313341 07/10/17 9, )
CITY OF CARMEL, INDIANA VENDOR: 358637
ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: S""16,857.08'CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 313341 CHICAGO IL 60675-1701 CHECK DATE: 07/10/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 77133 10,788.61 AUTO REPAIR & MAINTEN
1120 4351000 77910 6,068.47 AUTO REPAIR & MAINTEN
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Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Service Remit To:Cummins Crosspoint
75 Remittance Dr-Ste1701
Chicago, IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-77910
(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 2
CARMEL, IN 46032- CARMEL, IN 46032- •**CHARGE—
HT SCOTT OSBORNE -317 371-3140
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
26-JUN-2017 E44 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 06-JUN-2017 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
180543 9109 46394 E44
QUANTITY BACK QUANTITY PART DESCRIPTION PRODUCT UNIT PRICE AMOUNT
ORDERED ORDERE SHIPPED NUMBER .D
OSNIMSNNIN BCST2030
COMPLAINT 1.CHECK ENGINE LIGHT
2.LOST THROTTLE RESPONSE
3. LOOK AT DPF AND REGEN CYCLES TO ENSURE WORKING PROPERLY
CAUSE THE THROTTLE PEDAL SENSOR AND THE THROTTLE PEDAL SENSOR HARNESS
FAILED
DIESEL OXYDATION CATAYLST
DIESEL PARTICULATE FILTER
CORRECTION THIS IS FOR THE LABOR(THE CUSTOMER PROVIDED THE THROTTLE PEDAL
SENSOR AND HARNESS) TO REPLACE THROTTLE PEDAL SENSOR AND
HARNESS THAT HAS FAILED, REPLACE DOC AND DPF.CLEAR FAULTS,AND
RUN FOR OPERATION. FINAL&CLOSEOUT
COVERAGE CUSTOMER BILLABLE
REMARK THANK YOU FOR USING CUMMINS SALES&SERVICE.
SRO 99-999 TIME
.4 LOTO THE BATTERIES FOR SAFTEY
1.5 HOURS TO REMOVE AND INSTALL 2 KICK PANELS AND WIRING TEST
2 2 2871452 GASKET,AFM DEVICE CECO 34.04 68.08
ALREADY PULLED
1 1 4969838NX MODULE,PARTICULATE FILTER DRC 1,832.40 1,832.40
PLS DEL TO THE HOLD AREA,
6.7.17
1 1 4965229D MODULE,PARTICULATE FILTER CLEAN 100.00 100.00
-1 -1 4965229D MODULE,PARTICU LATE FILTER DIRTY 100.00 100.00
1 1 5287487NX MODULE,INLET CATALYST DRC 2,535.13 2,535.13
Billing Inquiries?Call(8771.80-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT, INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE
BEEN READ AND FULLY UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Service Remit To:Cummins Crosspoint
75 Remittance Dr-Ste 1701
Chicago, IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-77910
(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 2
CARMEL, IN 46032- CARMEL, IN 46032- ***CHARGE**'
HT SCOTT OSBORNE -317 371-3140
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
26-JUN-2017 E44 07-NOV-2011 ISL 425 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 06-JUN-2017 73029381 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
180543 9109 46394 E44
OUANTITY BACK OUANTITY PART DESCRIPTION PRODUCT UNIT PRICE Ar.`IOUNT
ORDERED ORDERE SHIPPED NUMBER CODE
OSN/MSN/VIN BCST2030
PLS ORDER,6.7.18,RH
1 1 2880512D MODULE, INLET CATALYST IS CLEAN 350.00 350.00
-1 -1 2880512D MODULE, INLET CATALYST IS DIRTY 350.00 - 350.00
1 1 EDOWN PREM 5287487NX OTHER 253.51 253.51
TTS
PARTS: 4,689.12
PARTS COVERAGE CREDIT: O.00CR
TOTAL PARTS: 4,689.12
SURCHARGE TOTAL: 0.00
LABOR: 1,232.20
LABOR COVERAGE CREDIT: O.00CR
TOTAL LABOR: 1,232.20
MISC.: 147.15
MISC.COVERAGE CREDIT: 0.000R
TOTAL MISC.: 147.15
ELECTRONIC TOOLING FEE 50.00
HAZ WASTE DISPOSAL 25.00
ADJUSTMENT-LABOR TTS - 1.78
SHOP SUPPLIES 73.93
TAX EXEMPT NUMBERS: IN 003120155 002 0 TAXES:
STATE 0.00
Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE SUB TOTAL: 6,068.47
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE TOTAL TAX: 0.00
BEEN READ AND FULLY UNDERSTOOD.
TOTAL AMOUNT: US$ 6,068.47
AUTHORIZED BY(print name) SIGNATURE DATE
Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Remit To:Cummins Crosspoint
ce Service 75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-77133
(317)244-7251 Remit To:75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO
CARMEL FIRE DEPARTMENT BOB VANVOORST-317 6640958
2 CIVIC SQUARE PAGE 1 OF 6
CARMEL, IN 46032- ***CHARGE***
HT
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
15-JUN-2017 30-DEC-2009 ISM 450 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 08-JUN-2017 35263292 CPL333000 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
180630 179261 48151 LADDER 341
QUANTITY BACK QUANTITY PART PRODUCT UNIT PRICE AHOUNT
ORDERED ORDERE SHIPPED NUMBER DESCRIPTION .D
OSN/MSNNIN 7ACST2010
COMPLAINT 1.CLEAN DPF AND DOC
2.NO ISSUES BUT WANTS TO CHECK TO ENSURE THAT EVERYTHING IS
WORKING AS IT SHOULD.
CAUSE -ROCKER HOUSING GASKET
-OIL COOLER O-RINGS
-OIL FILTER HEAD MOUNT GASKET
-WATER PUMP
-CRANKCASE FILTER&DRAINLINE
-AIR FILTER&HOUSING
-COOLANT FILTER
-PIPE PLUG IN BLOCK
-COOLANT HOSE FROM WATER PUMP TO THERMOSTAT HOUSING
-PASS THROUGH CONNECTOR O-RINGS
-DIESEL PARTICULATE FILTER
-AC COMPRESSOR
-FAN AND AC BELT
CORRECTION PERFORM DIAGNOSTICS,CHECKED OIL,COOLANT AND AIR SYSTEMS. FINDINGS
ARE AS FOLLOWS:
-LEAKING ROCKER HOUSING GASKET,OIL COOLER ORINGS,OIL FILTER HEAD
MOUNT GASKET,CRANKCASE BREATHER DRAIN LINE,BLOCK PIPE PLUG,
COOLANT HOSE FROM WATER PUMP TO THERMOSTAT HOUSING,PASS
TROUGH CONNECTOR O-RINGS.
-BROKEN WATER PUMP PULLEY
SIEZED AC COMPRESSOR
-AIR FILTER HOUSING BROKEN
-AIR FILTER PLUGGED
-DPF IS BREECHED(CRACKED INTERNAL)
-AC BELT AND FEN BELT ARE WORN
Billing Inquiries?Call(877)180-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT, INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE
BEEN READ AND FULLY UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
Payment terms are 30 days from invoice date unless othervAse
Sales and agreed upon in writing.
Remit To:Cummins Crosspoint
Service 75 Remittance Dr-Ste1701
Chicago, IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-77133
(317)244-7251 Remit To:75 Remittance Dr-Ste
Chicago,IL 60675-1701
BILL TO
CARMEL FIRE DEPARTMENT BOB VANVOORST-317 6640958
2 CIVIC SQUARE PAGE 2 OF 6
CARMEL, IN 46032- ***CHARGE*"
HT
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
15-JUN-2017 30-DEC-2009 ISM 450 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 08-JUN-2017 35263292 CPL333000 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
180630 179261 48151 LADDER 341
QUANTITY BACK QUANTITY PART PRODUCT UNIT PRICE AMOUNT
ORDERED ORDERE SHIPPED NUMBER DESCRIPTION CODE
OSN/MSNNIN 7ACST2010
REPAIR PLAN WOULD BE TO REPLACE THESE ITEMS AND RUN THE UNIT TO
VERIFY ALL LEAKS ARE FIXED AND OPEARATION IS CORRECT.CLEAN DOWN
UNIT
FINAL&CLOSEOUT
COVERAGE CUSTOMER BILLABLE
REMARK WE APPRECIATE YOUR BUSINESS! THANK YOU.
SRO .4 BATTERY LOTO PER SAFETY POLICY
4HR FOR UNFORSEEN ACCESS ISSUES
1 1 4070529 GASKET,RKR LEVER HOUSING CECO 72.13 72.13
PLS DEL TO BAY 16,6.9.17,RH
1 1 3163713 SEAL,ELECTRICAL CONNECTOR CECO 4.59 4.59
PLS DEL TO BAY 16,6.9.17,RH
1 1 3163714 SEAL,ELECTRICAL CONNECTOR CECO 4.63 4.63
PLS DEL TO BAY 16,6.9.17,RH
2 2 3163715 SEAL,ELECTRICAL CONNECTOR CECO 4.59 9.18
PLS DEL TO BAY 16,6.9.17,RH
6 6 3070136 SEAL,O RING CECO 3.32 19.92
PLS DEL TO BAY 16,6.9.17,RH
6 6 3070137 SEAL,O RING CECO 3.32 19.92
PLS DEL TO BAY 16,6.9.17,RH
6 6 3070138 SEAL,O RING CECO 3.35 20.10
PLS DEL TO BAY 16,6.9.17,RH
1 1 3820629 GASKET,FILTER HEAD CECO 6.87 6.87
PLS DEL TO BAY 16,6.9.17,RH
2 2 109080 SEAL,O RING CECO 2.21 4.42
PLS DEL TO BAY 16,6.9.17, RH
2 2 3080769 SEAL,RECTANGULAR RING CECO 5.52 11.04
PLS DEL TO BAY 16,6.9.17,RH
Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT, INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE
BEEN READ AND FULLY UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Service75
To:Cummins Crosspoint
ce 75 Remittance Dr-Ste1701
Chicago, IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 !001-77133
(317)244-7251 Remit TO.
Remittance Dr-Ste1701
Chicago,IL 60675-1701
BILL TO
CARMEL FIRE DEPARTMENT BOB VANVOORST- 317 6640958
2 CIVIC SQUARE PAGE 3 OF 6
CARMEL, IN 46032- ***CHARGE***
HT
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
15-JUN-2017 30-DEC-2009 ISM 450 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 08-JUN-2017 35263292 CPL333000 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
180630 179261 48151 LADDER 341
OUANTITY BACK OUANTITY PART PRODUCT
CODE UNIT PRICE Af.IOUNT
OSN/MSNNIN 7ACST2010
2 2 3892625 GASKET,OIL COOLER SUPPORT CECO 2.58 5.16
PLS DEL TO BAY 16,6.9.17,RH
2 2 ACTION-SP DEGREASER SOLVENT 1/2 GAL OTHER 16.91 33.82
PLS DEL TO BAY 16,6.9.17,RH
2 2 3824510 CLEANER,QD CONTACT CECO 26.30 52.60
PLS DEL TO BAY 16,6.9.17,RH
1 1 4955709RX KIT,WATER PUMP DRC 507.84 507.84
PLS DEL TO BAY 16,6.9.17,RH
1 1 3801169D PUMP,WATER L10 3 HOLE MT CLEAN 11.25 11.25
-1 -1 3801169D PUMP,WATER L10 3 HOLE MT DIRTY 11.25 11.25
1 1 WF2075 WF PKG FLG 22.21 22.21
PLS DEL TO BAY 16,6.9.17,RH
1 1 3103238 PULLEY,ACCESSORY DRIVE CECO 257.06 257.06
PLS ORDER
1 1 3018671 SCREW,HEXAGON HEAD CAP CECO 3.54 3.54
PLS ORDER
1 1 CV50633 ELEMENT,CV FLG 67.43 67.43
PLS DEL TO BAY 16,6.9.17,RH
1 1 2892721 TUBE,LUB OIL DRAIN CECO 20.17 20.17
PLS ORDER 6.9.16,RH
1 1 3820667 HOSE,PLAIN CECO 24.24 24.24
PLS DEL TO BAY 16,6.9.17,RH
2 2 3008690 CLAMP,HOSE CECO 6.06 12.12
PLS ORDER
1 1 3102646 SEAL,O RING CECO 3.44 3.44
PLS DEL TO BAY 16,6.9.17,RH
1 1 3102500 SEAL,O RING CECO 4.15 4.15
PLS DEL TO BAY 16,6.9.17,RH
1 1 4352921 NX MODULE,PARTICULATE FILTER DRC 2,843.92 2,843.92
PLS ORDER
Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE
BEEN READ AND FULLY UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Remit To:Cummins Crosspoint
Service 75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 0 01-77133
(317)244-7251 Remit To-.75 Remittance Dr-Ste1701
Chicago,IL
60675-1701
BILL TO
CARMEL FIRE DEPARTMENT BOB VANVOORST- 317 6640958
2 CIVIC SQUARE PAGE 4 OF 6
CARMEL, IN 46032- ***CHARGE***
HT
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
15-JUN-2017 30-DEC-2009 ISM 450 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 08-JUN-2017 35263292 CPL333000 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
180630 179261 48151 LADDER 341
QUANTITY BACK QUANTITY PART DESCRIPTION PRODUCT UNIT PRICE AMOUNT
0 ORDERED SHIPPED NUMBER .D
OSN/MSN/VIN 7ACST2010
1 1 4965129D MODULE,PARTICULATE FILTE CLEAN 125.00 125.00
-1 -1 4965129D MODULE,PARTICULATE FILTE DIRTY 125.00 - 125.00
3 3 2871453 GASKET,AFM DEVICE CECO 21.31 63.93
PLS DEL TO BAY 16,6.9.17,RH
1 1 2866337 GASKET,AFM DEVICE CECO 5.90 5.90
PLS DEL TO BAY 16,6.9.17,RH
1 1 5290118 CLAMP,V BAND CECO 40.21 40.21
PLS DEL TO BAY 16,6.9.17,RH
4 4 3049221 SEAL,O RING CECO 2.48 9.92
PLS DEL TO BAY 16,6.9.17,RH
1 1 3102645 SEAL,O RING CECO 3.16 3.16
PLS DEL TO BAY 16,6.9.17,RH
1 1 3036666 SEAL,O RING CECO 2.21 2.21
PLS DEL TO BAY 16,6.9.17,RH
8 8 3682826 SEAL,GROMMET CECO 1.97 15.76
PLS DEL TO BAY 16,6.9.17,RH
1 1 3104230 GASKET,EXH GAS RCN VALVE CECO 29.35 29.35
PLS DEL TO BAY 16,6.9.17,RH
2 2 3058653 SEAL,O RING CECO 1.37 2.74
PLS DEL TO BAY 16,6.9.17,RH
1 1 EDOWN PREM EXPEDITED SHIPPING OTHER 396.04 396.04
TTS
1 1 OUTSIDE POS BELTS(NEED#TO CROSS) NONSTOCK 84.18 84.18
NAPA INV#2143-*200622
1 1 OUTSIDE POS RAD CAP NONSTOCK 6.70 6.70
OREILLY INV#2266-147355
1 1 3820667 HOSE,PLAIN CECO 24.24 24.24
1 1 3755843 GASKET,TURBOCHARGER CECO 6.17 6.17
DEL TO BAY 14 6-14-17 JDE
Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE
BEEN READ AND FULLY UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Remit To:Cummins Crosspoint
Service 75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH T-Stel
3621 W MORRIS STREET ***REPRINT***INDIANAPOLIS, IN 46242-0917001-77(317)244-7251 Remit To:75 Remittance Dr701
Chicago,IL 60675-1701
BILL TO
CARMEL FIRE DEPARTMENT BOB VANVOORST-317 6640958
2 CIVIC SQUARE PAGE 5 OF 6
CARMEL, IN 46032- ***CHARGE***
HT
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
15-JUN-2017 30-DEC-2009 ISM 450 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 08-JUN-2017 35263292 CPL333000 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
180630 179261 48151 LADDER 341
OUANTITY BACK OUANTITY PART PRODUCT UNIT PRICE AMOUNT
ORDERED ORDERE SHIPP E D NUMBER DESCRIPTION CODE
OSNIMSNNIN 7ACST2010
1 1 3899343 GASKET,TURBOCHARGER CECO 1.98 1.98
DEL TO BAY 14 6-14-17 JDE
1 1 3041247 WASHER,PLAIN CECO 3.30 3.30
1 1 3071967 SCREEN,FILTER CECO 3.19 3.19
1 1 4966441 GASKET,EXH OUT CONNECTION CECO 13.67 13.67
1 1 LF14000NN FILTER LUBE NANONET FLG 43.26 43.26
40 40 3377361 OIL,ENGINE VALVOLINE 2.85 114.00
PARTS: 4,900.41
PARTS COVERAGE CREDIT: O.00CR
TOTAL PARTS: 4,900.41
SURCHARGE TOTAL: 0.00
LABOR: 5,563.20
LABOR COVERAGE CREDIT: O.00CR
TOTAL LABOR: 5,563.20
MISC.: 325.00
MISC.COVERAGE CREDIT: 0.000R
TOTAL MISC: 325.00
SHOP SUPPLIES 250.00
HAZ WASTE DISPOSAL 25.00
ELECTRONIC TOOLING FEE 50.00
TAX EXEMPT NUMBERS: IN 003120155 002 0 TAXES:
STATE 0.00
Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE
BEEN READ AND FULLY UNDERSTOOD.
AUTHORIZED BY(print name) SIGNATURE DATE
Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Service75
To:Cummins Crosspoint
75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH
777
3621 W MORRIS STREET ***REPRINT***INDIANAPOLIS, IN 46242-0917(317)244-7251 701
BILL TO
CARMEL FIRE DEPARTMENT BOB VANVOORST- 317 6640958
2 CIVIC SQUARE PAGE 6 OF 6
CARMEL, IN 46032- ***CHARGE***
HT
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
15-JUN-2017 30-DEC-2009 ISM 450 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 08-JUN-2017 35263292 CPL333000 TB70CM
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
180630 179261 48151 LADDER 341
QUANTITY BACK QUANTITY PART PRODUCT UNIT PRICE AMOUNT
DESCRIPTION
.D
OSN/MSNNIN 7ACST2010
Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS
DOCUMENT, INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE SUB TOTAL: 10,788.61
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE TOTAL TAX: 0.00
BEEN READ AND FULLY UNDERSTOOD.
TOTAL AMOUNT: US$ 10,788.61
AUTHORIZED BY(print name) SIGNATURE DATE