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Home My WebLink About307171 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 0Q n -4 n $ « \ // 7 D Q _ m ) � cr mq W Rw O cn 00 z § z / / O13 < k wR = aIt Uk $\ \ 7 0 ) _ . � � � t t -n > 0 � § \ § % k 0 / 3 a o _ $ 0 0 E ® 3 ) 0 A 2 ? z z / $ 2 -nO § § E O | / o S. _ & ■ 3 R - # Er < / g k a c § . % k g i E k , � 0 _ ; k Q 0 3 / _ E } $ R f E f a ± 0 CE § § - CD CL CD I @ E E k & 2 2 ( 0 a E ± � 7 $ f / 2 § i ƒ 5 / / . q ( R a } § f - \ § � [ Q f 7 �CD CD§ j § § § k K 0 c ; G = m *k % E k CD k = \ ) & & 0 � § o -n a 2 0 ca8 � a a z9 k O e Q 2 # q ƒ k k C IOU § m # m f / o CL (D § k :3 CD 0_� fo \ }ƒ (D 3ED 90 } o g « CC) n ( k \ / / § 2 f 7 { n / 0 E \ \ r- 0 E % ? z $ $ « 7 ] C _ cnm E 0 % CD =01. § / A C _ 0 \ § M \ E 91 / § / ) $ Cl 7 > CD \ 2 0 - $ (D § § z a CD ® k 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