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Home My WebLink About246017 06/03/15 t°r-c�A3 CITY OF CARMEL, INDIANA VENDOR: 363282 ONE CIVIC SQUARE TRUCK SERVICE INC. CHECK AMOUNT: $*****3,988.04* ?� CARMEL, INDIANA 46032 ATTN:A/R CHECK NUMBER: 246017 3140 W MORRIS STREET CHECK DATE: 06/03/15 INDIANAPOLIS IN 46241 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 63682 594.16 AUTO REPAIR & MAINTEN 1120 4351000 63698 584.74 AUTO REPAIR & MAINTEN 1120 4351000 63715 680.55 AUTO REPAIR & MAINTEN 1120 4351000 63737 2,128.59 AUTO REPAIR & MAINTEN TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. 5/29/2015 10:34AM ' INVOICE NO: PAGE 14700 HERRIMAN BLVD N63737 1 CLEVELAND SPRING SERVICE �INDIANAPOUS SPRING NOBLESVILLE IN 46060 CUSTOMER NO. BRANCH TRUCK SERVICE NOBLESVILLE EAB.TRUCK SERVICE 317-776-6464 2873 * N* WARNER SPRING E]HORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: 2 CARMEL CIVIC SQUARE TO. 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R,3140 W Morris St. Indianapolis, IN 46241 CUSTOMER PO. REFERENCE NO. 011118 (317) 571-2600 EB 000/000 PRICOPER I EXTENSION COMPLETION DATE: 05/29/2015 UNIT: ENGINE44 YEAR: MAKE/MODEL: SEAGRAVE TB50CL SERIAL: 1F9E228T7BCST2030 MILEAGE: 27987 JOB#01 00 009 95 TEST DRIVE VEHICLE PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#02 23 100 00 INSPECT F/E & SUSPENSION (CURSORY INSPECTION) PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#03 41 400 00 COMPUTERIZED BRAKE SYSTEM ANALYSIS SPECIAL DISCOUNT - LABOR 25.00- MISC SUBTOTAL 25.00- PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 25.00 ** JOB SUBTOTAL 0.00 JOB#04 00 009 98 TEST DRIVE - AFTER COMPLETION TO CONFIRM REPAIR PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#05 61 900 00 GENERAL SHOP LABOR REMOVE ONE LEAF AND ADD 2. #4 LEAF FROM BOTTOM OF SPRING STACK BROKE. REPLACED WITH NEW LEAF. USED CUSTOMER SUPPLIED U-BOLTS. ************************************************** BEFORE MEASUREMENTS: RIGHT REAR 46" LEFT REAR 46-1/2" AFTER MEASUREMENTS: RIGHT REAR 49 LEFT REAR 49 ************************************************** 2 DP CB7610 7/16X10 (5/8X3/8) CENTE $5.30 5.18EA 10.36 4 DP SCBL716 LENGTHENER - 7/16X5/8X $1.48 1.45EA 5.80 4 RP 3HC415 3 HOLE CLIP - LIGHT $11.97 4 .49EA 17.96 4 RP 3HC470 3 HOLE CLIP - LIGHT $14.75 5.40EA 21.60 4 RP 3HC485 3 HOLE CLIP - HOLE $9.75 5.87EA* 23 .48 FREIGHT SUBTOTAL TAX STATUS/STATE SALES TAX PLEASE PAY *CONTINUED* RETORQUE u-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may appl vehicles not picked up 30 days aftercompletion of work. TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. D5/29/2015 10:3 4AM INVOICE NO: PAGE 14700 HERRIMAN BLVD N63737 2 CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING NOBLESVILLE IN 46060 CUSTOMER,NO. BRANCH TRUCK SERVICE NOBLESVILLE EAB.TRUCK SERVICE 317-776-6464 2873 * N* WARNER SPRING NORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: TO: 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R,3140 W Morris St. Indianapolis, IN 46241 cu o 011118 (317) 571-2600 EB 000/000 PRICEIPER EXTENSION 4 RP 30OR625-30 REPAIR PLATE 30X30 W $146.78 133.29EA* 533.16 1 RP 30OR558-30 REP.PLATE 30X30 W/HO $112.15 73 .17EA 73.17 PARTS SUBTOTAL 685.53 LABOR SUBTOTAL 861.57 SHOP SUPPLIES 34.46 ** JOB SUBTOTAL 1581.56 JOB#06 31 140 08 L.O.F. HEAVY DUTY VEHICLE PARTS AND LABOR TO COMPLETE L.O.F. SERVICE 1 BA BD7309 LUBE FILTER $126.31 54.86EA 54.86 28 C4 15W40 12/1 ROTELLA TMG OIL 1 $6.63 4.59EA 128.52 PARTS SUBTOTAL 183 .38 LABOR SUBTOTAL 143 .60 SHOP SUPPLIES 5.60 ** JOB SUBTOTAL 332.58 JOB#07 61 900 00 GENERAL SHOP LABOR PARTS AND LABOR TO SERVICE AIR DRYER AND INSTALL CUSTOMER SUPPLIED BELT. 1 RI R950011 "WABCO" REPL CARTRID $275.76 109.43EA 109.43 PARTS SUBTOTAL 109.43 LABOR SUBTOTAL 95.73 SHOP SUPPLIES 9.29 ** JOB SUBTOTAL 214.45 *TOTAL PARTS: 978.34 *TOTAL LABOR: 1125.90 *TOTAL OTHER: 25.00- *TOTAL SHOP SUPPLIES: 49.35 90 DAY WARRANTY ON PARTS AND LABOR **RETORQUE U-BOLTS AFTER 10 DAYS OR 100 MILES** **RETORQUE ALL WHEELS AFTER 50-100 MILES** **NEW WEBSITE - calltruckservice.com EIGHT SUBTOTAL TAXSTATUSISTATE I SALES TAX PLEASE PAY - 2128.59 EXEMPT IN 1 0.00 ' 2128.59 RETORQUE U-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may apply vehicles not picked up 30 days aftercompletion of work. TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. 5/26/2015 11:34AM INVOICE NO: PAGE NOV 14700 HERRIMAN BLVD N63715 1 E]CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING NOBLESVILLE IN 46060 CUSTOMER NO. BRANCH 1-1 TRUCK SERVICE NOBLESVILLE E.AB.TRUCK SERVICE 317-776-6464 2873 * N* WARNER SPRING NORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: TO: 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R,3140 W Morris St. Indianapolis,IN 46241 CUS O E C O 011101 (317) 571-2600 DS 000/000 PRICEIPER EXTENSION COMPLETION DATE: 05/26/2015 UNIT: AMB40 YEAR: 2002 MAKE/MODEL: IHC 4300 SBA AMB/DUA SERIAL: 3HTMNAAL13N585817 MILEAGE: 114449 JOB#01 00 009 95 TEST DRIVE VEHICLE PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#02 23 100 00 INSPECT F/E & SUSPENSION (CURSORY INSPECTION) PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#03 41 400 00 COMPUTERIZED BRAKE SYSTEM ANALYSIS SPECIAL DISCOUNT - LABOR 25.00- MISC SUBTOTAL 25.00- PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 25.00 ** JOB SUBTOTAL 0.00 JOB#04 00 009 98 TEST DRIVE - AFTER COMPLETION TO CONFIRM REPAIR PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#05 45 561 08 FRONT AIR BRAKES HEAVY DUTY TRUCK CUSTOMER STATES BRAKES ARE TOUCHY. PULL TIRE AND CHECK BRAKES ******************************************************* PULLED STEER TIRES TO INSPECT BRAKES AND DRUMS FOUND SHOES GLAZED AND CRACKED, WE REPLACED SHOES AND HARDWARE ******************************************************** WE ALSO PULLED REAR WHEELS AND INSPECTED BRAKES AND THEY WRE IN FINE CONDITION 2 DP SB23M4702QP NEW BRAKE SHBX $144.93 90.86EA* 181.72 PARTS SUBTOTAL 181.72 LABOR SUBTOTAL 430.79 SHOP SUPPLIES 41.79 ** JOB SUBTOTAL 654.30 FREIGHT SUBTOTAL TAX STATUS/STATE I SALES TAX PLEASE PAY *CONTINUED* RETORQUE U-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may apply vehicles not picked up 30 days aftercompletion of work. TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. D5/26/2015 11:3 4AM INVOICE NO. PAGE 14700 HERRIMAN BLVD N63715 2 CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING NOBLESVILLE IN 46060 CUSTOMER NO. BRANCH TRUCK SERVICE NOBLESVILLE EAB.TRUCK SERVICE 317-776-6464 2873 * N* E]WARNER SPRING ❑HORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: TO: 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R,3140 W Morris St. Indianapolis, IN 46241 CUSTOMER P.O. REFERENCE NO. 011101 (317) 571-2600 DS 000/000 PRICE/PER EXTENSION JOB#07 61 900 00 GENERAL SHOP LABOR INSTALL RETURN SPRING ON BRAKE PEDAL PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 23.93 SHOP SUPPLIES 2.32 ** JOB SUBTOTAL 26.25 *TOTAL PARTS: 181.72 *TOTAL LABOR: 479.72 *TOTAL OTHER: 25.00- *TOTAL SHOP SUPPLIES: 44.11 90 DAY WARRANTY ON PARTS AND LABOR **RETORQUE U-BOLTS AFTER 10 DAYS OR 100 MILES** **RETORQUE ALL WHEELS AFTER 50-100 MILES** **NEW WEBSITE - calltruckservice.com FREIGHT SUBTOTAL TAX STATUS/STATE I SALES TAX PLEAS AY 680.55 EXEMPT IN 1 0.00 680.55 RETORQUE U-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may apply vehicles not picked up 30 days aftercompletion of work. TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. D5/21/2015 0 8:2 9AM RMIT VE , 1 1 o ' INVOICE NO. PAGE 14700 HERRIMAN BLVD N63698 1 CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING NOBLESVILLE IN 46060 CUSTOMER;NO. BRANCH TRUCK SERVICE NOBLESVILLE ElE.A.B.TRUCK SERVICE 317-776-6464 2873 * N* WARNER SPRING E]HORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: 2 CARMEL CIVIC SQUARE TO: 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R,3140 W Morris St. Indiana olis, IN 46241 CUSTOMER0 0 011104 (317) 571-2600 JS 000/000 PRICE/PER EXTENSION COMPLETION DATE: 05/21/2015 UNIT: ENGINE 43 YEAR: 1996 MAKE/MODEL: KME SERIAL: 1K9AF4285VN058491 MILEAGE: 83617 JOB#01 00 009 95 TEST DRIVE VEHICLE PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#02 23 100 00 INSPECT F/E & SUSPENSION (CURSORY INSPECTION) STEERING TRANSFER BOX IS LEAKING. TIGHTEN UP YOKE TO TRANSFER BOX PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#03 41 400 00 COMPUTERIZED BRAKE SYSTEM ANALYSIS SPECIAL DISCOUNT - LABOR 25.00- MISC SUBTOTAL 25.00- PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 25.00 ** JOB SUBTOTAL 0.00 JOB#04 00 009 98 TEST DRIVE - AFTER COMPLETION TO CONFIRM REPAIR PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#05 31 120 08 BASIC OIL CHANGE - HEAVY VEHICLE OIL AND FILTER ONLY, LUBE CHASSIS 1 BA BD7154 FILTER $129.08 56.06EA 56.06 41 C4 15W40 12/1 ROTELLA TMG OIL 1 $6.63 4.59EA 188.19 PARTS SUBTOTAL 244.25 LABOR SUBTOTAL 143.60 SHOP SUPPLIES 9.33 ** JOB SUBTOTAL 397.18 JOB#06 41 510 08 INSPECT AIR BRAKES - PER AXLE 75% FRONT ROTORS GOOD 75% REAR ROTORS GOOD 1 SS 340-4009 OIL CAP - 343-4009 W/ $35.12 12.72EA* 12.72 1 SS 340-4009 OIL CAP - 343-400 $35.12 BIL 12.72EA*, 12.72 FREIGHT SUBTO AL TAX STATUS/STA SALESTAX PLEASE PAY *CONTINUED* RETORQUE U-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may appl vehicles not picked up 30 days aftercompletion of work. TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. 5/21/2015 08:29AM • , ' INVOICE NO. PAGE Nor 14700 HERRIMAN BLVD N63698 2 CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING NOBLESVILLE IN 46060 CUSTOMER.NO. BRANCH TRUCK SERVICE NOBLESVILLE ❑EAB.TRUCK SERVICE 317-776-6464 2 8 7 3 * N* WARNER SPRING 11 NORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: TO: 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: AIR, 3140 W Morris St. Indianalpolis, IN 46241 CUSTOMER PO REFERENCE NO 011104 (317) 571-2600 JS 000/000 PRICEIPER EXTENSION PARTS SUBTOTAL 25.44 LABOR SUBTOTAL 143 .60 SHOP SUPPLIES 18.52 ** JOB SUBTOTAL 187.56 *TOTAL PARTS: 269.69 *TOTAL LABOR: 312.20 *TOTAL OTHER: 25.00- *TOTAL SHOP SUPPLIES: 27.85 90 DAY WARRANTY ON PARTS AND LABOR **RETORQUE U-BOLTS AFTER 10 DAYS OR 100 MILES** **RETORQUE ALL WHEELS AFTER 50-100 MILES** **NEW WEBSITE - calltruckservice.com FREIGHT SUBTOTAL TAX STATUS/STATE I SALES TAX PLEASE PAV 584.74 EXEMPT IN 1 0.00 584.74 RETORQUE U-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may apply vehicles not picked up 30 days aftercompletion of work. TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. 35/18/2015 11:4 7AM GEM ' ' INVOICE NO. PAGE 14700 HERRIMAN BLVD N63682 1 CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING NOBLESVILLE IN 46060 CUSTOMER;NO. BRANCH TRUCK SERVICE NOBLESVILLE EAB.TRUCK SERVICE 317-776-6464 2873 * N* WARNER SPRING E]HORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: TO: 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R,3140 W Morris St. Indianapolis, IN 46241 CUSTOMER E C 011094 (317) 571-2600 JS 000/000 PRICE/PER EXTENSION COMPLETION DATE: 05/18/2015 UNIT: ENGINE 41 YEAR: 2011 MAKE/MODEL: SEAGRAVE SERIAL: 1F9E228TOBCST2029 MILEAGE: 35612 JOB#01 00 009 95 TEST DRIVE VEHICLE PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#02 23 100 00 INSPECT F/E & SUSPENSION (CURSORY INSPECTION) PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#04 00 009 98 TEST DRIVE - AFTER COMPLETION TO CONFIRM REPAIR PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 ** JOB SUBTOTAL 0.00 JOB#05 31 140 08 L.O.F. HEAVY DUTY VEHICLE OIL AND OIL FILTER ONLY 1 BA BD7309 LUBE FILTER $126.31 54.86EA 54.86 28 C4 15W40 12/1 ROTELLA TMG OIL 1 $6.63 4.59EA 128.52 PARTS SUBTOTAL 183.38 LABOR SUBTOTAL 239.33 SHOP SUPPLIES 9.33 ** JOB SUBTOTAL 432.04 JOB#06 41 510 08 INSPECT AIR BRAKES - PER AXLE FRONT 80% , ROTORS GOOD REAR 80%, ROTORS GOOD PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 143.60 SHOP SUPPLIES 18.52 ** JOB SUBTOTAL 162.12 *TOTAL PARTS: 183.38 *TOTAL LABOR: 382.93 *TOTAL SHOP SUPPLIES: 27.85 90 DAY WARRANTY ON PARTS AND LABOR FREIGHT SUBTOTAL TAX STAFUSISTAW I SALES TAX LEAS PA *CONTINUED* RETORQUE U-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may apply vehicles not picked up 30 days aftercompletion of work. TRUCK SERVICE, INC. INVOICE DATE TRUCK SERVICE, INC. 35/18/2015 11:4.7AM • , , 1 la INVOICE NO. PAGE 14700 HERRIMAN BLVD N63682 2 CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING NOBLESVILLE IN 46060 CUSTOMER NO. BRANCH TRUCK SERVICE NOBLESVILLE EAB.TRUCK SERVICE 317-776-6464 2873 * N* E]WARNER SPRING IJ NORTON TRUCK SERVICE trksvc.com CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO: TO: 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: AIR,3140 W Morris St. Indianapolis, IN 46241 CUSTOMER P.O. REFERENCE NO. 011094 (317) 571-2600 JS 000/000 PRICEIPER EXTENSION **RETORQUE U-BOLTS AFTER 10 DAYS OR 100 MILES** **RETORQUE ALL WHEELS AFTER 50-100 MILES** **NEW WEBSITE - calltruckservice.com FREIGHT SUBTOTAL TAX STATUSISTATE I SALES TAX PLEASE PAY 594.16 EXEMPT IN 0.00 594.16 RETORQUE U-BOLTS AFTER TERMS:NET 10 PROX.Invoices not paid by 10th of the month following the month of TERMS 10 DAYS OR 500 MILES the invoice date will be considered past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual interest rate of 18%). Storage charge of$10.00 per day may apply vehicles not picked up 30 days aftercompletion of work. VOUCHER NO. WARRANT NO. ALLOWED 20 Truck Service, Inc. IN SUM OF$ r i 3140 W. Morris Street Indianapolis, IN 46241 $3,988.04 i ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 63737 43-510.00 $2,128.59 1 hereby certify that the attached invoice(s), or 1120 63715 43-510.00 $680.55 bill(s) is (are)true and correct and that the 1120 63698 43-510.00 $584.74 materials or services itemized thereon for 1120 63682 43-510.00 $594.16 which charge is made were ordered and received except JUN e 1 2015 Fire Chief 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)) 63737 E44 $2,128.59 63715 A40 $680.55 63698 E42 $584.74 63682 E41 $594.16 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