243693 03/31/15 +y1.C�yMF
J,/ CITY OF CARMEL, INDIANA VENDOR: 362147 CHECK AMOUNT: S 200.99
ONE CIVIC SQUARE CUSTOM TRUCK &AUTO INC
=Q CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 243693
ty�.,_.. WESTFIELD IN 46074 CHECK DATE: 03/31/15
ITON F�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 26860 200.99 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
3/25/2015 9:02 AM page 1
Invoice#26860
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2003 International 4300 LP (Low Profile) 7.6 L 466 CID L6
VIN : 3HTMNAAL13N585817 Color : Red-White
Fleet# : 40
Created : 3/3/2015 8:00:37 AM Odometer In : 0
Complete : 3/24/2015 7:09:08 AM Odometer Out: 113778
Invoiced : 3/24/2015 7:09:08 AM
Contact : BOB (664-0958)
Labor/Notes
Code/Tech* Description Price
EO* GENERAL USE LABOR $20.00
REPLACED THE THROTTLE POSITION SENSOR
Parts
Qty Code/Tech* Description Condition Unit Price Price
1 EO* KT SENSOR New $173.26 $173.26
Labor ....................................................... $20.00
Parts ....................................................... $173.26
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $7.73 -
Charges . ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $200.99
Tech Certification#
EO
I VIII(IIII I VII I VIII VIII VIII I III III
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
3/25/2015 9:02 AM page 2
Invoice#26860
Vehicle : 2003 International 4300 LP (Low Profile) 7.6 L 466 CID L6
Any warranties on the item/items sold are those made by the manufacturer. The seller, Custom Truck
and Auto, Inc., hereby expressly disclaims all warranties, either express or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and Custom Truck and Auto,
Inc., neither assumes nor authorizes any other person to assume for it any liability in connection with
the same of this item/items.
PAYMENT IS DUE AT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE
--WWI-TH-MANAGEMENT. — --- — --— – -
THANK YOU FOR YOUR BUSINESS!
I VIII VIII I VII I VIII VII I VIII I III IIII
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck &Auto, Inc.
IN SUM OF$
17134 Westfield Park Road
Westfield, IN 46074
$200.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 26860 43-510.00 $200.99 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
i
materials or services itemized thereon for
i
which charge is made were ordered and
received except
MAR 3 Q 7015
kar AAA
b
Fire Chief
Title
Cost distribution ledger classification if i
claim paid motor vehicle highway fund
I
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))
26860 5817 $200.99
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
, 20
Clerk-Treasurer