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Home My WebLink About300949 07/25/16 (9, CITY OF CARMEL, INDIANA VENDOR: 358637 ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: $*****2,787.15* CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 300949 CHICAGO IL 60675-1701 CHECK DATE: 07/25/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 001-41867 2,347.78 AUTO REPAIR & MAINTEN 1120 4351000 001-46713 552.24 AUTO REPAIR & MAINTEN 1120 4351000 001-46745 -149.81 AUTO REPAIR & MAINTEN 1120 4237000 47350 36.94 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) CUMMINS CROSSPOINT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 75 REMITTANCE DR, SUITE 1701 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, I L 60675-1701 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $36.94 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 47350 42-370.00 $36.94 1 hereby certify that the attached invoice(s),or 7/19/16 47350 $36.94 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday,July 19,2016 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer TERMS:NET 30 unless otherwise specified.SHIPPING: FOB CrIDISSPOint Shipping Point unless otherwise specified.A SERVICE CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE co CHARGED ON PAST DUE ACCOUNTS. Please check this invoice for accuracy. Please contact us regarding discrepancies. INDIANAPOLIS BRANCH INVOICE NO 3621 W MORRIS STREET INDIANAPOLIS, IN 46242-0917 001-47350 (317)244-7251 Remit To:75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 SOLD TO SHIP TO CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 PAGE 1 OF 1 CONTACT BOB VANVOORST ON ACCOUNT CHARGE'"` HT DATE CUSTOb1ER ORDER N0. DATE IN SERVICE ENGINE rdODEL PUMP N0. EQUIPMENT MAKE 18-JUL-2016 E341 CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 CUSTOMER PICK UP Cc REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. 0E-100-607454 1096 M111 swim 1 1 5258625 HOSE,MOLDED CECO 33.34 33.34 1 1 3049221 SEAL,O RING CECO 3.60 3.60 THANK YOU VERY MUCH FOR YOUR BUSINESS. A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON PARTS ACCEPTED FOR RETURN. NO RETURNS ALLOWED ON OPEN ELECTRONIC COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NOW RETURNABLE TO THE VENDOR. RGA NUMBER MUST BE OBTAINED BEFORE RETURN IS MADE. TRACKING# SUB TOTAL: 36.94 MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS TOTAL AMOUNT: US$ 36.94 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. j�/-ECEIVED BY(print name) SIGNATURE DATE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts . City Form No.201(Rev.1995) CUMMINS CROSSPOINT ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 75 REMITTANCE DR, SUITE 1701 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service CHICAGO, IL 60675-1701 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,750.21 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 46745 43-510.00 ($149.81) 1 hereby certify that the attached invoice(s),or 7/18/16 41867 E45 $2,347.78 1120 101 1120 101 46713 43-510.00 $552.24 bill(s)is(are)true and correct and that the 7/18/16 46713 $552.24 1120 1 101 1 materials or services itemized thereon for 1120 1 101 41867 43-510.00 $2,347.78 7/18/16 46745 ($149.81) 1120 101 which charge is made were ordered and 1120 I 101 received except Monday, July 18, 2016 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer TERMS:NET 30 unless otherwise specified.SHIPPING: FOB Shipping Point unless otherwise specified.A SERVICE CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE co CHARGED ON PAST DUE ACCOUNTS. Please check this invoice for accuracy. Please contact us regarding discrepancies. INDIANAPOLIS BRANCH INVOICE NO 3621 W MORRIS STREET INDIANAPOLIS, IN 46242-0917 001-46713 (317)244-7251 Remit To:75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 SOLD TO SHIP TO CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 PAGE 1 OF 1 CONTACT BOB VANVOORST ON ACCOUNT CHARGE HT —_----------- __-- DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 08-JUL-2016 BOB CUSTOMER NO. SHIP VIA — — FAIL DATE — ENGINE SERIAL NO.� CPL NO. EQUIPMENT MODEL 400706 CUSTOMER PICK UP C REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT-NO.T OE-100-606846 87562 EM 1 1 3597619 VALVE,AIR CONTROL CECO 502.24 502.24 1 1 FREIGHT-PARTS OTC FREIGHT OTHER 50.00 50.00 THANK YOU VERY MUCH FOR YOUR BUSINESS. A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON PARTS ACCEPTED FOR RETURN. NO RETURNS ALLOWED ON OPEN ELECTRONIC COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NON- RETURNABLE TO THE VENDOR. RGA NUMBER MUST BE OBTAINED BEFORE RETURN IS MADE. TRACKING# SUB TOTAL: 552.24 MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS TOTAL AMOUNT: US$ 552.24 SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS INVOICE,WHICH INCLUDES LIMITATIONS OWWARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES TH C ERM D CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print nam SIGNATURE DATE Cr®ssp®int 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 I CHARGED ON PAST DUE ACCOUNTS.Please check this invoice for accuracy. Please contact us regarding discrepancies. INDIANAPOLIS BRANCH INVOICE NO 3621 W MORRIS STREET INDIANAPOLIS, IN 46242-0917 001-46745 (317)244-7251 RemitTo:75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 SOLD TO SHIP TO CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 PAGE 1 OF 1 I CONTACTJASON FORCE "ON ACCOUNT CHARGE HT DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 11-JUL-2016 --- E345 - - - - - -- - - CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 CUSTOMER PICK UP Cc REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-606953 87183 QUANTITY BACK rQUANTITY PART DESCRIPTION UNIT PRICE AMOUNT 1 1 3683078 VALVE,SOLENOID CECO 303.14 303.14 1 1 AF26113 PAC,AF FLG 49.29 49.29 -1 -1 3597619 VALVE,AIR CONTROL CECO 502.24 502.24CR THANK YOU VERY MUCH FOR YOUR BUSINESS. A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON PARTS ACCEPTED FOR RETURN. NO RETURNS ALLOWED ON OPEN ELECTRONIC COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NON- RETURNABLE TO THE VENDOR.RGA NUMBER MUST BE OBTAINED BEFORE RETURN IS MADE. TRACKING# SUB TOTAL: 149.81CR 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 TOTAL AMOUNT: US$ 149.81 CR 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. RECEIVED BY(print name) v n S� SIGNATURE DATE Ank 1 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 CHARGED ON PAST DUE ACCOUNTS.Please check this ce invoice for accuracy. Please contact us regarding discrepancies. INDIANAPOLIS BRANCH 7ToMRemiftance 3621 W MORRIS STREET ***REPRINT*** INDIANAPOLIS, IN 46242-0917 1867 (317)244-7251 Dr-Ste1701 , 1701 BILL TO OWNER CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 1 OF 4 CARMEL, IN 46032- CARMEL, IN 46032- CHARGE * HT JASON FORCE -317 6904283 DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 13-MAY-2016 E45 15-MAY-2003 ISM 380 KME KOVATCH CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 02-MAY-2016 35073147 CPL827300 EXCEL REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. 169570 9109 85587 E45 OSN/MSNNIN N058675 COMPLAINT 1.BLACK SMOKE 2.NO POWER 3.ENGINE SURGES UNDER A LOAD. I 4.OIL LEAKS-HAS ADDED BUT NOT KNOW HOW MUCH POSS TURBO FAILURE CAUSE DSBKQ4589 EGR VALVE FAILURE. UNIT WILL HAVE TO BE RAN ON THE DYNO TO GET ENGINE TO TEMP WITH DYE TO VERIFY THE LEAKS. DSBKQ4589 EGR VALVE FAILURE. ROCKER HOUSING GASKET CORRECTION PER CUSTOMER APPROVED ESTIMATE WAS FOR TEH DIAGNOSTICS AND REPLACEMENT OF THE EGR VALVE AT THIS TIME. WILL CLEAN DOWN AND DYE TEST WHILE ON THE DYNO THESE LEAKS SHOULD BE COVERED UNDER WARRANTY ESTIMATE IS FOR DIAGNOSTICS AND REPLACEMENT OF THE EGR VALVE AT THIS TIME. WILL CLEAN DOWN AND DYE TEST WHILE ON THE DYNO IT WAS FOUND THAT THE ROCKER HOUSING GASKET PASS THROUGH ORINGS ,ARE LEAKING OIL ALSO THE OIL FILL CAP WAS LOOSE AND LEAKING COVERAGE CUSOTMER BILLABLE FOR DIAG TIME AND EGR VALVE REPLACEMENT. CUSTOMER BILLABLE FOR DIAG TIME AND EGR VALVE REPLACEMENT.ALSO THE OIL LEAKS DUE TO BEING OUT OF WARRANTY BY TIME ON PARTS WARRANTY. REMARK WE APPRECIATE YOUR BUSINESS! THANK YOU. 1 1 CC36077 OAT FLG 14.95 14.95 PLZ DEL TO HOLD AREA ASAP 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 Crosspoint 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 Cinvoice for accuracy. Please contact us regarding discrepancies. e INDIANAPOLIS BRANCH INVOICE NO 3621 W MORRIS STREET ***REPRINT*** INDIANAPOLIS, IN 46242-0917 001-41867 (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 4 CARMEL, IN 46032- CARMEL, IN 46032- CHARGE- HT JASON FORCE -317 6904283 DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 13-MAY-2016 E45 15-MAY-2003 ISM 380 KME KOVATCH CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL,NO. CPL NO. EQUIPMENT MODEL 400706 02-MAY-2016 35073147 CPL827300 EXCEL REF.NO. SALESPERSON PARTS DISP. MILEAGElHOURS PUMP CODE UNIT NO. 169570 9109 85587 E45 PART av OSN/MSNNIN N058675 JWK 5/3/16 11:45AM. 1 1 3376891 ADDITIVE,FLUORESCENT DYE CECO 18.16 18.16 PLZ DEL TO HOLD AREA ASAP JWK 5/3/16 11:45AM. 1 1 4955421 RX KIT,EGR VALVE DRC 893.13 893.13 PLZ DEL TO HOLD AREA ASAP JWK 5/3/16 11:45AM. 1 1 3102745D VALVE,EGR(ISM02) CLEAN 82.50 82.50 PLZ DEL TO HOLD AREA ASAP JWK 5/3/16 11:45AM. -1 -1 3102745D VALVE,EGR(ISM02) DIRTY 82.50 - 82.50 PLZ DEL TO HOLD AREA ASAP JWK 5/3/16 11:45AM. 1 1 CC36077 OAT FLG 14.95 14.95 PLZ DEL TO HOLD AREA ASAP JWK 5/3/16 11:45AM. 4 4 3682826 SEAL,GROMMET CECO 1.65 6.60 PLZ DEL TO HOLD AREA ASAP JWK 5/3/16 11:45AM. 1 1 3871472 GASKET CECO 67.33 67.33 PLS DEL TO THE HOLS AREA RH 5-5-16,RH 2 2 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 15.89 31.78 PLS DEL TO THE HOLS AREA RH 5-5-16, RH 6 6 3070138 SEAL,O RING CECO 2.76 16.56 PLS DEL TO THE HOLS AREA RH 5-5-16, RH 6 6 3070137 SEAL,O RING CECO 2.73 16.38 PLS DEL TO THE HOLS AREA RH 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 CrosShipping 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. a INDIANAPOLIS BRANCH • • 3621 W MORRIS STREET ***REPRINT*** INDIANAPOLIS, IN 46242-0917 001-41867 (317)244-7251 RemitTo.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 4 CARMEL, IN 46032- CARMEL, IN 46032- •.t CHARGE**# HT JASON FORCE-317 6904283 DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 13-MAY-2016 E45 15-MAY-2003 ISM 380 KME KOVATCH CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 02-MAY-2016 35073147 CPL827300 EXCEL REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. 169570 9109 85587 E45 CoPART �IIACK [0il iiii ESCRIPt -Pfto�'ui'T ,ORDERED SHT"PE NUU13tAll NIT P 6U OSN/MSN/VIN N058675 5-5-16,RH 6 6 3070136 SEAL,O RING CECO 2.73 16.38 PLS DEL TO THE HOLS AREA RH 5-5-16,RH 2 2 3163715 SEAL,ELECTRICAL CONNECTOR CECO 3.69 7.38 PLS DEL TO THE HOLS AREA RH 5-5-16,RH 1 1 3163714 SEAL,ELECTRICAL CONNECTOR CECO 3.89 3.89 PLS DEL TO THE HOLS AREA RH 5-5-16,RH 1 1 3163713 SEAL,ELECTRICAL CONNECTOR CECO 3.52 3.52 PLS DEL TO THE HOLS AREA RH 5-5-16,RH 1 1 4070529 GASKET,RKR LEVER HOUSING CECO 61.73 61.73 PLS DEL TO THE HOLS AREA RH 5-5-16, RH 1 1 4003914 LEVER,ROCKER CECO 46.07 46.07 RYAN TO PULL AND DELIVER 3 3 3049221 SEAL,O RING CECO 2.09 6.27 RYAN TO PULL AND DELIVER 1 1 3104230 GASKET,EXH GAS RCN VALVE CECO 24.69 24.69 RYAN TO PULL AND DELIVER 1 1 3033915 SEAL,O RING CECO 18.33 18.33 RYAN TO PULL AND DELIVER 1 1 3058653 SEAL,O RING CECO .88 0.88 RYAN TO PULL AND DELIVER 2 2 3163715 SEAL,ELECTRICAL CONNECTOR CECO 3.69 7.38 DIST WARRANTY 1 1 4003912 LEVER,ROCKER CECO 43.04 43.04 PULLED 5/9 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 1 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 CHARGED ON PAST DUE ACCOUNTS.Please check this ca invoice for accuracy. Please contact us regarding discrepancies. INDIANAPOLIS BRANCH !!7 3621 W MORRIS STREET ***REPRINT*** INDIANAPOLIS, IN 46242-0917 0(317)244-7251 Remit To:75 Remittance Dr-S Chicago,IL 60675-1701 BILL TO OWNER CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 4 OF 4 CARMEL, IN 46032- CARMEL, IN 46032- *•*CHARGE'** HT JASON FORCE-317 6904283 DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 13-MAY-2016 E45 15-MAY-2003 ISM 380 KME KOVATCH CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 02-MAY-2016 35073147 CPL827300 EXCEL REF.NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO. 169570 9109 85587 E45 OSN/MSN/VIN N058675 1 1 169C-6-8 OEM FITTING OTHER 7.69 7.69 PARTS PCARD JF DIST INV# 1101625 1 1 OUTSIDE PARTS AIR FILTER CLAMP OTHER 29.85 29.85 PARTS: 1,356.94 PARTS COVERAGE CREDIT: O.00CR TOTAL PARTS: 1,356.94 SURCHARGE TOTAL: 0.00 LABOR: 1,632.00 LABOR COVERAGE CREDIT: 708.00CR TOTAL LABOR: 924.00 MISC.: 66.84 MISC.COVERAGE CREDIT: O.00CR TOTAL MISC.: 66.84 ENVIRO COMPLIANCE 11.40 REPAIR SUPPLIES&EQUIP. 55.44 WARRANTIES APPLIED: FREE CUSTOMER SERVICE 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: 2,347.78 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$ 2,347.78 AUTHORIZED BY(print name) SIGNATURE DATE