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Home My WebLink About258381 05/10/16 1��_4nA,yft CITY OF CARMEL, INDIANA VENDOR: 362147 ® ONE CIVIC SQUARE CUSTOM TRUCK &AUTO INC CHECK AMOUNT: $"`"""""642.73" : '; CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 258381 ��',«`oe WESTFIELD IN 46074 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 31262 642.73 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City FonnNo.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CUSTOM TRUCK&AUTO INC 17134 WESTFIELD PARK ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by WESTFIELD,IN 46074 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $654.64 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Fire Date Due Invoice Date Invoice# Description Amount PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s)) 31262 I 43-510.00 j $654.84 1 hereby certify that the attached invoice(s),or 04/29/16 31262 VIN 4225 $654.84 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday,May 02,2016 Uar 'Z�. _7_k4-_A David Haboush Fire Chief Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5-11-10-1.6 20_ Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 CUSTOM TRUCK&AUTO INC 17134 WESTFIELD PARK ROAD IN SUM OF$ WESTFIELD, IN 46074 $642.73 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 31262 I 43-510.00 I $642.73 1 hereby certify that the attached invoice(s), or 1120 101 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 Friday, May 06, 2016 V4MDr _ David Haboush Fire Chief Cost distribution ledger classification if claim paid motor vehicle highway fund 'rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by vhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due nvoice Date invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 05/06/16 I 31262 I I $642.73 1120 101 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 17134 Westfield Park Rd Westfield, IN 46074 nek A Aufo 317.896.5956 Invoice #31262 aT, 2 FIRE DEPARTMENT CARMEL Thursday,April 28,2016 7,45:00 AM Ordered on 1 CIVIC SQUARE dsnyder@carmel.in.gov; Wednesday,April 27,2016 CARMEL IN 46032 CTASALES@CUSTOMTRUCKANDAUTO.COM Workorder#32017 MAKE& MODEI F- HARLO FORK TRUCK HF456 1 664-0958 IScott Sedwicl SDS I I Cash C764225 ATALOG DESCRIPTION- TY PARTS B DI FET TOT LCode SUBLETLABOR RESEAL/REPAIR MASTER CYLINDER 1 334.80 $334.80 SEAL KIT 1 160.33 $160.33 LABOR R&R MAIN LIFT CYLINDER FOR REPAIR 1.5 90.00 $135.00 JDS SS Shop Supplies $12.60 PAID BY Parts $160.33 Taxable $172.93 Account$654.84 Labor $469.80 Non-Taxable $469.80 Freight $0.00 Local Tax $12.11 Other $0.00 Current Balance: $1,213.77 FET $0.00 . TOTAL $654.84 Past Due Balance: $2,250.85 Supplies $12.60 Any warranties on the itemltems 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 itemltems. PAYMENT IS DUEAT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE WITH MANAGEMENT. THANK YOU FOR YOUR BUSINESS! Print Name Signature Date Page 1 of 1 � f 17134 Westfield Park Rde Westfield, IN 46074 hrifek & Auto 317.896.5956 Invoice #31262 FIRE DEPARTMENT CARMEL Thursday,April 28,2016 Ordered on 1 CIVIC SQUARE dsnyder@carmel.in.gov; Wednesday,April 27,2016 CARMEL IN 46032 christyb@CUSTOMTRUCKANDAUTO.COM Workorder#32017 MAKE& MODEL FLEET NO. PHONE REP CSH PO# TERMS HARLO FORK TRUCK HF456 664-0958 IScott Sedwicl SDS I I Cash LICENSE NO. MILES IN/OUT .VIN TORQUE ENGINE SIZE TRANSMISSION COLOR PRD-DATE C764225 CATALOG DESCRIPTION IQTYI PARTS I LABOR I DISC I FET TOTAL Code SUBLETLABOR RESEAUREPAIR MASTER CYLINDER 1 334.80 $334.80 SEAL KIT 1 160.33 $160.33 LABOR R&R MAIN LIFT CYLINDER FOR REPAIR 1.5 90.00 $135.00 JDS SS Shop Supplies $12.60 PAID BY Parts $160.33 Taxable $172.93 Account$654.84 Labor $469.80 Non-Taxable $469.80 Freight $0.00 Local Tax " Other $0.00 Current Balance: $875.01 FET $0.00 TOTAL Past Due Balance: $2,589.61 Supplies $12.60 Any warranties on the itemltems 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 forit any liability in connection with the same of this itemhitems. PAYMENT IS DUEAT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE WITH MANAGEMENT. THANK YOU FOR YOUR BUSINESS! Print Name Signature Date Page 1 of 1