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313769 7/18/2017
��'"F CITY OF CARMEL, INDIANA VENDOR: 358637 �?; �` CUMMINS CROSSPOINT CHECK AMOUNT: $"'*'1,996.75' ONE CIVIC SQUARE 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 313769 ' CARMEL, INDIANA 46032 CHICAGO IL 60675-1701 CHECK DATE: 07/18/17 DESCRIPTION DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT1, 75 AUTO REPAIR & Iyp,INTEN 1120 4351000 79239 a _ ? 0 $ < o O / \ ) § c 2 f 0no /D \ n 0 / ƒ m 0 e 9 m j k k OD 2 . w < 2 \ \ w ? o C/) f O E ° *k w k O 2 k ] > t C K k £ _0 � g \ § -n > m ® W » e E » m § a k � 22 7 _ > -n O i w R 9 § m | \ ) ¥ # i 2 L7 CD / / z # # / 2 % k g ƒ cr o m m fu (n g v 0 2 _ cn- s 2 / O & E \ / E cn § - a C— CD - a I n ƒ ƒ % } § & ? � � a - ; • % 2 » o k R ° & m � C _ 2 k 0 \ 0tu CL E } f \ N § [ o ct 7 - ) § $ cr C7 § 2 K w _ m \ ) cr k �cr / . «) / & 0 ¢ w C < � 22 o 0 = o �� � � k ƒ \ k C 0 § & © a m 3 Z ; G ; m f 3 § � k« a \ 0 2� \ } 0 e° / = D }ƒ CDJ o= §\ a a - �- m \ o � - § 0 $ 02. j E_ \ \ 0 f 7 � ) % C N j % CD $ % m / CD q 2. a ` PL m M \ \ CD cL/ \ \ g , f D CD \ / ° / & ) � \ Payment terms are 30 days from invoice date unless otherwise agreed upon in writing. Sales and Service75 To:Cummins Crosspoint 75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 INDIANAPOLIS BRANCH 3621 W MORRIS STREET ***REPRINT*** INDIANAPOLIS, IN 46242-0917 001-79239 (317)244-7251 Remit To-.75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 BILL TO CARMEL FIRE DEPARTMENT SCOTT OSBORNE - 317 371-3140 2 CIVIC SQUARE PAGE 1 OF 2 CARMEL, IN 46032- ***CHARGE*" DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 10-JUL-2017 ISL 425 SEAGRAVES FIRE CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 19-JUN-2017 73068965 CPL315500 PUMPER REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. 180937 179261 341 PRODUCTQUANTITY BACK QUANTITY PART DESCRIPTION AMOUNTUNITPRICE ORDERED OR SHIPPED NUMBER .D OSN/MSN/VIN BCST2029 COMPLAINT 1.CRACK IN EXHAUST FLEX 2.A LOT OF SOOT COMING OUR OF FLEX PIPE. 3.WHITE SMOKE 4. INTAKE MAY NOT BE SEATED 5.SMELLS BAD CAUSE OEM EXHAUST FLEX PIPE CORRECTION PERFORM DIAGNOSTICS, REPLACE OEM EXHAUST FLEX PIPE. PERFORM REGEN TO CHECK FOR LEAKS.CLEAN DOWN UNIT. FINAL&CLOSEOUT COVERAGE CUSTOMER BILLABLE 3 3 2866337 GASKET,AFM DEVICE CECO 5.90 17.70 1 1 OUTSIDE POS EXHAUST FLEX PIPE NONSTOCK 472.10 472.10 2-3 WEEK(ASHLEY @ 911 FIRE) PART#?PART#P1997280 1 1 FREIGHT-PARTS FREIGHT FOR PIPE NONSTOCK 62.50 62.50 TTS 1 1 OUTSIDE POS HEAT WRAP FOR EXHAUST NONSTOCK 458.73 458.73 PART#P3004200,3W EEKLEAD,ABR YANT@911 FLEET.COM,C/C 1 1 OUTSIDE POS BELLOW CLAMPS NONSTOCK 65.00 65.00 1 1 OUTSIDE POS FREIGHT FOR WRAP NONSTOCK 37.50 37.50 2 2 3896337 CLAMP,V BAND CECO 63.37 126.74 PARTS: 1,240.27 PARTS COVERAGE CREDIT: O.00CR 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 �rr- INDIANAPOLIS BRANCH 3621 W MORRIS STREET ***REPRINT*** 001-INDIANAPOLIS, IN 46242-0917(317)244-7251 Remit To:75 Rem Chicago,Il-60675-1701 BILL TO CARMEL FIRE DEPARTMENT SCOTT OSBORNE -317 371-3140 PAGE 2 OF 2 2 CIVIC SQUARE CARMEL, IN 46032- '**CHARGE*** DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 10-JUL-2017 ISL 425 SEAGRAVES FIRE CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 19-JUN-2017 73068965 CPL315500 PUMPER REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. 341 180937 179261 QUANTITY BACK QUANTITY PART PRODUCT UNIT PRICE AI`-iOUNT ORDERED ORDERE.1 SHIPPED NUMBER DESCRIPTION CODE — OSNIMSNNIN BCST2029 TOTAL PARTS: 1,240.27 SURCHARGE TOTAL: 0.00 LABOR: 695.40 LABOR COVERAGE CREDIT: O.00CR TOTAL LABOR: 695.40 MISC.: 61.08 MISC.COVERAGE CREDIT: 0.000R TOTAL MISC.: 61.08 SHOP SUPPLIES 41.72 HAZ WASTE DISPOSAL 19.36 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 SUB TOTAL: 1,996.75 DOCUMENT, INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE TOTAL TAX: 0.00 BEEN READ AND FULLY UNDERSTOOD. TOTAL AMOUNT:US$ 1,996.75 AUTHORIZED BY(print name) SIGNATURE DATE