242674 03/03/15 G4q
CITY OF CARMEL, INDIANA VENDOR: 009987
® t': ONE CIVIC SQUARE ALTEC INDUSTRIES, INC CHECK AMOUNT: $*****1,013.17*
r CARMEL, INDIANA 46032 DRAWER 0414 CHECK NUMBER: 242674
"MUTON�o` PO BOX 11407 CHECK DATE: 03/03/15
BIRMINGHAM AL 35246-0414
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 5178381 1,013.17 REPAIR PARTS
Page 1 of 2
rM
Please Remit To: S1UlC5`)t1iOt
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Altec Industries,Inc. Altec Industries,Inc. Invoice Number Invoice Date
1730 Vanderbilt Road PO Box 11407 5178381 20 FEB-15
Birmingham AL 35234 BIRMINGHAM AL 35246-0414 Request No. Request Date
(877)462-5832 For Accounting Questions: 2271044 17-FEB-15
ARINQUIRY@ALTEC.COM Terms Sale Order No.
NET 30 3208267
S S James Bentley
O CARMELSTREET H CARMELSTREET
L 3400 W 131ST ST 1 3400 W 131ST ST
D WESTFIELD IN 46074 P WESTFIELD IN 46074
T T
O O
Customer No. 11491 Site No..230470 Site No.230470
Customer Order No. Assembly No. CUStomer Vehicle No. –Contact Name -- - — — --Contact-Phone-No --
027-2163219 400 James Bentley (317)-733-2001
In Service Date Device Serial No. Model Technician Odometer
26-FEB-04 0104CV2665 LRV58 Bakian,Rick D 54783
VIN Garage Lic.Plate No. Driver Eng.Meter Reading
1HTMMAAN95H678103 5200
PTO Hours Credit/Fleet Card Information Crew No. VMS Note UP Note
1098
Quantity UOM Part Number Description Price Extended Price Charge
1 EA 035330007- HYD.SPIN ON FILTER ELEMENT;RETURN ELEMENT ONLY $17.17 $17.17 $17.17
3 HRS 970036814 Labor;SVC;TVL;SME;IN/MI/OH $107.00 $321.00 $321.00
1 EA 970256469- PM INSPECTION;1 YEAR INTERVAL;LARGE AERIAL UNITS $500.00 $500.00 $500.00
1 EA 970256998- DIELECTRIC TEST;CAT B/C;BOOM&LINER&ISO GRIP( $150.00 $150.00 $150.00
970032952- Charge;SVC;EDF/SHOP SUPPLIES $25.00 $25.00
Call Reason:
PM INSPECTION
PSM 525
Cause:
ANNUAL INTERVAL
Correction:
2/19 COMPLETED ANNUAL INSPECTION
_
T
_REPLACED RETURN FILTER AND LUBRICATED
DIELECTRIC TESTED UNIT,PASSED TEST �— -- –` — -
JOB COMPLETE
Sub Total $1,013.17
State Tax 7.00% $0.00
County Tax .00% $.00
City Tax .00% $.00
Total Tax $0
Total Invoice $1,013.17
Page 2 of 2
rmAjec® Please Remit To:
Altec Industries,Inc.
Invoice Number Invoice Date
Altec Industries,Inc. p0 Box 11407
5178381 20-FEB-15
Birmingham
Vanderbilt Road BIRMINGHAM AL 35246-0414
Birmingham AL 35234 Request No. Request Date
877)462-5832 2271044 17-FEB-15
( For Accounting Questions: Terms Sale Order No.
ARINQUIRY@ALTEC.COM
NET30 3208267
S S James Bentley
O CARMELSTREET H CARMELSTREET
L 3400 W 131ST ST 1 3400 W 131ST ST
D WESTFIELD IN 46074 P WESTFIELD IN 46074
T T
O O
Customer No. 11491 Site No. 230470 Site No.230470
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
-- 027-2363219 400 James Bentley (317)-733-2001
In Service Date- — Device-Seriai-No:—°----Model-----— Technician--- — — -Odometer
26-FEB-04 0104CV2665 LRV58 Bakian,Rick D 54783
VIN Garage Lic.Plate No. Driver Eng.Meter Reading
1HTMMAAN95H678103 5200
PTO Hours Credit/Fleet Card Information Crew No. VMS Note UP Note
1098
Quantity UOM Part Number Description Price Extended Price .Charge
MILEAGE 54783,PTO HRS 1098
Sub Total $1,013.17
State Tax 7.00% $0.00
County Tax .00% $.00
City Tax .00% $.00
Total Tax $0
Total Invoice $1,013.17
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Altec Industries, Inc. j
IN SUM OF$
1 _ �
P. O. Box 11407
Birmingham, AL 35246-0414
1
$1,013.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
I�
PO#/Dept. INVOICE NO. I ACCT#IrITLE I AMOUNT
Board Members
2201 I 5178381 I 42-370.001 $1,013.17 I 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
i
to
br a 27, 2015
t a
�trB�trAf iriZj SC IllY1Pr
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
02/20/15 5178381 $1,013.17
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
I
120
Clerk-Treasurer