HomeMy WebLinkAbout259515 06/14/16 a`! - CITY OF CARMEL, INDIANA VENDOR: 362147
j ® i,, . ONE CIVIC SQUARE CUSTOM TRUCK &AUTO INC CHECK AMOUNT: $*******100.76*
_� CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 259515
9M��'ON Gam` WESTFIELD IN 46074 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 31574 100.76 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
CUSTOM TRUCK&AUTO INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
17134 WESTFIELD PARK ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
WESTFI ELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$100.76 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
31574 43-510.00 $100.76 1 hereby certify that the attached invoice(s),or 6/7/16 31574 $100.76
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
Tuesday,June 07,2016
U®r
David Haboush
Fire Chief
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
17134 Westfield Park Rd
VA-
FIRE
Westfield, IN 46074
1 T10u0"k A Auto 317.896.5956 Invoice #31574
DEPARTMENT CARMEL Thursday,June 2,2016
3:32:13 PM
Ordered on
1 CIVIC SQUARE dsnyder@carmel.in.gov; Wednesday,June 1,2016
CARMEL IN 46032 christyb@CUSTOMTRUCKANDAUTO.COM
Workorder#32406
008 GMC Truck C4500 1 1/2 Ton Truck 6.6 L 403 CID V8 A40 2737 664-0958 1 Scott Sedwicl SDS Cash
TOR01 IF ENGINE S17F TRANSMISSION mi nR PRD DATE:
74803 101211/101211 1GDE4V1958F407045 16.6 L403 CID V8 DIES RED
CATALOG DESCRIPTION P RTS LABO DISC I FET TOTAL Co
LABOR EVACUATE AND RECHARGE,FRONT A/C UNIT 1 90.00 $90.00 CJB
EVACUATED AND RE-CHARGED FRONT A/C SYSTEM,AMBULANCE ARRIVED WITH LOW REFRIGERANT
CHARGE IN THE FRONT UNIT,BUT NO LEAKS COULD BE FOUND AT THIS TIME.CHARGED SYSTEM WITH
SPECIFIED REFRIGERANT AMOUNT.REAR UNIT WAS WORKING GOOD.I WASHED THE REAR
CONDENSER COIL SINCE IT LOOKED DIRTY AND THAT IMPROVED THE TEMPERATURE DROP ACROSS
THE CONDENSER COIL.
REFRIGERANT R134a, 2 4.38 $8.76
SS Shop Supplies $2.00
PAID BY Parts $8.76 Taxable $10.76
Account$100,76 Labor $90.00 Non-Taxable $90.00
Freight $0.00 Resale $0.00
Other $0.00
Current Balance: $2,476.99 FET $0.00 TOTAL $100.76
Supplies $2.00
Any warranties on the itemrtems 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 VEHICLE PICKUP"
THANK YOU FOR YOUR BUSINESS!
Print Name Signature Date
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