246681 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 009987
ONE CIVIC SQUARE ALTEC INDUSTRIES, INC CHECK AMOUNT: $*****3,662.10*
CARMEL, INDIANA 46032 DRAWER 0414 CHECK NUMBER: 246681
PO BOX 11407 CHECK DATE: 06/30/15
BIRMINGHAM AL 35246.0414
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 5206653 3,662.10 AUTO REPAIR & MAINTEN
Page 1 of 2
tPPlease Remit To: ;SERVICE,INV0ICE "
:5:�
Altec Industries,Inc.fiffec.
Altec Industries,Inc. Invoice Number Invoice Date
5201 West Industries,
84th Street PO Box 11407 5206653 18-JUN-15
BIRMINGHAM AL 35246-0414 Request No. Request Date
Indianapolis IN 46268 tree
2 05-JUN-15
(877)462-5832 For Accounting Questions: Terms Sale Order No.
ARINQUIRY@ALTEC.COM Terms
NET 30 3329266
S S James Bentley
O CARMEL STREET H CARMEL STREET
L 3400 W 131ST ST I ALTEC INDIANA SERVICE CENTER
D WESTFIELD IN 46074 P 5201 W 84TH ST
T T INDIANAPOLIS IN 46268
0 0
Customer No. 11491 Site No. 230470 Site No.250876 -
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
027-2163219 4tl0 James Bentley (317)-733-2001
In Service Date Device Serial No. Model Technician Odometer
26-FEB-04 0104CV2665 LRV58 Crider,Ricky 55702
VIN Garage Lic.Plate No. Driver Eng.Meter Reading
1HTMMAAN95H678103 5200
PTO Hours Credit/Fleet Card Information Crew No. VMS Note UP Note
1098
Quantity UOM Part Number Description Price Extended Price Charge
1 EA 020453102- WASHER;STEEL;MACH IN ERY BUSHING;3.56 IN ID;;;.1041 $29.74 $29.74 $29.74
1 EA 027409274- ADAPTER;STRAIGHT;.13 NPT;.13 PLASTIC TUBE;COMPRE $4.44 $4.44 $4.44
2 EA 044118009- BEARING;CYLINDRICAL;GLASS FILLED PTFE;3.5 IN ID;3.7 $56.71 $113.42 $113.42
2 EA 044118010- BEARING;CYLI N DRICAL;G LASS FILLED PTFE TAPE;4.500 1 $95.34 $190.68 $190.68
5 FT 060213022- HOSE SLEEVE;3.00 IN ID;UOM FEET;WOVEN NYLON;W/ $5.55 $27.75 $27.75
1 EA 070106001- ELBOW SPROCKET;;MOUNTING SHAFT;MACHINED DO $418.95 $418.95 $418.95
1 EA 009900025- CHASSIS GREASE;14 OZ;;MOLY;;;;MULTI-PURPUSE EP LIT $7.96 $7.96 $7.96
24.25 HRS 970024594= Labor;SVC;SID;PLT $97.00 $2,352.25 $2,352.25
1 EA 970256476- DIELECTRIC TEST;CAT B/C;BOOM&LINER&ISO GRIP( $250.00 $250.00 $250.00
970000619- FREIGHT;; $235.66 $235.66
970032952- Charge;SVC;EDF/SHOP SUPPLIES $31.25 $31.25
Sub Total $3,662.10
State Tax 7.00% $0.00
County Tax .00% $.00
City Tax .00% $.00
Total Tax $0
Total Invoice $3,662.10
Page 2 of 2
,r2aAlAtec. Please Remit To: 'SERVICE INVOICE
Altec Industries,Inc. Altec Industries,Inc. Invoice Number Invoice Date
5201 West 84th Street PO Box 11407 5206653 18-JUN-15
Indianapolis IN 46268 BIRMINGHAM AL 35246-0414 Request No. Request Date
(877)462-5832 For Accounting Questions: 2343792 05-JUN-15
ARINQUIRY@ALTEC.COM Terms Sale Order No.
NET30 3329266
S S James Bentley
O CARMEL STREET H CARMEL STREET
L 3400 W 131ST ST I ALTEC INDIANA SERVICE CENTER
D WESTFIELD IN 46074 P 5201 W 84TH ST
T T INDIANAPOLIS IN 46268
O 0
Customer No. 11491 Site No. 230470 Site No.250876
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
027-2163219 400 James Bentley (317)-733-2001
In Service Date Device Serial No. Model Technician Odometer
26-FEB-04 0104CV2665 LRV58 Crider,Ricky 55702
VIN Garage Lic.Plate No. Driver Eng.Meter Reading
1HTMMAAN95H678103 5200
PTO Hours Credit/Fleet Card Information Crew No. VMS Note UP Note
1098
Quantity UOM Part Number Description Price Extended Price Charge
Call Reason:
1. DIAGNOSE FOR PLATFORM RATCHETING
2. PRESSURE WASH
Cause:
ELBOW QUILL SHAFT
Correction:
Description
TROUBLESHOOT FOR PLATFORM RATCHETING
PERFORM PSM 492,IRREGULAR PLATFORM MOVEMENT
APPROVED TO PULLAND REPLACE ELBOW QUILL SHAFT DUE TO WEAR
REPLACE WORN HOSE LOOM AT BOOM TIP
DIELECTRIC TEST UNIT DUE TO SHAFT REPLACEMENT
—OPERATIONAL TEST UNITAFTER REPAIRS ARE COMPLETE
FREIGHT ESTIMATE
SUPPLIES AND ENVIRONMENTAL DISPOSAL FEES
Sub Total $3,662.10
State Tax 7.00% $0.00
County Tax .00% $.00
City Tax .00% $.00
Total Tax $0
Total Invoice $3,662.10
VOUCHER NO. WARRANT NO.
I
Altec Industries, Inc. ALLOWED 20
IN SUM OF$
P. O. Box 11407
Birmingham, AL 35246-0414
$3,662.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT
Board Members
2201 I 5206653 I 43-510.001 $3,662.10 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
v I
T rsd 015
�� tC�tlnrrtzi �r
I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
r
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))
06/18/15 5206653 $3,662.10
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