246264 06/17/15 ('�4q'`. CITY OF CARMEL, INDIANA VENDOR: 362147
® .� ONE CIVIC SQUARE CUSTOM TRUCK &AUTO INC CHECK AMOUNT: $*******529.53*
�'� CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 246264
v'� ;i: WESTFIELD IN 46074
,,,ETON�. CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 27759 288.78 26866
1120 4351000 27759 240.75 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
6/1/2015 12:29 PM page 1
Invoice#26866
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 1996 FIRE TRUCK ENGINE 43 CUMMINS M11
VIN : 1K9AF4285VN058491 Color : Red-White
Fleet# : 43
Created : 3/3/2015 9:56:21 AM Odometer In : 0
Complete : 3/30/2015 8:27:14 PM Odometer Out: 0
Invoiced : 5/13/2015 9:41:27 AM
Contact : BOB (664-0958)
Sry Writer: DM
Labor/Notes
Codefrech* Description Price
CB* PO#E343
PARTS PICKED-UP ON 5-13-2015 BY CFD JASON
Parts
Qty Code/Tech* Description Condition Unit Price Price
2 CB* FAN,5.5"CCW HEATER 4-BLADE New $7.20 $14.40
2 CB* MOTOR 12V CCWLE 2 SPEED New $56.35 $112.70
1 CB* KH2O0 HEATER PKG P/N 3375073 New $96.06 $96.06
1 CB* KIT,SWITCH New $65.62 $65.62
Labor ....................................................... $0.00
Parts ....................................................... $288.78
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $0.00
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $288.78
Tech Certification#
CB
VIII IIIIII VIII VIII VIII VIII IIII IIII
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
6/1/2015 12:29 PM page 2
Invoice#26866
Vehicle : 1996 FIRE TRUCK ENGINE 43 CUMMINS M11
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
WITH MANAGEMENT.
THANK YOU FOR YOUR BUSINESSI
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
page 1
Invoice#27759
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032_ —---_ -__- ------------ ---- _ -- -- -- -- --
-fold here-
Vehicle : 2003 KME FIRE ENGINE 45 FIRE TRUCK CUMMINS ISM
VIN : 1 K9AF42883N058675
Fleet# : 45
Created : 5/12/2015 3:46:12 PM Odometer In : 0
Complete : 5/29/2015 10:35:45 PM Odometer Out: 78129
Invoiced : 5/29/2015 10:35:45 PM
Contact : BOB (664-0958)
Sry Writer: DM
Labor/Notes
Code/Tech* Description Price
CB* EVACUATE,CHARGE&PERFORMANCE TEST $80.00
CB* LABOR $60.00
REPLACE SMALL SECTION OF A/C SUCTION HOSE NEAR COMPRESSOR.OLD HOSE HAD SMALL PINHOLE LEAK.
Parts
Qty Code/Tech* Description Condition Unit Price Price
5.5 CB* REFRIGERANT R134a, New $10.00 $55.00
1 CB* FTG, FOR, 10X12,STR,FC New $16.40 $16.40
1 CB* FTG, FOR, 10X12,90,FC $19.62 $19.62
1 CB* HOSE, REFRIGERANT,QUICK CLICK-#12/16MM New $5.89 $5.89
Labor $145.00 less discount: $5.00 $140.00
Parts ....................................................... $96.91
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $3.84
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $240.75
Tech Certification#
CB
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
page 2
Invoice#27759
Vehicle : 2003 KME FIRE ENGINE 45 FIRE TRUCK CUMMINS ISM
Any warranties on the item/items sold are those made by the manufacturer. The seller, Custom Truck
and Auto, Inc., hereby expressly disclaims all warranties, either express or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and Custom Truck and Auto,
Inc., neither assumes nor authorizes any other person to assume for it any liability in connection with
the same of this item/items.
PAYMENT IS DUE AT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE
WITH MANAGEMENT.
THANK YOU FOR YOUR BUSINESSI
I VIII VIII I VII I VIII VIII VIII IIII II II
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck &Auto, Inc.
IN SUM OF$
17134 Westfield Park Road
Westfield, IN 46074
$529.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 27759 43-510.00 $240.75 1 hereby certify that the attached invoice(s), or
1120 26866 43-510.00 $288.78 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 jUN
f
Fire Chief
Title
f
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))
27759 E45 $240.75
26866 E43 $288.78
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