319818 12/21/17 a.._.vggyp CITY OF CARMEL, INDIANA VENDOR: 358637
.I d ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: $*****2,671.43*
?� CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 319818
CHICAGO IL,60675-1701 CHECK DATE: 12/21/17
DEPARTMENT _ ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 93134 2,671.43 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 358637
CUMMINS CROSSPOINT IN SUM OF$ CITY OF CARMEL
75 REMITTANCE DR, SUITE 1701 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60675-1701
Payee
$2,671.43
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
93134 43-510.00 $2,671.43 1 hereby certify that the attached invoice(s),or 12/14/17 93134 E46 $2,671.43
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, December 14,2017
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in-accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Payment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Remit To:Cummins Crosspoint
SerVlce 75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
_INDIANAPOLIS, IN 46242-0917 001-93134
(317)244-7251 7R.mit�TI.:75 Remittance Dr-Ste1701ag ,IL 60675-1701
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 1 OF 3
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
13-DEC-2017 ENGINE346 24-JUN-2016 ISL9 CM2350 L101 PIERCE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT,MODEL
400706 05-DEC-2017 73936550 ENFORCER
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
184990 179261 13101 346
QUANTITY BACK QUANTITY PART PRODUCT UNIT PRICE AM
ORD E RED ORDERE SHIPPED NUMBER DESCRIPTION CODE OUNTI
OSN/MSNNIN GA016714
COMPLAINT KEEP INSIDE-FULL OF WATER
1.USING ANTIFREEZE(POSS INTERNAL)-ADDING OVER A GALLON A WEEK.
2.WANTS PM SERVICE-OIL CHANGE,FILTERS ETC
HAS F/C6422,6418,3488,4152,4151,3497,1655,3366,197
CAUSE LOWER RAD HOSE
OEM COOLANT LINE
PERFORM PM SERVICE.
CORRECTION PERFORMED DIAGNOSTICS,
PRESSURE TESTED ENTIRE COOLANT SYSTEM,EGR COOLER,AIR
COMPRESSOR AND RADIATOR.CHECK INTERNALLY AND EXTERNALLY FOR
SIGNS OF COOLANT VIA DYE TEST.NO LEAKS FOUND.PRESSURE TESTED
SYSTEM OVERNIGHT.
FOUND OEM COOLANT PIPES AND LOWER RAD HOSE LEAKING.
REPLACE OEM COOLANT PIPES AND RAD HOSE.PERFORM PM SERVICE.CLEAN
DOWN UNIT.RUN FOR OPERATION&CHECK FOR LEAKS.FINAL&CLOSEOUT.
COVERAGE CUSTOMER BILLABLE
REMARK WE APPRECIATE YOUR BUSINESS I THANK YOU.
SRO REPLACE OEM COOLANT LINES
1 1 5253019 GASKET,EXH GAS RCN VALVE CECO 10.20 10.20
PLEASE DEL TO STEAM BAY 12/6
2 2 4932615 GASKET,CONNECTION CECO 3.26 6.52
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
agreed upon in writing.
Sales and
Service Remit To:Cummins Crosspoint
75 Remittance Dr-Ste1701
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-93134
(317)244-7251 7�Remit :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 3
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
13-DEC-2017 ENGINE346 24-JUN-2016 ISI-9 CM2350 L101 PIERCE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 05-DEC-2017 73936550 ENFORCER
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
184990 179261 13101 346
QUANTITY BACK QUANTITY PART PRODUCT
ORDERED ORDERE SHI P PED NUMBER DESCRIPTION CODE UNIT PRICE AMOUNT
OSN/MSNNIN GA016714
PLEASE DEL TO STEAM BAY 12/6
1 1 5295436 GASKET,CONNECTION CECO 3.66 3.66
PLEASE DEL TO STEAM BAY 12/6
1 1 3377438 ADDITIVE,FLUORESCENT DYE CECO 7.82 7.82
T/S PULLED 12/6
28 28 3377361 OIL,ENGINE VALVOLINE 2.85 79.80
1 1 LF9009 PAC,LF FLG 42.42 42.42 -
DEL TO BAY 15 12.11.2017
1 1 FF63009 PAC,FF FLG 44.04 44.04
DEL TO BAY 15 12.11.2017
1 1 FS1065 PAC,FS FLG 39.52 39.52
DEL TO BAY 15 12.11.2017
1 1 3945603 GASKET,CONNECTION CECO 9.40 9.40
DEL TO BAY 15 12.11.2017
1 1 30OCT CT CLAMP 2.5"HOSE OTHER 3.78 3.78
1 1 35OCT CT CLAMP 3"HOSE OTHER 3.63 3.63
0 0 8837 RAD HOSE NSPART1 52.40 0.00
1 1 14-H SR 63 57 HOSE REDUCER NSPART2 46.64 46.64
SPA TECHNIQUE-BAY 15 12.12.17
WTH
PARTS: 297.43
PARTS COVERAGE CREDIT: 0.000R
TOTAL PARTS: 297.43
SURCHARGE TOTAL: 0.00
LABOR: 2,110.60
LABOR 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
INDIANAPOLIS BRANCH
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-93134 -
(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 3 OF 3
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
13-DEC-2017 ENGINE346 24-JUN-2016 ISI-9 CM2350 L101 PIERCE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 05-DEC-2017 73936550 ENFORCER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
184990 179261 13101 346
QUANTITY BACK QUANTITY PART PRODUCT UNIT PRICE AMOUNT'
ORDERED ORDERED SHIPPED � NUMB ER DESCRIPTION CODE
OSN/MSNNIN GA016714
TOTAL LABOR: 2,110.60
MISC.: 263.40
MISC.COVERAGE CREDIT: 0.000R
TOTAL MISC.: 263.40
ELECTRONIC TOOLING FEE 50.00
SHOP SUPPLIES 150.00
HAZ WASTE DISPOSAL 100.00
FREE CUSTOMER SVC-IS - 36.60
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: 2,671.43
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE TOTAL TAX: .\0.00
BEEN READ AND FULLY UNDERSTOOD.
TOTAL AMOUNT: US$ 2,671.43
AUTHORIZED BY(print name) SIGNATURE DATE