241703 02/03/15 (�a W C49.yf!
�>; CITY OF CARMEL, INDIANA VENDOR: 362147
® i ONE CIVIC SQUARE CUSTOM TRUCK &AUTO INC CHECK AMOUNT: $ ...`"454.76*
�� CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 241703
?M,�rnH c� WESTFIELD IN 46074 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 26275 454.76 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
1/23/2015 2:08 PM page 1
Invoice#26275
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2008 GMC Truck C4500 1 1/2 Ton Truck 6.6 L 403 CID V8 Tag/State : 74803/ IN
VIN : 1GDE4V1958F407045 Color : Red
Fleet# : 2737
Created : 1/19/2015 11:16:01 AM Odometer In : 0
Complete : 1/19/2015 4:50:51 PM Odometer Out : 93111
Invoiced : 1/19/2015 4:50:51 PM
Contact : BOB (664-0958)
Labor/Notes
CodefTech* Description Price
TZ* ALTERNATOR ASSEMBLY-R&R M $96.00
REPLACED DRIVERS SIDE ALTERNATOR THERE ARE TWO ALTERNATORS ON THIS VEHICLE
Parts
Qty Code/Tech* Description Condition Unit Price Price
1 TZ* ALTERNATOR NEW NOT REMAN $341.27 $341.27
Note: M - Labor Database, Copyright, Mitchell International, All Rights Reserved
Labor $108.00 less discount: $12.00 $96.00
Parts ....................................................... $341.27
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $17.49
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $454.76
Tech Certification#
TZ
II II I I f II
l(f l 11 VIII I(!II(VI I I VI II III I I I III!I I 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))
26275 VIN 7045 $454.76
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck & Auto, Inc.
IN SUM OF $
17134 Westfield Park Road
Westfield, IN 46074
$454.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 26275 43-510.00 $454.76 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
FEB - 2 2015
Iv'' J
It (
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund