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Home My WebLink About313341 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 ? w n < « 0 E \ j > / k / 7 & D n 0 m O E \ z C q / / / $ 4 j \ q m q w \ ° § k0 / % / D -0 f C a ; §r -n > 2 k \ 12k k 8 CL ® 2 z 2 > � 0 m co Z | 7 4 w & J a i 2 9 — 2 f CD k k k $( M. D e \ i \ § CD (D # ¥ O i 2 \ f k i § k � - \ ƒ \ % \ / CD _ � . , # CD o K) 0 ±B \ S co E I Z E 0 CD \ _ CL \ \ N , 3 % _0 E« — 2 — 2 q = - a CL f a \ a \ j ) \ \ ■ G {$ / D \ ) \s ( / ® _ 0 � �w j z9 0 G9 O § 2 e § k ƒ k 7 C o \ & C) Z 0> f 3 § o %k k k K B0 \ cr 2 e� � D CDD 03j\ > a \ m§ \ / E $ - \ 2. / E r- 0 n CD . f z E U) ] $ cr G v a m CD 0 C E m \ CD 2 (D M / G m f 0. ] z \ / C? CL ) 2 2 k \ % $ CD / . m f � / 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