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311087 5/9/2017
CITY OF CARMEL, INDIANA VENDOR: 362147 CHECK AMOUNT: s ...1,511.33' CUSTOM TRUCK &AUTO INC CHECK NUMBER: 311087 ONE CIVIC SQUARE 17134 WESTFIELD PARK ROAD CARMEL, INDIANA 46032 WESTFIELD IN 46074 CHECK DATE: 05/09/17 do 'M�roa' OUNT AMDESCRIPTION DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER 1,511.33 AUTO REPAIR & IyAINTEN 1120 4351000 34404 0 c \ 2 ? / O \ § ) 2 z q k �/ 0 # D 0 - I \ 0 p ;a k»_< kk b0 ®t § & «/Uk C$ \ m } ¢ 7 � � O Z � 2 � f - 3 / / CL k 3 0 © # C) D f ® z & 0 3 z O 4 > -n | \ F. Q / / m ¢ \ = 2 > \ \ 2 f } 0 2 R $ ƒ \ i & ƒ E 2 o i n -no 0 j eƒ & - ƒ \ R ; # f E � / § I £ E � CL CD - E I \ ( K Cl) 0 S CDk 0 _ C) ƒ ¢ k CL 5 E ® OL a) t 03 7 \ \ CL f § e 42 [ | # 7 \I § ] > � » ( ($ 3 m \ OPDcrCDCL \ \ _ \ {» ) \ , < g G 0 Z g k \m \ k ƒ \ ° , � # CD 3 Z / ( 0 n \ \ e k ii % \ / | \{ kCD Q > o � � � cr CD _ o D \_\ o > z � \ / \ R M \ \ / j E \ O n 7 k 2 E § $ c CD / at C c CD� \ / n CD ° 0 � \ \ 0 CD D W } \ 2 . f D } \ & 0 ¥ < CD d w \ AdLft 17134 Westfield Park Rd Westfield, IN 46074 tI�mek A Auto 317.896.5956 invoice #34404 Wednesday,April 19,2017 FIRE DEPARTMENT CARMEL 10:53:00 AM Ordered on 1 CIVIC SQUARE DSNYDER@CARMEL.IN.GOV Friday,April 14,2017 CARMEL IN 46032 Workorder#35896 MAKE-&MODFI P0# TE 008 GMC Truck C4500 1 112 Ton Truck 6.6 L 403 CID V8 E41 BOB:664-0958 Scott Sedwic SDS Cash 11 PS INIOUT ENGINE SI �7!"_�90828/90828 1 1 GDE4V1978F418435 0,6 L 403 CID V8 DIESd RED DESCRIPTIONELATALOG I- QE QUOTE 1 EVALUATION 1 VEHICLE PORTER 1 .00 $0.00 CJB-SDS LABOR REPLACE WATER PUMP 4.5 100.00 $450.00 CJB GASKET 1 31.17 $31.17 SEAL 2 3.11 $6.22 SEAL 1 2.86 $2.86 GASKET 1 5.10 $5.10 CJB-SDS GASKET 1 20.60 $20.60 CJB-SDS PUMP 1 322.87 $322.87 CJB-SDS DELO EXTENDED LIFE BULK 6 13.00 $78.00 LABOR R&R AIC ACCUMULATOR AND AIC LINES OFF 0.75 100.00 $75.00 CJB COMPRESSOR HOSE 1 155.79 $155.79 CJB-SDS ACCUMULATOR 1 167.31 $167.31 LABOR AIC EVACUATE AND RECHARGE FRONT A/C SYSTEM 1 100.00 $100.00 CJB AMBULANCE ARRIVED WITH BAD FRONT COMPRESSOR HOSE ASSEMBLY.REPLACED HOSE, ACCUMULATOR AND RECHARGED SYSTEM.REAR A./C SYSTEM WORKING GOOD. REFRIGERANT R134a, 2.1 4.73 $9.93 CJB SS Shop Supplies $28.50 PAID BY Parts $799.85 Taxable $828.35 Account$1,511.33 Labor $625.00 Non-Taxable $625.00 Freight $0.00 Local Tax $57.98 Other $0.00 Current Balance: $1,511.33 FET $0.00TOTAL $1,511.33 Supplies $28.50 Any warranties on the itemltems 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 itemmems. PAYMENT IS DUE AT VEHICLE PICKUP" THANK YOU FOR YOUR BUSINESS! Print Name Signature Date Page 1 of 1