVER GASKET
FRONT CRANK SEAL
OIL PAN GASKET
AIR COMPRESSOR MTG
.OIL COOLER.HOUSING GASKET
CORRECTION ADMINISTRATIVE TIME-OPEN AND CLOSE REPAIR ORDER(SHOP REPAIRS)
LUBRICATING OIL DIPSTICK-CALIBRATE
COMPONENT CONNECTOR AND PIN-INSPECTION,EACH FOUR
LUBRICATING OIL SYSTEMS-CHECK
PERFORM BLACK LIGHT AND DYE TEST
STEAM CLEAN-COMPLETE ENGINE
ROCKER LEVER ASSEMBLY-REMOVE AND INSTALL,ALL
CRANKCASE BREATHER-REMOVE AND INSTALL
LUBRICATING OIL COOLER ASSEMBLY-REMOVE AND INSTALL,(WITH EGR)
LUBRICATING OIL PAN-REMOVE AND INSTALL
GEAR HOUSING-REMOVE AND INSTALL
ENGINE-CHASSIS DYNAMOMETER DIAGNOSTIC CHECK
ENGINE CONTROL MODULE(ECM)CALIBRATION-TRANSFER(CM 2250/CM2350)
FUEL TRANSFER PUMP-REMOVE AND INSTALL,(COMMON RAIL FUEL SYSTEM)
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
Cummins Crosspoint, LLC
ENGINES. PARTS.COMPONENTS AND OTHER PRODUCTS-MANUFACTURER'S WARRANTY
THE ONLY WARRANTY WITH RESPECT TO ANY ENGINES. PARTS,COMPONENTS OR PRODUCTS TO WHICH THIS INVOICE RELATES IS THAT
WARRANTY, IF ANY, MADE BY THE MANUFACTURER THEREOF.CUMMINS CROSSPOINT, LLC("CCRPT")MAKES NO WARRANTY OF ANY KIND
REGARDING SUCH ENGINES, PARTS,COMPONENTS OR PRODUCTS,WHETHER EXPRESS,ARISING BY OPERATION OR LAW,OR IMPLIED BY
COURSE OF DEALING, USAGE OR TRADE. INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR
PURPOSE.CCRPT IS NOT RESONSIBLE FOR INCIDENTAL,SPECIAL OR CONSEQUENTIAL DAMAGES.
LIMITED SERVICE WARRANTY AND EXCLUSIVE REMEDY
Coverage
Cummins Crosspoint, LLC Limited Service Warranty covers failures,which are a direct result of improper workmanship performed by Cummins
Crosspoint. LLC on the purchaser's equipment. This coverage extends for a period of one hundred eighty days(180)days or 25.000 miles or 1.000 hours
of operation,whichever comes first.from the date the service or repair work was performed by Cummins Crosspoint, LLC("CCRPT")as specified on the
front of this invoice. This limited service warranty is made to the original Purchaser of services and repairs as specified on the front of this invoice and
does not apply to subsequent purchasers or users.
OTHER COVERAGES
Engines and components rebuilt by CCRPT for sale on an exchange basis are covered by a separate warranty policy.Copies of this policy are available to
purchasers of these specific engines or components upon request.
Exclusive Remedv
The Purchaser's sole and exclusive remedy for any claim resulting from defects in workmanship shall be correction of improperly performed service or
repair at the expense of CCRPT. CCRPT will also pay for reasonable parts and labor needed to correct any damage to other portions of the unit
(sometimes known as"progressive damages")directly resulting from such improperly performed workmanship by CCRPT. up to a maximum of S 5000.
subject to the terms and conditions contained herein.
Limitations
EXCEPT FOR THE FOREGOING, CCRPT MAKES NO WARRANTY OF ANY KIND,WHETHER EXPRESS,ARISING BY OPERATION OR LAW.OR
IMPLIED BY COURSE OF DEALING. USAGE,OR TRADE INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILTIY OR SERVICE OR IMPLIED
WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING WITH RESPECT TO SERVICE OR REPAIRS
WHICH ARE THE SUBJECT OF THIS INVOICE.
EXCEPT AS SPECIFICALLY PROVIDED HEREIN,CCRPT SHALL NOT BE LIABLE FOR ANY INCIDENTAL,SPECIAL OR CONSEQUENTAIL
DAMAGES INCLUDING,WITHOUT LIMITATION, LOST PROFITS, DAMAGES RESULTING FROM "DOWNTIME"EXPENSES,CARGO DAMAGES,
TOWING FEES.LOSS OF USE OF EQUIPMENT,COST OF SUBSTITUTE EQUIPMENT, FACILITIES OR SERVICES OR ANY OTHER BUSINESS
COSTS AND LOSSES RESULTING FROM A COVERED FAILURE.CCRPT'S COMPLETE LIABILITY FOR ANY FAILURES RESULTING FROM
IMPROPER WORKMANSHIP PERFORMED BY CCRPT.AND THE PURCHASER'S EXCLUSIVE REMEDY THEREFOR,ARE LIMITED TO
CORRECTION OF IMPROPERLY PERFORMED WORKMANSHIP AT THE EXPENSE OF CCRPT.
IF CCRPT DETERMINES,IN ITS SOLE DESCRETION,THAT IT IS IMPRACTICAL TO REMEDY DEFECTS BY SERVICE OR REPAIR,CCRPT MAY
REFUND THE PART OF THE PURCHASE PRICE ATTRIBUTABLE TO THE DEFECTIVE SERVICE OR REPAIR PAID BY THE PURCHASER,AND
SUCH REFUND SHALL BE THE SOLE AND EXCULSIVE REMEDY FOR ANY SUCH CLAIM.The warranty set forth herein is the sole warranty made by
CCRPT with regard to service or repairs performed by CCRPT.
What Is Not Covered By This Warranty
This warranty covers service or repair work only. CCRPT does not warranty any engine,product,component or part,and the only warranty respecting a
product,component or part is the warranty,if any, made by the manufacturer thereof. CCRPT makes no warranty and shall have no responsibility for any
portion of the Purchaser's equipment that CCRPT does not work on.This warranty does not apply to damage by accident,failure to perform proper
maintenance,abuse. misuse,neglect or modification by Purchaser or third parties.This warranty does not apply if service or repair to the portion(s)of the
equipment repaired by CCRPT is performed by anyone other than CCRPT after the date this warranty becomes effective.
How to Obtain Service Warranty
Prior to the expiration of this warranty,the original Purchaser of service or repairs must give notice of any warrantable failure to CCRPT and deliver the unit
at owner's expense to a CCRPT facility for repair or to another location as specified by CCRPT.The original Purchaser is responsible for providing his
original repair documentation.
Abandoned Material
Any materials left on the premises of CCRPT after repair work has been completed will be considered abandoned. Such materials may be scrapped or sold
at the sole discretion of CCRPT.
Pa ment
Unless Prior credit arrangements are made with CCRPT,payment in full by Purchaser for all service and repair work performed by CCRPT and for any
parts,components,engines and products furnished to Purchaser shall by made at the time of completion of the repair and service work. If credit is
extended to Purchaser, Purchaser agrees to pay all costs and expenses, including reasonable attorneys'fees.incurred by CCRPT in collecting any
amounts due to CCRPT from Purchaser.Any invoice which is past due shall bear interest until paid at the rate of 1.5%per month or, if such rate is greater
than that allowed by applicable law,such lesser rate as may be so allowed.
® TERMS: NET 30 unless otherwise specified.A SERVICE
crosspoCHARGE 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 001-96646
(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 5
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
28-JAN-2015 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-JAN-2015 73029381 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
155453 86457 25604 E44
IN Q
OSN/MSN/VIN BCST2030
FUEL FILTER BRACKET-REMOVE AND INSTALL
AIR CONDITIONER COMPRESSOR AND BRACKET-REMOVE AND INSTALL
AIR CONDITIONER SYSTEM-EVACUATE AND RECHARGE
FAN HUB-REMOVE AND INSTALL
FAN GUARD,SHROUD CIRCULAR TYPE-REMOVE AND INSTALL,EACH
CAMSHAFT GEAR-REMOVE AND INSTALL(WITH SERVICE TOOL PART NO.
3823589)
GEAR COVER, FRONT-REMOVE AND INSTALL
AIR COMPRESSOR(ALL MODELS)-REMOVE AND INSTALL
FUEL PUMP-REMOVE AND INSTALL(COMMON RAIL FUEL SYSTEM)
COVERAGE FACTORY/DEDUCTABLE
REMARK WE APPRECIATE YOUR BUSINESS ! THANK YOU.
1 1 CC2525 KIT,OIL FLG 20.90 20.90
TYLER WILL PULL
1 1 CV50628 CV FLG 84.89 84.89 *
DEL TO HOLD AREA
1 1 3944293 GASKET,GEAR HOUSING CECO 54.18 54.18 *
DEL TO HOLD AREA
1 1 4024883 KIT,SEAL CECO 53.09 53.09 *
DEL TO HOLD AREA
1 1 3959798 GASKET,VALVE COVER CECO 21.14 21.14 *
DEL TO HOLD AREA
1 1 5272959 GASKET,RKR LEVER HOUSING CECO 12.35 12.35 *
DEL TO HOLD AREA
1 1 3918174 GASKET,OIL COOLER CORE CECO 16.12 16.12 *
DEL TO HOLD AREA
1 1 3929011 GASKET,LUB OIL CLR COVER CECO 20.66 20.66 *
DEL TO HOLD AREA
1 1 3973509 GASKET,OIL PAN CECO 33.36 33.36 *
DEL TO HOLD AREA
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
Cummins Crosspoint. LLC
ENGINES. PARTS,COMPONENTS AND OTHER PRODUCTS-MANUFACTURER'S WARRANTY
THE ONLY WARRANTY WITH RESPECT TO ANY ENGINES. PARTS, COMPONENTS OR PRODUCTS TO WHICH THIS INVOICE RELATES IS THAT
WARRANTY. IF ANY,MADE BY THE MANUFACTURER THEREOF.CUMMINS CROSSPOINT, LLC("CCRPT")MAKES NO WARRANTY OF ANY KIND
REGARDING SUCH ENGINES, PARTS,COMPONENTS OR PRODUCTS,WHETHER EXPRESS,ARISING BY OPERATION OR LAW,OR IMPLIED BY
COURSE OF DEALING, USAGE OR TRADE. INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR
PURPOSE.CCRPT IS NOT RESONSIBLE FOR INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES.
LIMITED SERVICE WARRANTY AND EXCLUSIVE REMEDY
Coverage
Cummins Crosspoint, LLC Limited Service Warranty covers failures,which are a direct result of improper workmanship performed by Cummins
Crosspoint. LLC on the purchaser's equipment. This coverage extends for a period of one hundred eighty days(180)days or 25,000 miles or 1.000 hours
of operation,whichever comes first,from the date the service or repair work was performed by Cummins Crosspoint, LLC("CCRPT")as specified on the
front of this invoice. This limited service warranty is made to the original Purchaser of services and repairs as specified on the front of this invoice and
does not apply to subsequent purchasers or users.
OTHER COVERAGES
Engines and components rebuilt by CCRPT for sale on an exchange basis are covered by a separate warranty policy. Copies of this policy are available to
purchasers of these specific engines or components upon request.
Exclusive Remedy
The Purchaser's sole and exclusive remedy for any claim resulting from defects in workmanship shall be correction of improperly performed service or
repair at the expense of CCRPT. CCRPT will also pay for reasonable parts and labor needed to correct any damage to other portions of the unit
(sometimes known as"progressive damages")directly resulting from such improperly performed workmanship by CCRPT. up to a maximum of$5000,
subject to the terms and conditions contained herein.
Limitations
EXCEPT FOR THE FOREGOING.CCRPT MAKES NO WARRANTY OF ANY KIND,WHETHER EXPRESS,ARISING BY OPERATION OR LAW,OR
IMPLIED BY COURSE OF DEALING. USAGE.OR TRADE INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILTIY OR SERVICE OR IMPLIED
WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING WITH RESPECT TO SERVICE OR REPAIRS
WHICH ARE THE SUBJECT OF THIS INVOICE.
EXCEPT AS SPECIFICALLY PROVIDED HEREIN,CCRPT SHALL NOT BE LIABLE FOR ANY INCIDENTAL,SPECIAL OR CONSEQUENTAIL
DAMAGES INCLUDING,WITHOUT LIMITATION, LOST PROFITS, DAMAGES RESULTING FROM "DOWNTIME"EXPENSES.CARGO DAMAGES,
TOWING FEES,LOSS OF USE OF EQUIPMENT,COST OF SUBSTITUTE EQUIPMENT, FACILITIES OR SERVICES OR ANY OTHER BUSINESS
COSTS AND LOSSES RESULTING FROM A COVERED FAILURE.CCRPT'S COMPLETE LIABILITY FOR ANY FAILURES RESULTING FROM
IMPROPER WORKMANSHIP PERFORMED BY CCRPT.AND THE PURCHASER'S EXCLUSIVE REMEDY THEREFOR,ARE LIMITED TO
CORRECTION OF IMPROPERLY PERFORMED WORKMANSHIP AT THE EXPENSE OF CCRPT.
IF CCRPT DETERMINES, IN ITS SOLE DESCRETION,THAT IT IS IMPRACTICAL TO REMEDY DEFECTS BY SERVICE OR REPAIR.CCRPT MAY
REFUND THE PART OF THE PURCHASE PRICE ATTRIBUTABLE TO THE DEFECTIVE SERVICE OR REPAIR PAID BY THE PURCHASER,AND
SUCH REFUND SHALL BE THE SOLE AND EXCULSIVE REMEDY FOR ANY SUCH CLAIM.The warranty set forth herein is the sole warranty made by
CCRPT with regard to service or repairs performed by CCRPT.
What Is Not Covered By This Warranty
This warranty covers service or repair work only.CCRPT does not warranty any engine, product,component or part,and the only warranty respecting a
product.component or part is the warranty, if any,made by the manufacturer thereof.CCRPT makes no warranty and shall have no responsibility for any
portion of the Purchaser's equipment that CCRPT does not work on.This warranty does not apply to damage by accident.failure to perform proper
maintenance,abuse,misuse,neglect or modification by Purchaser or third parties.This warranty does not apply if service or repair to the portion(s)of the
equipment repaired by CCRPT is performed by anyone other than CCRPT after the date this warranty becomes effective.
How to Obtain Service Warranty
Prior to the expiration of this warranty,the original Purchaser of service or repairs must give notice of any warrantable failure to CCRPT and deliver the unit
at owner's expense to a CCRPT facility for repair or to another location as specified by CCRPT.The original Purchaser is responsible for providing his
original repair documentation.
Abandoned Material
Any materials left on the premises of CCRPT after repair work has been completed will be considered abandoned. Such materials may be scrapped or sold
at the sole discretion of CCRPT.
Payment
Unless Prior credit arrangements are made with CCRPT,payment in full by Purchaser for all service and repair work performed by CCRPT and for any
parts,components,engines and products furnished to Purchaser shall by made at the time of completion of the repair and service work. If credit is
extended to Purchaser, Purchaser agrees to pay all costs and expenses,including reasonable attorneys'fees, incurred by CCRPT in collecting any
amounts due to CCRPT from Purchaser.Any invoice which is past due shall bear interest until paid at the rate of 1.5%per month or, if such rate is greater
than that allowed by applicable law,such lesser rate as may be so allowed.
® TERMS: NET 30 unless otherwise specified.A SERVICE
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 ® o
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-96646
(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 3 OF 5
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
28-JAN-2015 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-JAN-2015 73029381 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
155453 86457 25604 E44
.`
10
OSN/MSNNIN BCST2030
1 1 3939352 GASKET,OIL SUC CONNECTION CECO 5.30 5.30
DEL TO HOLD AREA
1 1 LF9009 PAC, LF FLG 41.99 41.99
DEL TO HOLD AREA
28 28 3377361 OIL,ENGINE VALVOLINE 3.38 94.64
DEL TO HOLD AREA
1 1 4995093 SEAL,O RING CECO 17.40 17.40
DEL TO HOLD AREA
1 1 3940245 GASKET,HYDRAULIC PUMP CECO 13.20 13.20 *
DEL TO HOLD AREA
1 1 3899283 SEAL,O RING CECO 11.57 11.57 *
DEL TO HOLD AREA
1 1 5286984 STUD CECO 8.04 8.04 *
TYLER WILL PULL
1 1 3818824 NUT,REGULAR HEXAGON CECO 3.81 3.81 *
TYLER WILL PULL
1 1 5255739 TUBE,BREATHER CECO 68.95 68.95 *
TYLER WILL PULL
1 1 3755843 GASKET,TURBOCHARGER CECO 8.93 8.93
TYLER WILL PULL
1 1 5264570 GASKET,OIL DRAIN CECO 4.20 4.20 *
TYLER WILL PULL
1 1 3049221 SEAL,O RING CECO 3.57 3.57 *
TYLER WILL PULL
1 1 5272819 SEAL,RECTANGULAR RING CECO .98 0.98 *
TYLER WILL PULL
1 1 4938761 GASKET,EXH GAS RCN VALVE CECO 7.26 7.26 *
TYLER WILL PULL
1 1 OUTSIDE POS LOCTITE NONSTOCK 24.74 24.74 *
PO#015117687328 ORE ILLY INV
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
Cummins Crosspoint. LLC
ENGINES. PARTS,COMPONENTS AND OTHER PRODUCTS-MANUFACTURER'S WARRANTY
THE ONLY WARRANTY WITH RESPECT TO ANY ENGINES. PARTS,COMPONENTS OR PRODUCTS TO WHICH THIS INVOICE RELATES IS THAT
WARRANTY, IF ANY, MADE BY THE MANUFACTURER THEREOF.CUMMINS CROSSPOINT, LLC("CCRPT")MAKES NO WARRANTY OF ANY KIND
REGARDING SUCH ENGINES, PARTS,COMPONENTS OR PRODUCTS,WHETHER EXPRESS,ARISING BY OPERATION OR LAW,OR IMPLIED BY
COURSE OF DEALING, USAGE OR TRADE. INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR
PURPOSE.CCRPT IS NOT RESONSIBLE FOR INCIDENTAL,SPECIAL OR CONSEQUENTIAL DAMAGES,
LIMITED SERVICE WARRANTY AND EXCLUSIVE REMEDY
Coverage
Cummins Crosspoint, LLC Limited Service Warranty covers failures,which are a direct result of improper workmanship performed by Cummins
Crosspoint, LLC on the purchaser's equipment. This coverage extends for a period of one hundred eighty days(180)days or 25,000 miles or 1.000 hours
of operation,whichever comes first,from the date the service or repair work was performed by Cummins Crosspoint, LLC("CCRPT")as specified on the
front of this invoice. This limited service warranty is made to the original Purchaser of services and repairs as specified on the front of this invoice and
does not apply to subsequent purchasers or users.
OTHER COVERAGES
Engines and components rebuilt by CCRPT for sale on an exchange basis are covered by a separate warranty policy.Copies of this policy are available to
purchasers of these specific engines or components upon request.
Exclusive Remedv
The Purchaser's sole and exclusive remedy for any claim resulting from defects in workmanship shall be correction of improperly performed service or
repair at the expense of CCRPT. CCRPT will also pay for reasonable parts and labor needed to correct any damage to other portions of the unit
(sometimes known as"progressive damages")directly resulting from such improperly performed workmanship by CCRPT, up to a maximum of$5000,
subject to the terms and conditions contained herein.
Limitations
EXCEPT FOR THE FOREGOING,CCRPT MAKES NO WARRANTY OF ANY KIND,WHETHER EXPRESS,ARISING BY OPERATION OR LAW, OR
IMPLIED BY COURSE OF DEALING, USAGE, OR TRADE INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILTIY OR SERVICE OR IMPLIED
WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING WITH RESPECT TO SERVICE OR REPAIRS
WHICH ARE THE SUBJECT OF THIS INVOICE.
EXCEPT AS SPECIFICALLY PROVIDED HEREIN,CCRPT SHALL NOT BE LIABLE FOR ANY INCIDENTAL,SPECIAL OR CONSEQUENTAIL
DAMAGES INCLUDING,WITHOUT LIMITATION, LOST PROFITS, DAMAGES RESULTING FROM "DOWNTIME"EXPENSES,CARGO DAMAGES.
TOWING FEES. LOSS OF USE OF EQUIPMENT.COST OF SUBSTITUTE EQUIPMENT, FACILITIES OR SERVICES OR ANY OTHER BUSINESS
COSTS AND LOSSES RESULTING FROM A COVERED FAILURE.CCRPT'S COMPLETE LIABILITY FOR ANY FAILURES RESULTING FROM
IMPROPER WORKMANSHIP PERFORMED BY CCRPT,AND THE PURCHASER'S EXCLUSIVE REMEDY THEREFOR,ARE LIMITED TO
CORRECTION OF IMPROPERLY PERFORMED WORKMANSHIP AT THE EXPENSE OF CCRPT.
IF CCRPT DETERMINES, IN ITS SOLE DESCRETION,THAT IT IS IMPRACTICAL TO REMEDY DEFECTS BY SERVICE OR REPAIR. CCRPT MAY
REFUND THE PART OF THE PURCHASE PRICE ATTRIBUTABLE TO THE DEFECTIVE SERVICE OR REPAIR PAID BY THE PURCHASER,AND
SUCH REFUND SHALL BE THE SOLE AND EXCULSIVE REMEDY FOR ANY SUCH CLAIM.The warranty set forth herein is the sole warranty made by
CCRPT with regard to service or repairs performed by CCRPT.
What Is Not Covered By This Warranty
This warranty covers service or repair work only.CCRPT does not warranty any engine, product,component or part,and the only warranty respecting a
product,component or part is the warranty,if any,made by the manufacturer thereof.CCRPT makes no warranty and shall have no responsibility for any
portion of the Purchaser's equipment that CCRPT does not work on.This warranty does not apply to damage by accident,failure to perform proper
maintenance,abuse, misuse,neglect or modification by Purchaser or third parties.This warranty does not apply if service or repair to the portion(s)of the
equipment repaired by CCRPT is performed by anyone other than CCRPT after the date this warranty becomes effective.
How to Obtain Service Warranty
Prior to the expiration of this warranty,the original Purchaser of service or repairs must give notice of any warrantable failure to CCRPT and deliver the unit
at owner's expense to a CCRPT facility for repair or to another location as specified by CCRPT.The original Purchaser is responsible for providing his
original repair documentation.
Abandoned Material
Any materials left on the premises of CCRPT after repair work has been completed will be considered abandoned. Such materials may be scrapped or sold
at the sole discretion of CCRPT.
Payment
Unless Prior credit arrangements are made with CCRPT, payment in full by Purchaser for all service and repair work performed by CCRPT and for any
parts,components,engines and products furnished to Purchaser shall by made at the time of completion of the repair and service work. If credit is
extended to Purchaser, Purchaser agrees to pay all costs and expenses,including reasonable attorneys'fees,incurred by CCRPT in collecting any
amounts due to CCRPT from Purchaser.Any invoice which is past due shall bear interest until paid at the rate of 1.5%per month or,if such rate is greater
than that allowed by applicable law,such lesser rate as may be so allowed.
® TERMS: NET 30 unless otherwise specified.A SERVICE
crosspoCHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6°/x)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 001-96646
(317)244-7251 Remit To:75 Remittance Dr-Ste 1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 4 OF 5
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
28-JAN-2015 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-JAN-2015 73029381 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
155453 86457 25604 E44
OSN/MSNNIN BCST2030
409828
1 1 3959799 ISOLATOR,NOISE CECO 8.04 8.04
AS PER BRANDON/BCC 01/27/2015
9:45
2 2 4932615 GASKET,CONNECTION CECO 4.70 9.40
AS PER BRANDON/BCC 01/27/2015
10:10
2 2 4932615 GASKET,CONNECTION CECO 4.70 9.40 '
DAMAGED DURING INSTALL
PARTS: 658.11
PARTS COVERAGE CREDIT: 521.48CR
TOTAL PARTS: 136.63
SURCHARGE TOTAL: 0.00
LABOR: 2,292.00
LABOR COVERAGE CREDIT: 2,292.000R
TOTAL LABOR: 0.00
MISC.: 100.00
MISC.COVERAGE CREDIT: O.00CR
TOTAL MISC: 100.00
WARRANTY DEDUCTIBLE 100.00
WARRANTIES APPLIED: 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
Cummins Crosspoint. LLC
ENGINES. PARTS,COMPONENTS AND OTHER PRODUCTS-MANUFACTURER'S WARRANTY
THE ONLY WARRANTY WITH RESPECT TO ANY ENGINES. PARTS, COMPONENTS OR PRODUCTS TO WHICH THIS INVOICE RELATES IS THAT
WARRANTY, IF ANY, MADE BY THE MANUFACTURER THEREOF.CUMMINS CROSSPOINT, LLC("CCRPT")MAKES NO WARRANTY OF ANY KIND
REGARDING SUCH ENGINES, PARTS,COMPONENTS OR PRODUCTS,WHETHER EXPRESS,ARISING BY OPERATION OR LAW,OR IMPLIED BY
COURSE OF DEALING, USAGE OR TRADE. INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR
PURPOSE.CCRPT IS NOT RESONSIBLE FOR INCIDENTAL,SPECIAL OR CONSEQUENTIAL DAMAGES.
LIMITED SERVICE WARRANTY AND EXCLUSIVE REMEDY
Coverage
Cummins Crosspoint, LLC Limited Service Warranty covers failures.which are a direct result of improper workmanship performed by Cummins
Crosspoint. LLC on the purchaser's equipment. This coverage extends for a period of one hundred eighty days(180)days or 25,000 miles or 1,000 hours
of operation,whichever comes first.from the date the service or repair work was performed by Cummins Crosspoint, LLC("CCRPT")as specified on the
front of this invoice. This limited service warranty is made to the original Purchaser of services and repairs as specified on the front of this invoice and
does not apply to subsequent purchasers or users.
OTHER COVERAGES
Engines and components rebuilt by CCRPT for sale on an exchange basis are covered by a separate warranty policy. Copies of this policy are available to
purchasers of these specific engines or components upon request.
Exclusive Remedy
The Purchaser's sole and exclusive remedy for any claim resulting from defects in workmanship shall be correction of improperly performed service or
repair at the expense of CCRPT. CCRPT will also pay for reasonable parts and labor needed to correct any damage to other portions of the unit
(sometimes known as"progressive damages")directly resulting from such improperly performed workmanship by CCRPT.up to a maximum of$5000,
subject to the terms and conditions contained herein.
Limitations
EXCEPT FOR THE FOREGOING,CCRPT MAKES NO WARRANTY OF ANY KIND,WHETHER EXPRESS,ARISING BY OPERATION OR LAW,OR
IMPLIED BY COURSE OF DEALING. USAGE.OR TRADE INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILTIY OR SERVICE OR IMPLIED
WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING WITH RESPECT TO SERVICE OR REPAIRS
WHICH ARE THE SUBJECT OF THIS INVOICE.
EXCEPT AS SPECIFICALLY PROVIDED HEREIN,CCRPT SHALL NOT BE LIABLE FOR ANY INCIDENTAL,SPECIAL OR CONSEQUENTAIL
DAMAGES INCLUDING,WITHOUT LIMITATION. LOST PROFITS, DAMAGES RESULTING FROM "DOWNTIME"EXPENSES,CARGO DAMAGES,
TOWING FEES, LOSS OF USE OF EQUIPMENT, COST OF SUBSTITUTE EQUIPMENT, FACILITIES OR SERVICES OR ANY OTHER BUSINESS
COSTS AND LOSSES RESULTING FROM A COVERED FAILURE.CCRPT'S COMPLETE LIABILITY FOR ANY FAILURES RESULTING FROM
IMPROPER WORKMANSHIP PERFORMED BY CCRPT,AND THE PURCHASER'S EXCLUSIVE REMEDY THEREFOR,ARE LIMITED TO
CORRECTION OF IMPROPERLY PERFORMED WORKMANSHIP AT THE EXPENSE OF CCRPT.
IF CCRPT DETERMINES. IN ITS SOLE DESCRETION,THAT IT IS IMPRACTICAL TO REMEDY DEFECTS BY SERVICE OR REPAIR, CCRPT MAY
REFUND THE PART OF THE PURCHASE PRICE ATTRIBUTABLE TO THE DEFECTIVE SERVICE OR REPAIR PAID BY THE PURCHASER,AND
SUCH REFUND SHALL BE THE SOLE AND EXCULSIVE REMEDY FOR ANY SUCH CLAIM.The warranty set forth herein is the sole warranty made by
CCRPT with regard to service or repairs performed by CCRPT.
What Is Not Covered By This Warranty
This warranty covers service or repair work only. CCRPT does not warranty any engine,product,component or part,and the only warranty respecting a
product,component or part is the warranty,if any, made by the manufacturer thereof.CCRPT makes no warranty and shall have no responsibility for any
portion of the Purchaser's equipment that CCRPT does not work on.This warranty does not apply to damage by accident,failure to perform proper
maintenance,abuse, misuse, neglect or modification by Purchaser or third parties.This warranty does not apply if service or repair to the portion(s)of the
equipment repaired by CCRPT is performed by anyone other than CCRPT after the date this warranty becomes effective.
How to Obtain Service Warranty
Prior to the expiration of this warranty,the original Purchaser of service or repairs must give notice of any warrantable failure to CCRPT and deliver the unit
at owner's expense to a CCRPT facility for repair or to another location as specified by CCRPT.The original Purchaser is responsible for providing his
original repair documentation.
Abandoned Material
Any materials left on the premises of CCRPT after repair work has been completed will be considered abandoned. Such materials may be scrapped or sold
at the sole discretion of CCRPT.
Payment
Unless Prior credit arrangements are made with CCRPT, payment in full by Purchaser for all service and repair work performed by CCRPT and for any
parts,components,engines and products furnished to Purchaser shall by made at the time of completion of the repair and service work. If credit is
extended to Purchaser, Purchaser agrees to pay all costs and expenses, including reasonable attorneys'fees, incurred by CCRPT in collecting any
amounts due to CCRPT from Purchaser.Any invoice which is past due shall bear interest until paid at the rate of 1.5%per month or, if such rate is greater
than that allowed by applicable law,such lesser rate as may be so allowed.
® TERMS: NET 30 unless otherwise specified.A SERVICE
CrosspoCHARGE 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.
C.
INDIANAPOLIS BRANCH Milinew
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-96646
(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 5 OF 5
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
28-JAN-2015 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-JAN-2015 73029381 CPL315500 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
155453 86457 25604 E44
WEN.....
OSN/MSN/VIN BCST2030
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: 236.63
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 $ 236.63
AUTHORIZED BY(print name) SIGNATURE DATE
Cummins Crosspoint. LLC
ENGINES, PARTS, COMPONENTS AND OTHER PRODUCTS-MANUFACTURER'S WARRANTY
THE ONLY WARRANTY WITH RESPECT TO ANY ENGINES, PARTS.COMPONENTS OR PRODUCTS TO WHICH THIS INVOICE RELATES IS THAT
WARRANTY, IF ANY. MADE BY THE MANUFACTURER THEREOF.CUMMINS CROSSPOINT, LLC("CCRPT")MAKES NO WARRANTY OF ANY KIND
REGARDING SUCH ENGINES, PARTS,COMPONENTS OR PRODUCTS,WHETHER EXPRESS,ARISING BY OPERATION OR LAW, OR IMPLIED BY
COURSE OF DEALING, USAGE OR TRADE, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR
PURPOSE.CCRPT IS NOT RESONSIBLE FOR INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES.
LIMITED SERVICE WARRANTY AND EXCLUSIVE REMEDY
Coverage
Cummins Crosspoint, LLC Limited Service Warranty covers failures,which are a direct result of improper workmanship performed by Cummins
Crosspoint,LLC on the purchaser's equipment. This coverage extends for a period of one hundred eighty days(180)days or 25,000 miles or 1,000 hours
of operation,whichever comes first,from the date the service or repair work was performed by Cummins Crosspoint, LLC("CCRPT")as specified on the
front of this invoice. This limited service warranty is made to the original Purchaser of services and repairs as specified on the front of this invoice and
does not apply to subsequent purchasers or users.
OTHER COVERAGES
Engines and components rebuilt by CCRPT for sale on an exchange basis are covered by a separate warranty policy. Copies of this policy are available to
purchasers of these specific engines or components upon request.
Exclusive Remedv
The Purchaser's sole and exclusive remedy for any claim resulting from defects in workmanship shall be correction of improperly performed service or
repair at the expense of CCRPT. CCRPT will also pay for reasonable parts and labor needed to correct any damage to other portions of the unit
(sometimes known as"progressive damages")directly resulting from such improperly performed workmanship by CCRPT, up to a maximum of$5000,
subject to the terms and conditions contained herein.
Limitations
EXCEPT FOR THE FOREGOING,CCRPT MAKES NO WARRANTY OF ANY KIND,WHETHER EXPRESS,ARISING BY OPERATION OR LAW, OR
IMPLIED BY COURSE OF DEALING. USAGE.OR TRADE INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILTIY OR SERVICE OR IMPLIED
WARRANTY OF FITNESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED WARRANTY ARISING WITH RESPECT TO SERVICE OR REPAIRS
WHICH ARE THE SUBJECT OF THIS INVOICE.
EXCEPT AS SPECIFICALLY PROVIDED HEREIN,CCRPT SHALL NOT BE LIABLE FOR ANY INCIDENTAL,SPECIAL OR CONSEQUENTAIL
DAMAGES INCLUDING, WITHOUT LIMITATION, LOST PROFITS, DAMAGES RESULTING FROM "DOWNTIME"EXPENSES,CARGO DAMAGES,
TOWING FEES.LOSS OF USE OF EQUIPMENT,COST OF SUBSTITUTE EQUIPMENT, FACILITIES OR SERVICES OR ANY OTHER BUSINESS
COSTS AND LOSSES RESULTING FROM A COVERED FAILURE.CCRPT'S COMPLETE LIABILITY FOR ANY FAILURES RESULTING FROM
IMPROPER WORKMANSHIP PERFORMED BY CCRPT.AND THE PURCHASER'S EXCLUSIVE REMEDY THEREFOR,ARE LIMITED TO
CORRECTION OF IMPROPERLY PERFORMED WORKMANSHIP AT THE EXPENSE OF CCRPT.
IF CCRPT DETERMINES, IN ITS SOLE DESCRETION,THAT IT IS IMPRACTICAL TO REMEDY DEFECTS BY SERVICE OR REPAIR,CCRPT MAY
REFUND THE PART OF THE PURCHASE PRICE ATTRIBUTABLE TO THE DEFECTIVE SERVICE OR REPAIR PAID BY THE PURCHASER,AND
SUCH REFUND SHALL BE THE SOLE AND EXCULSIVE REMEDY FOR ANY SUCH CLAIM.The warranty set forth herein is the sole warranty made by
CCRPT with regard to service or repairs performed by CCRPT.
What Is Not Covered By This Warranty
This warranty covers service or repair work only.CCRPT does not warranty any engine, product.component or part,and the only warranty respecting a
product.component or part is the warranty,if any, made by the manufacturer thereof.CCRPT makes no warranty and shall have no responsibility for any
portion of the Purchaser's equipment that CCRPT does not work on.This warranty does not apply to damage by accident,failure to perform proper
maintenance,abuse, misuse,neglect or modification by Purchaser or third parties.This warranty does not apply if service or repair to the portion(s)of the
equipment repaired by CCRPT is performed by anyone other than CCRPT after the date this warranty becomes effective.
How to Obtain Service Warranty
Prior to the expiration of this warranty,the original Purchaser of service or repairs must give notice of any warrantable failure to CCRPT and deliver the unit
at owner's expense to a CCRPT facility for repair or to another location as specified by CCRPT.The original Purchaser is responsible for providing his
original repair documentation.
Abandoned Material
Any materials left on the premises of CCRPT after repair work has been completed will be considered abandoned. Such materials may be scrapped or sold
at the sole discretion of CCRPT.
Payment
Unless Prior credit arrangements are made with CCRPT, payment in full by Purchaser for all service and repair work performed by CCRPT and for any
parts,components,engines and products furnished to Purchaser shall by made at the time of completion of the repair and service work. If credit is
extended to Purchaser, Purchaser agrees to pay all costs and expenses,including reasonable attorneys'fees,incurred by CCRPT in collecting any
amounts due to CCRPT from Purchaser.Any invoice which is past due shall bear interest until paid at the rate of 1.5%per month or,if such rate is greater
than that allowed by applicable law,such lesser rate as may be so allowed.
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))
96646 E44 $236.63
I 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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cummins Crosspoint
IN SUM OF $
75 Remittance Drive, Suite 1701
Chicago, IL 60675-1701
$236.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 96646 43-510.00 $236.63 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
er
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund