242246 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 362147
d ONE CIVIC SQUARE CUSTOM TRUCK & AUTO INC CHECK AMOUNT: $*******156.50*
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 242246
v�. WESTFIELD IN 46074 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 26301 156.50 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
2/3/2015 2:04 PM page 1
Invoice#26301
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2003 INTERNATIONAL 4300 DT 466
VIN : 3HTMNAAL83N585815 Color : Red
Fleet# : A42 Fleet Driver : 1674
Created : 1/20/2015 2:36:36 PM Odometer In : 121054
Complete : 1/22/2015 9:40:28 AM Odometer Out: 121054
Invoiced : 1/22/2015 9:40:28 AM
Contact : BOB (664-0958)
Sry Writer: DM
Labor/Notes
Code/Tech* Description Price
CB* FLUSH HEATER CORE $45.00
VEHICLE ARRIVED WITH POOR HEAT OUTPUT AND INOPERATIVE BLEND DOOR MOTOR. REMOVED BLOWER MOTOR
HOUSING TO OBSERVE BLEND DOOR AND HEATER CORE.
HEATER CORE WAS UNIFORMLY WARM TO THE TOUCH,SO I REPLACED THE BLEND MOTOR FIRST. HEAT OUTPUT WAS
STILL POOR EVEN WITH CORRECT BLAND DOOR OPERATION. I BACK-FLUSHED THE HEATER CORE WHICH IMPROVED
COOLANT FLOW AND HEAT OUTPUT. ULTIMATELY, HEATER CORE REPLACEMENT WOULD BE NEEDED IF CORE
BECOMES RESTRICTED AGAIN.
CB* R&R HEATER TEMPERATURE BLEND MOTOR $36.00
Parts
Qty Code/Tech* Description Condition Unit Price Price
1 CB* HEATER DOOR ACTUATOR $69.48 $69.48
Labor ....................................................... $81.00
Parts ....................................................... $69.48
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $6.02
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $156.50
Tech Certification#
CB
IIIIIIIIIIII III II IIIIIIIIII IIII
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
2/3/2015 2:04 PM page 2
Invoice#26301
Vehicle : 2003 INTERNATIONAL 4300 DT 466
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 BUSINESS!
�I
I III I II III illll lllli l II IIII IIII IIII
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))
26301 VIN 5815 $156.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck & Auto, Inc.
IN SUM OF $
17134 Westfield Park Road
Westfield, IN 46074
$156.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 26301 43-510.00 $156.50 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
FEB 9 C 9(191•,
F C S a s
6
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund