307171 01/20/17 9� s` CITY OF CARMEL, INDIANA VENDOR: 358637
ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: $ ...5,143.10"
r° CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 307171
•�ITQN"� CHICAGO IL 60675-1701 CHECK DATE: 01/20/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 001-61495 5,263.10 AUTO REPAIR & MAINTEN
1120 4351000 001-61730 -120.00 AUTO REPAIR & MAINTEN
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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
C. CHARGED ON PAST DUE ACCOUNTS.Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
001-61495
INDIANAPOLIS, IN 46242-0917
(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 6
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
22-DEC-2016 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-NOV-2016 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
175267 1964 42610 E44
QUANTITY BACK OUANT I TY PART DESCRIPTION PRODUCT UNIT PRICE AtIOUNT
ORDERED ORDERE SHIP PED � NUMBER .D
OSN/MSN/VIN BCST2030
COMPLAINT 1.ECM CAL FOR CRANK CASE PRESSURE
2.CODES
CAUSE "DSBLZ8759
ROOT CAUSE OF FAILURE(S):
CYLINDER LINERS
TURBO
AIR COMPRESSOR MOUNT GASKET
PROGRESSIVE DAMAGE:
PISTONS
CONNECTING RODS
CRANKCASE BREATHER FILTER
ACCESS ISSUES:
REFRIGERANT COMPRESSOR AND BRACKET
FAN GUARD
POWER STEERING RESERVOIR
FAN HUB
AIR COMPRESSOR INLET TUBE
AIR COMPRESSOR OUTLET TUBE
OTHER CLAIMABLES:
CRANKCASE BREATHER FILTER ELEMENT
ADDITIONAL COMMENTS:
PRS156334"
CORRECTION PERFORM DIAGNOSTICS. REPLACED PISTONS AND LINERS.PERFORM MACHINE
WORK ON BLOCK.CUT COUNTER BORES.INSTALLED NEW CYLINDER KITS.
REPLACE FAILED CONNECTING RODS. INSTALLED NEW ROD BEARINGS.
REPAIRED OIL LEAK ON EXTERNAL OIL FEED LINE.RAN ON DYNO FOR BREAK
IN.AFTER REPAIR AND DURING DYNO TEST,THE TURBO HAS FAILED CAUSING
HIGH BLOWBY.ALSO HAS A BAD CAC BOOT AND THE AIR COMPRESSOR MOUNT
GASKET IS LEAKING OIL.REPLACED TURBO AND CAC BOOT.REPLACE AIR
COMPRESSOR MOUNT GASKET.CLEAN DOWN.DYNO TEST. BLOWBY IS NOW IN
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
C. CHARGED ON PAST DUE ACCOUNTS.Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 7T.:75
1495
(317)244-7251 ance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 2 OF 6
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
22-DEC-2016 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-NOV-2016 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
175267 1964 42610 E44
PRODUCT UNIT PRICE AMOUNT
ORDERED ORDERE SHIPPED NUMBER OD
OSN/MSNNIN BCST2030
SPEC AT 4.5 IN/1-120.LEAK CHECK.CHECK FOR PROPER OPERATION.FINAL AND
CLOSEOUT.
COVERAGE POLICY/CUSTOMER PAY
REMARK WE APPRECIATE YOUR BUSINESS! THANK YOU.
SRO 99-999 TIME
.4 FOR THE BATTERY LOTO
.5 INSPECTED ENGINE FOR OIL LEAKS.FOUND THE FITTINGS FOR THE
EXTERNAL OIL FEED LINE FOR THE AIR COMP ARE LEAKING AT THE BLOCK AND
THE AIR COMP.NEED TO REPLACE THE FITTINGS OR THE ORINGS ON THE
FITTINGS.
2 2 4932615 GASKET,CONNECTION CECO 4.73 9.46
ALREADY PULLED
1 1 3376891 ADDITIVE,FLUORESCENT DYE CECO 23.80 23.80
ALREADY PULLED
1 1 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 16.91 16.91
ALREADY PULLED
1 1 OUTSIDE POS MUL HOSE NONSTOCK 13.33 13.33
ALREADY PULLED
1 1 5347975RX HEAD,CYLINDER DRC 3,453.76 3,453.76
ALREADY PULLED
1 1 4942132D HEAD,CYLINDER CLEAN 330.00 330.00
-1 -1 4942132D HEAD,CYLINDER DIRTY 330.00 330.00
1 1 4955643 SET,UPPER ENGINE GASKET CECO 228.22 228.22 *
ALREADY PULLED
6 6 3800328 KIT,LINER CECO 181.53 1,089.18 *
ALREADY PULLED
6 6 4955530 KIT,ENGINE PISTON CECO 269.70 1,618.20 *
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
C. CHARGED ON PAST DUE ACCOUNTS.Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 7To:75
1495
(317)244-7251 tance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 3 OF 6
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
22-DEC-2016 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-NOV-2016 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
175267 1964 42610 E44
QUANTITY BACK QUANTITY PART PRODUCT UNIT PRICE AMOUNT
ORDERED ORDERE SHIPPED NUMBER DESCRIPTION .D
OSN/MSN/VIN BCST2030
ALREADY PULLED
4 4 5286984 STUD CECO 9.15 36.60 *
ALREADY PULLED
4 4 3818824 NUT,REGULAR HEXAGON CECO 3.84 15.36 *
ALREADY PULLED
1 1 3104230 GASKET,EXH GAS RCN VALVE CECO 30.48 30.48 *
ALREADY PULLED
2 2 4932615 GASKET,CONNECTION CECO 4.73 9.46 *
ALREADY PULLED
2 2 3049221 SEAL,O RING CECO 3.60 7.20 *
ALREADY PULLED
1 1 5264570 GASKET,OIL DRAIN CECO 4.23 4.23 *
ALREADY PULLED
1 1 3755843 GASKET,TURBOCHARGER CECO 8.96 8.96 *
ALREADY PULLED
1 1 5332563 GASKET,OIL PAN CECO 46.14 46.14 *
ALREADY PULLED
6 6 3950661 BEARING,CON ROD(STD) CECO 11.62 69.72 *
ALREADY PULLED
6 6 3966244 BEARING,CON ROD(STD) CECO 22.37 134.22 *
ALREADY PULLED
1 1 FF5636 PAC,FF(S FLG 21.31 21.31
ALREADY PULLED
1 1 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 16.91 16.91
ALREADY PULLED
1 1 3824510 CLEANER,QD CONTACT CECO 25.29 25.29
ALREADY PULLED
0 0 OUTSIDE POS EXTRAS(12/1/16) NONSTOCK .00 0.00
6 6 3924445 SHIM CECO 25.91 155.46
PLS DEL TO BAY 17, 12.2.16,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
Crosspoint Shipping Point unless otherwise specified.A SERVICE CHARGE
OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE
C. CHARGED ON PAST DUE ACCOUNTS.Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 7T.:75
1495
(317)244-7251 tance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 5 OF 6
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
22-DEC-2016 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-NOV-2016 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
175267 1964 42610 E44
GUANTITY BACK OUANTITY PART DESCRIPTION PRODUCT UNIT PRICE AMOUNT
ORDERED ORDERE SKI P PED NUMBER OD
OSN/MSN/VIN BCST2030
1 1 5264570 GASKET,OIL DRAIN CECO 4.23 4.23
DEL TO BAY 17 12.19.2016
1 1 3940245 GASKET,HYDRAULIC PUMP CECO 13.26 13.26
DEL TO BAY 17 12.19.2016
1 1 4330737 HOSE,FLEXIBLE CECO 89.16 89.16
DEL TO BAY 17 12.19.2016
1 1 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 16.91 16.91
DEL TO BAY 17 12.19.2016
1 1 EDOWN PREM 4352531 RX OTHER 345.38 345.38
TTS
PARTS: 12,201.97
PARTS COVERAGE CREDIT: 8,785.95CR
TOTAL PARTS: 3,416.02
SURCHARGE TOTAL: 0.00
LABOR: 5,218.80
LABOR COVERAGE CREDIT: 3,594.20CR
TOTAL LABOR: 1,624.60
MISC.: 222.48
MISC.COVERAGE CREDIT: O.00CR
TOTAL MISC: 222.48
DYNOMOMETER CHARGE 50.00
ELECTRONIC TOOLING FEE 50.00
ENVIRONMENTAL COMPLIANCE 25.00
SHOP SUPPLIES 97.48
WARRANTIES APPLIED: FREE CUSTOMER SERVICE
POLICY
TAX EXEMPT NUMBERS: IN 003120155 002 0 TAXES:
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
C. CHARGED ON PAST DUE ACCOUNTS.Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 7To:75�R�e�mittance
1495
(317)244-7251 Dr-Ste1701
Chicago,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 4 OF 6
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
22-DEC-2016 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-NOV-2016 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
175267 1964 42610 E44
PRODUCT UNIT PRICE AMOUNT
OD
OSN/MSNNIN BCST2030
1 1 AH8501 PAC,AH FLG 149.97 149.97
PULL FOR BAY 17 ASAP PLEASE
(SAT REPAIR)
1 1 CV50628 CV FLG 90.81 90.81
PULL FOR BAY 17 ASAP PLEASE
(SAT REPAIR)
6 6 3867471 SEAL,O RING CECO 2.87 17.22
BAY 17 12/13
6 6 3937142 SEAL,INJECTOR CECO 4.07 24.42
BAY 17 12/13
6 6 4954487 SEAL,O RING CECO 7.62 45.72
BAY 17 12/13
1 1 2872288 CONNECTORJNJ FUEL SUPPLY CECO 34.91 34.91
1 1 OUTSIDE POS FAN NONSTOCK 312.50 312.50
4 4 4944670 ROD,ENGINE CONNECTING CECO 150.41 601.64 *
1 1 LF9009 PAC,LF FLG 41.99 41.99 *
28 28 3377361 OIL,ENGINE VALVOLINE 2.58 72.24 *
9 9 CC36077 OAT FLG 14.95 134.55
1 1 5264570 GASKET,OIL DRAIN CECO 4.23 4.23 *
PULLED 12.19.2016
1 1 4352531RX KIT,ICP TURBOCHARGER DRC 3,159.67 3,159.67 *
PO#901183027
1 1 4955403D TURBO,HE431Ve CLEAN 660.00 660.00
DEL TO BAY 17 12.19.2016
-1 -1 4955403D TURBO,HE431Ve DIRTY 660.00 660.00
DEL TO BAY 17 12.19.2016
1 1 3755843 GASKET,TURBOCHARGER CECO 8.96 8.96
DEL TO BAY 17 12.19.2016
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
cc CHARGED ON PAST DUE ACCOUNTS.Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH a
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-61495
(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 6 OF 6
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
22-DEC-2016 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 22-NOV-2016 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
175267 1964 42610 E44
PRODUCTTY� PART PTION AMOUNTUNIT PRICE
.•D .D
OSN/MSN/VIN BCST2030
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: 5,263.10
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$ 5,263.10
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
ce CHARGED ON PAST DUE ACCOUNTS.Please check this
invoice for accuracy. Please contact us regarding discrepancies.
INDIANAPOLIS BRANCH REPRINT
INVOICE NO
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-61730
(317)244-7251 ***CREDIT MEMO**'
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 PAGE 1 OF 1
CARMEL, IN 46032 CARMEL, IN 46032
CONTACT BOB VANVOORST ON ACCOUNT CHARGE***
HT
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
27-DEC-2016 BOB V
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 CUSTOMER PICK UP C 73029381
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
OEC M-100-618596 86821 E44
QUANTITY BACK QUANTITY PART DESCRIPTION PRODUCT UNIT PRICE AI.IOUNT
ORDERED ORDERE.1 SHIPPED NUMBER CODE
INVOICE REFERENCE 001-61495
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.
CREDIT ISSUED AGAINST INVOICE 001-61495. CONNECTING
RODS WERE NOT REPLACED. THE PART WAS NOT REMOVED
FROM THE REPAIR ORDER PRIOR TO INVOICING. CUSTOMER
WAS BILLED 20%OF THE COST OF THE PART. 80%WAS FILED
TO CLAIM 201602395. REFERENCE PART#4944670. R/O 175267
TRACKING# PARTS PRICE ADJ(DEPT.210): 120.00CR
SUB TOTAL: 120.00CR
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$ 120.00CR
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) SIGNATURE DATE