HomeMy WebLinkAbout305529 11/28/16 �/ CITY OF CARMEL, INDIANA VENDOR: 362147
"® �! ONE CIVIC SQUARE CUSTOM TRUCK &AUTO INC CHECK AMOUNT: $*********2 99*
?�, CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 305529
y��TON�, WESTFIELD IN 46074 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 32999 2.99 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
CUSTOM TRUCK&AUTO INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
17134 WESTFIELD PARK ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
W ESTFI ELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2.99
Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
32999 42-370.00 $2.99 1 hereby certify that the attached invoice(s),or 11/18/16 32999 $2.99
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
Friday, November 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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
eAWe
17134 Westfield Park Rd
Westfield, IN 46074
/ �ru� 317.896.5956 Invoice #32999 .
FIRE DEPARTMENT CARMEL Monday,November 14,2016
12:02:29 PM
Ordered on
1 CIVIC SQUARE DSNYDER@CARMEL.IN.GOV Monday, November 14, 2016
CARMEL IN 46032
Workorder#34202
4 Freightliner MT55 5.9 L 359 CID L6 Cummins ISB Die CV4 BOB:664-0958 Scott Sedwic SDS
200Cash
4UZAASBVX4CM98519 15.9 L 359 CID L6 CUM BLUE
DESCRIPTIONCATALOG D
PART ONLY
SWITCH,3 SPEED 1 2.99 $2.99
PAID BY Parts $2.99 Taxable $2.99
Account$2.99 Labor $0.00 Non-Taxable $0.00
Freight $0.00 Resale $0.00
Other $0.00
Current Balance:$2.99 FET $0.00 TOTAL $2.99
Supplies $0.00
Any wanandes on the itenifitems 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 DUE AT VEHICLE PICKUP"
THANK YOU FOR YOUR BUSINESS!
Print Name Signature Date
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