250632 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 358637
L.:
ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: $*****4,584.22*
r. ?� CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 250632
CHICAGO IL 60675-1701 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 22044 4,584.22 AUTO REPAIR & MAINTEN
TERMS: NET 30 unless otherwise specified.SHIPPING: FOB
cresspdant Shipping Point unless otherwise specified.A SERVICE CHARGE
OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE
CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-22044
(317)244-7251 Remit To:75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2'CIVIC SQUARE 2 CIVIC SQUARE PAGE 1 OF 5
CARMEL, IN 46032- CARMEL, IN 46032- CHARGE—
HT BOB VANVOORST - 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
14-OCT-2015 12-MAY-1996 M11-320E-FIRETRK KME KOVATCH
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 02-OCT-2015 34817001 CPL185500 EXCEL
REF.NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO.
163691 87126 99516 1853278 340.
mom
OSN/MSN1VIN VN058491
COMPLAINT 1. DEAD MISS
2.WHEN ENGINE IS COLD,AND YOU THROTTLE HARD, IT SHUTTERS
001-163691 CUMMINS CROSSPOINT
CAUSE "DSBJG3316
TECHNICIAN NAME/DATE AND TIME:
STOUT 10/14/151:29PM
ROOT CAUSE OF FAILURE(S):
FAILED FUEL PUMP LEAKING FUEL AT THE FUEL PUMP SEAL
ACCESSISSUES:
AIR GOVERNER HAD TO BE REMOVED AND INSTALLED FOR FUEL PUMP
REPLACEMENT . "
CORRECTION BROUGHT UNIT IN FOUND THE ROCKER HOUSING GASKET LEAKING OIL AND
THE FUEL PUMP LEAKING FUEL FROM THE FRONT SEAL. ALSO THE EXHAUST
MANIFOLD GASKETS LEAKING. REPLACED FUEL PUMP AND THE ROCKER
HOUSING GASKET RESET OVERHEAD AND ENGINE WOULD NOT START.
TROUBLE SHOT AND FOUND THE RECON FUEL PUMP THAT WAS JUST
INSTALLED FAILED. REPLACED FUEL PUMP AND TRUCK STARTED , TEST
DROVE UNIT AND ENGINE STARTED MISFIRING. FOUND THE NUMBER 5
INJECTOR FAILED. REPLACED THE NUMBER 5 INJECTOR AND REINSTALLED
THE VALVE COVER RAN ENGINE FOR LEAKS. NO LEAKS. TEST DRIOVE TRICK A
SECOND TIME AND MISFIRE WAS GONE. REPAIR COMPLETE. 10/14/2015
COVERAGE CUSTOMER BILLABLE./RECON PART WARRANTY.
REMARK WE APPRECIATE YOUR BUSINESS ! THANK YOU.
1 1 3886396 FLEET CAL OTHER 95.00 95.00
TAKE TO HOLD AREA
1 1 3090942RX PUMP,FUEL/CELECT DRC 779.00 779.00
TAKE TO HOLD AREA
1 1 3883463D PUMP,FUEL 911-10 CELECT CLEAN 165.00 165.00
TAKE TO HOLD AREA
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
TERMS:NET 30 unless otherwise specified.SHIPPING: FOB
Crosspoant Shipping Point unless otherwise specified.A SERVICE CHARGE
OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE
CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-22044
(317)244-7251 Remit To:75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 2 OF 5
CARMEL, IN 46032- CARMEL, IN 46032- CHARGE'*'
HT BOB VANVOORST - 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
14-OCT-2015 12-MAY-1996 M11-320E-FIRETRK KME KOVATCH
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 02-OCT-2015 34817001 CPL185500 EXCEL
REF.NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO.
163691 87126 99516 1853278 340.
OSN/MSNNIN VN058491
-1 -1 3883463D PUMP,FUEL 911-10 CELECT DIRTY 165.00 - 165.00
TAKE TO HOLD AREA
1 1 4026171 GASKET,FUEL PUMP CECO 11.61 11.61
TAKE TO HOLD AREA
1 1 3046200 SPIDER,JAW COUPLING CECO 8.73 8.73
TAKE TO HOLD AREA
6 6 3328948 GASKET,EXHAUST MANIFOLD CECO 7.38 44.28
TAKE TO HOLD AREA
1 1 4965698 SCREW,HEX FLANGE HEAD CAP CECO 7.58 7.58
TAKE TO HOLD AREA
1 1 3818124 SPACER,MOUNTING CECO 11.54 11.54
TAKE TO HOLD AREA
1 1 3072919 GASKET,TURBOCHARGER CECO 12.03 12.03
TAKE TO HOLD AREA
1 1 5264569 GASKET,OIL DRAIN CECO 4.77 4.77
TAKE TO HOLD AREA
1 1 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 13.41 13.41
TAKE TO HOLD AREA
1 1 FS1212 FWS PKG FLG 7.63 7.63
TAKE TO HOLD AREA
1 1 4070529 GASKET,RKR LEVER HOUSING CECO 69.58 69.58
TAKE TO HOLD AREA
1 1 3163713 SEAL,ELECTRICAL CONNECTOR CECO 5.97 5.97
TAKE TO HOLD AREA
1 1 3163714 SEAL,ELECTRICAL CONNECTOR CECO 6.60 6.60
TAKE TO HOLD AREA
2 2 3163715 SEAL,ELECTRICAL CONNECTOR CECO 6.27 12.54
TAKE TO HOLD AREA
6 6 3070136 SEAL,O RING CECO 5.40 32.40
TAKE TO HOLD AREA
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
® TERMS: NET 30 unless otherwise specified.SHIPPING: FOB
Q Shipping Point unless otherwise specified.A SERVICE CHARGE
OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE
CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. Please contact us regarding discrepancies.
C.
INDIANAPOLIS BRANCH ®. . ®,,r
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-22044
(317)244-7251 Remit To:75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 3 OF 5
CARMEL, IN 46032- CARMEL, IN 46032- ***CHARGE"*
HT BOB VANVOORST - 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
14-OCT-2015 12-MAY-1996 M11-320E-FIRETRK KME KOVATCH
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 02-OCT-2015 34817001 CPL185500 EXCEL
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
163691 87126 99516 1853278 340.
OSNIMSNNIN VN058491
6 6 3070137 SEAL,O RING CECO 5.40 32.40
TAKE TO HOLD AREA
6 6 3070138 SEAL,O RING CECO 5.45 32.70
TAKE TO HOLD AREA
1 1 4070529 GASKET,RKR LEVER HOUSING CECO 69.58 69.58
ALREADY PULLED
1 1 OUTSIDE POS 3871472 NONSTOCK 66.13 66.13
PO#170332 KW INV#977686
1 1 3348110 PLUG,THREADED CECO 33.10 33.10
1 1 3070100 GASKET,CONNECTION CECO 9.41 9.41
1 1 3083779 HARNESS,WIRING CECO 273.89 273.89
1 1 5298814 SEAL,ELECTRICAL CONNECTOR CECO 3.65 3.65
PULLED 10/9
1 1 FS1287 PAC, FS FLG 34.69 34.69
PULLED 10/9
1 1 3090942RX PUMP,FUEL/CELECT DRC 779.00 779.00
PLEASE DEL TO BAY 24 TO TIMMY
STOUT
1 1 3883463D PUMP,FUEL 911-10 CELECT CLEAN 165.00 165.00
PLEASE DEL TO BAY 24 TO TIMMY
STOUT
-1 -1 3883463D PUMP,FUEL 91 L10 CELECT DIRTY 165.00 - 165.00
PLEASE DEL TO BAY 24 TO TIMMY
STOUT
1 1 3046200 SPIDER,JAW COUPLING CECO 8.73 8.73
PLEASE DEL TO BAY 24 TO TIMMY
STOUT
1 1 4026171 GASKET,FUEL PUMP CECO 11.61 11.61 '
PLEASE DEL TO BAY 24 TO TIMMY
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES,PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
®as ®C' t5 TERMS: NET 30 unless otherwise specified. SHIPPING: FOB
�( Shipping Point unless otherwise specified.A SERVICE CHARGE
OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE
cc
CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH 7e�mit
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917001-22044
(317)244-7251 :75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 4 OF 5
CARMEL, IN 46032- CARMEL, IN 46032- ***CHARGE***
HT BOB VANVOORST - 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
14-OCT-2015 12-MAY-1996 M11-320E-FIRETRK KME KOVATCH
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 02-OCT-2015 34817001 CPL185500 EXCEL
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
163691 87126 99516 1853278 340.
OSN/MSNNIN VN058491
STOUT
1 1 CUSTOM FUEL CUSTOM FUEL LINE OTHER 65.92 65.92
LINE PO#170538 TRUCK SERV INV#
1247073
1 1 3070100 GASKET,CONNECTION CECO 9.41 9.41
TYLER WILL PULL
1 1 3871472 GASKET CECO 62.14 62.14
1 1 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 13.41 13.41
TYLER WILL PULL
1 1 3087557PX INJECTOR,CELECT DRC 506.35 506.35
TYLER WILL PULL
1 1 3084589D INJ,94M11 CELECT CLEAN 385.00 385.00
TYLER WILL PULL
-1 -1 3084589D INJ,94M11 CELECT DIRTY 385.00 385.00
TYLER WILL PULL
1 1 4071224 CAP,FILLER CECO 85.76 85.76
ALREADY PULLED
PARTS: 3,220.55
PARTS COVERAGE CREDIT: 1,012.74CR
TOTAL PARTS: 2,207.81
SURCHARGE TOTAL: 0.00
LABOR: 2,508.00
LABOR COVERAGE CREDIT: 288.00CR
TOTAL LABOR: 2,220.00
MISC.: 156.41
MISC. COVERAGE CREDIT: O.00CR
TOTAL MISC.: 156.41
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
aNnt
TERMS: NET 30 unless otherwise specified.SHIPPING: FOB
crosspShipping Point unless otherwise specified.A SERVICE CHARGE
OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE
CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. Please contact us regarding discrepancies.
C.
�,
INDIANAPOLIS BRANCH yr ,°
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-22044
(317)244-7251 Remit To:75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 5 OF 5
CARMEL, IN 46032- CARMEL, IN 46032- ***CHARGE***
HT BOB VANVOORST - 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
14-OCT-2015 12-MAY-1996 M11-320E-FIRETRK KME KOVATCH
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 02-OCT-2015 34817001 CPL185500 EXCEL
REF.NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO.
163691 87126 99516 1853278 340.
OSN/MSN/VIN VN058491
REPAIR SUPPLIES&EQUIP. 133.20
ENVIRO COMPLIANCE 22.14
ADJUSTMENT-LABOR TTS 1.07
WARRANTIES APPLIED: FREE CUSTOMER SERVICE
RECON
TAX EXEMPT NUMBERS: IN 003120155 002 0 TAXES:
STATE 0.00
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS SUB TOTAL: 4,584.22
INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER TOTAL TAX: 0.00
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD. TOTAL AMOUNT: US$ 4,584.22
AUTHORIZED BY(print name) SIGNATURE DATE
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))
22044 E340 $4,584.22
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
Cummins Crosspoint
IN SUM OF $
75 Remittance Drive, Suite 1701
Chicago, IL 60675-1701
$4,584.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 22044 43-510.00 $4,584.22 1 hereby certify that the attached invoice(s), or
1120 43-510.00 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
pt S.
Fire Chief �J
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund