HomeMy WebLinkAbout323120 03/21/18 Coq
CITY OF CARMEL, INDIANA VENDOR: 358637,
d ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECK AMOUNT: $*****4,017.71*
' CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 323120
CHICAGO IL 60675-1701 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 001-722 2,558.66 AUTO REPAIR & MAINTEN
601 5023990 00198286 1,459.05 OTHER EXPENSES
VOUCHER NO. 181015 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor.# 358637 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
CUMMINS CROSSPOINT CITY OF CARMEL
75 REMITTANCE DR An invoice or bill to be properly itemized must show: kind of service,where performed,
SUITE 1701 dates service rendered, by whom, rates per day, number of hours, rate per hour,
CHICAGO, IL 60675-1701 numbers of units, price per unit,etc.
Payee
1459.05 358637 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR CUMMINS CROSSPOINT Terms
Carmel Water Utility 75 REMITTANCE DR Due Date
BOARD MEMBERS SUITE 1701
I hereby certify that that attached invoice(s), CHICAGO, IL 60675-1701
PO# or bill(s)is(are)true and correct and that
ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
001-98286 01-6200-04 $703.05 and received except
3/15/2018 001-98286 $703.05
001-98286 01-6360-04 $756.00
- 3/15/2018 001-98286 $756.00
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
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
INDIANAPOLIS, IN 46242-0917(317244-7251
777"
it To:75 Remittance Dr-Ste17o1
Chicago,It.60675-1701
BILL TO OWNER
CITY OF CARMEL BOOSTER#1
1 CIVIC SQUARE BRIAN TOLAN - 317 417-5063 PAGE 1 OF 2
P O BOX 1399 *"*CHARGE*"
CARMEL, IN 46032-
AGSR
CUSTOMERORDERNO. -- __ DATE IN-SERVICE _ _- ---ENGINE-MODEL-.– -— -- -PUMP NO. - EQUIPMENT-MAKS--- -
08-FEB-2018 KR 020118 GTA14C2
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
15800 30-JAN-2018 12051675
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
186210 87406
QUANTITY BACK QUANTITY I PART DESCRIPTION PRODUCT UNIT PRICE AMOUNT
ORDERED I ORDERE SHIPPED NUMBER CODE
COMPLAINT STARTING ISSUES
CAUSE REPLACE STARTER
CORRECTION 1-30-18-DROVE TO SITE. SPOKE WITH CUSTOMER. BLEM.HAD CUSTOMER
START THE UNIT.THE UNIT STARTED.THE STARTER TO SOUNDED LIKE THE
BENDIX IS STICKING AFTER THE UNIT STARTS. RECOMMEND REPLACING THE
STARTER.THE CUSTOMER ASKED TO GET A NEW STARTER AND NOT A
REBUILD IF POSSIBLE.
2-8-18-DROVE TO SITE. DISCONNECTED THE BATTERIES AND LOCKED OUT
THE NEGATIVE CABLE.TOOK THE WIRING OFF OF THE STARTER.REMOVED
THE STARTER FROM THE UNIT.CHANGED OUT THE SPACER RING ON THE
STARTER THEN INSTALLED THE NEW STARTER. THEN RECONNECTED ALL THE
WIRING.THEN RECONNECTED THE BATTERY CABLES.STARTED THE UNIT.THE
UNIT STARTED WITH NO ISSUES.
'COVERAGE CUSTOMER BILLABLE
REMARK WE APPRECIATE YOUR BUSINESS 1 THANK YOU.
1 v __1_ 5284083-- - MOTOR,STARTING -- - - .CECO- - — 528:77 528.77
PARTS: 528.77
PARTS COVERAGE CREDIT: O.00CR
TOTAL PARTS: 528.77
SURCHARGE TOTAL: 0.00
LABOR: 756.00
LABOR COVERAGE CREDIT: O.00CR
TOTAL LABOR: 756.00
MISC.: 174.28
MISC.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
iU. r
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 BRANCHLl • •
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-98286
(317)244-7251
7Remit To:75 Remittance Dr-Ste1701
go,IL 60675-1701
BILL TO, OWNER
CITY OF CARMEL BOOSTER#1
1 CIVIC SQUARE BRIAN TOLAN -317 417-5063 PAGE 2 OF 2
P O BOX 1399 "*CHARGE*"*
CARMEL, IN 46032-
AGSR
DATE—-- - —--CUSTOMER-ORDER-NO.--- --- -- -DATE-IN-SERVICE ENGINE-MODEL----- PUMP-NO.- - -_-EQUIPMENT MAKE-
08-FEB-2018 KR 020118 GTA14C2
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
15800 30-JAN-2018 12051675
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. _
186210 87406
QUANTITY BACK QUANTITY PART PRODUCT
ORDERED ORDERE.1 SHIPPED NUMBER DESCRIPTION CODE UNITPRICE AMOUNT
TOTAL MISC.: 124.28
- HAZ;WASTE DISPOSAL• 7k 37.80
ROAD MILEAGE FS PG. „ 76:00-
,SHOP.SUPPLIES 60:48.•,
TAX EXEMPT NUMBERS: -
LOCAL 0.00
1
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: 1,459.05
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE TOTAL TAX: 0.00
BEEN READ AND FULLY UNDERSTOOD.
TOTAL AMOUNT:US$ 1,459.05
AUTHORIZED BY(print name) SIGNATURE DATE
s.
. i
Pad ment terms are 30 days from invoice date unless otherwise
Sales and agreed upon in writing.
Remit To:Cummins Crosspoint
co
1
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH INVOICE NO
3621 W MORRIS STREET I
INDIANAPOLIS, IN 46242-0917 001-98286
(317)244-7251 ' Remit To:75 Remittance Dr-Ste1701
F Chicago,IL 60675-1701 '
9 I
BILL TO OWNER
CITY OF CARMEL BOOSTER#1
1 CIVIC SQUARE BRIAN TOLAN-317 417-5063 PAGE 1 OF 2
P O BOX 1399 "*"CHARGE
CARMEL, IN 46032-
AGSR
- �_IynTF,a..... .. .<...�U�T_0�1,FR nROFR.NO - _. .AnTF�p�S�RYJL.E..:;.,a•,•-:• .ERIGfNE,MODEL, - .alIF9P Nn-_. --- cnnoryGEAI-I-tAA,IiE;---c.r�•
08-FEB-2018 KR 020118 GTA14C2
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
15800 30-JAN-2018 12051675•
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
186210 87406
PRODUCTQUANTITY BACK QUANTITY PART DESCRIPTION
OR13ERED ORDERE SHIPPED NUMBER CODE UNIT PRICE AMOUNT,
i
6
COMPLAINT STARTING ISSUES
CAUSE REPLACE STARTER (,�
CORRECTION 1-30-18-DROVE TO SITE. SPOKE WITH CUSTOMER.BLEM.HAD CUSTOMER 2
START THE UNIT.THE UNIT STARTED.THE STARTER TO S,bUNDED LIKE THE
BENDIX IS STICKING AFTER THE UNIT STARTS.RECOMMEND REPLACING THE
STARTER.THE CUSTOMER ASKED TO GET A NEW STARTER AND NOT A ?� 65
REBUILD IF POSSIBLE. F 1 J`
2-8-18-DROVE TO SITE.DISCONNECTED THE BATTERIES!AND LOCKED OUTJJ S
THE NEGATIVE CABLE.TOOK THE WIRING OFF OF THE STARTER.REMOVED
THE STARTER FROM THE UNIT.CHANGED OUT THE SPACER RING ON THE 3 ;:-35qSTARTER THEN INSTALLED THE NEW STARTER. THEN RECONNECTED ALL THE
WIRING.THEN RECONNECTED THE BATTERY CABLES.STARTED THE UNIT.THE f
UNIT STARTED WITH NO ISSUES. fj
COVERAGE CUSTOMER BILLABLE
REMARK WE APPRECIATE YOUR BUSINESS 1 THANK YOU.
_ 1— - �-- -� 1 5284083 --�M0T2R,STAl331L1G - >--- .-�-SC-�^:3n- •Y-• _ ,._ 18 fiT�.-`��n7
PARTS: 528.77
Re c.e i v e d : - . i Gttiv 225?• PARTS COVERAGE CREDIT: 0.000R
Date : z- 1 TOTAL PARTS: Z0,4-528.77
SURCHARGE TOTAL: 0.00 I
P o # : 6� I- G 2a+1 I(1' LABOR: W (,,,, 4 —756.00
�o N d'(a 3G• LABOR COVERAGE CREDIT: ` 0.00 CR
ACCT ¢ • p TOTAL LABOR:: 756.00
Pse : 'I36pSt�c�� -��m( _2 MISC.: 174.28
MISC.COVERAGE CREDIT: O.00CR
Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@curnmfns.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF TH1S ` I
DOCUMENT,INCLUDING.LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE
EXPRESSLY INCORPORATED.HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE
BEEN READ AND FULLY UNDERSTOOD.
(D2-
AUTHORIZED
BY(print name) SIGNATURE i DATE
r
Pei rment terms are 30 days from Invoice date unless otherwise
4Sales and , 9";;,Ij'1�. •ag ed upon In writing.
s:='.' Remit To:Cummins Crosspofnt 1
ce
Service 75 Remittance Dr-Ste1701 1
Chicago,IL 60675-1701
INDIANAPOLIS BRANCH E • • a
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-98286
(317)244-7261
Remit To 76 Remittance Dr-Ste1701
'•:•,' s cs- ti.•a:.c;tTc:.a,• ._. •. ' , :_ .. Chicago,IL 60876-1701
BILL TO ., - OWNER . >
CITY OF CARMEL I BOOSTER#1
1 CIVIC SQUARE BRIAN TOLA N -317 417-5063 PAGE 2 OF 2
'P 0 BOX 1399 ***CHARGE*"
CARMEL, IN 46032-
A
GSR
.�—,•-:---DATE- GUSI011ER-�RDER.NO.._ ..DALE.IN-.SERVICG..�-_�._,.._;:E.IrGINE.IiOe�� __��P1lE1P lid-_ - FQ1112L�FNs_�anKQ ..«
08-FEB-2018 KR 020118 GTA14C2
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
15800 30-JAN-2018 12051675.
REF.NO. SALESPERSON PARTS DISP. MILEAOE/HOURS PUMP CODE UNIT NO.
186210 87406
QUARTITY B, �� ,
�•� '
UIJT
j TOTAL MISC. ? 0`�/ 174. 8 _•
HAZ WASTE DI 3POSAL, - - 7•�. 87.80 �•
. ROAD MILEAGE FS PG 76.00
„SHOP•SUPPLI le,.48
TAX EXEMPT NUMBERS: _.
i
I LOCAL 0.00
1
i
I
I ,
i
----�. -
• � I
i
y .. 0)
i
� y/2
Billing Inquiries?Call(877)480=6970 or email CBSCrossPolntRacelyables@cummins.com
THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS ISUB TOTAL: 1,459.05
DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH AR
EXPRESSLY INCORPORATED HEREIN AND WHICH,PURCHASER ACKNOWLEDGES HAVE TOTAL TAX: 0.00
BEEN READ AND FULLY UNDERSTOOD. S
TOTAL AMOUNT:US$ 1,469.08
AUTHORIZED BY(prim name) SIGNATURE DATE i
• I
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
$2,558.66
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
001-722 43-510.00 $2,558.66 1 hereby certify that the attached invoice(s),or 3/17/18 001-722 E341 $2,558.66
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
Saturday, March 17,2018
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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 001-722
(317)244-7251 7emit 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 3
CARMEL, IN 46032- CARMEL, IN 46032- •**CHARGE***
OD SCOTT OSBORNE -317 371-3140
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
07-MAR-2018 UNIT#341 10-NOV-2011 ISL CM2150 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 16-FEB-2018 73068965 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PULP CODE UNIT NO.
186667 235298 341
QUANTITY BACK UANTITY I PART DESCRIPTION PRODUCT UNIT PRICE AMOUNT
ORDERED ORDERE SHIPPED NUMBER .D
OSN/MSNNIN BCST2029
COMPLAINT CHECK
FUEL LEAKING
CAUSE FUELPUMP
CORRECTION FIELD SERVICE BASIC-86993 B951950 2/16/18.MILEAGE 94416. DROVE TO
CUSTOMERS LOCATION. MILEAGE 94421
UNIT ENGINE 2635
ESN 73068965
MILEAGE 58417
NO FCS IN THE ECM.
CHECKED FUEL INLET RESTRICTION AND I HAD 1 IN OF RESTRICTION.
CHECKED THE GEAR PUMP PRESSURE AT THE FILTER AND GOT 100 PSI.
CHECKED THE LIFT PUMP PRESSURE AND GOT 2 PSI WITH THE KEY ON AND
ENGINE OFF. THE LIFT PUMP NEEDS REPLACED. THE CUSTOMER WANTED TO
WAIT TIL MONDAY AND GET THE UNIT TO THEIR MAINTENANCE SHOP.
86993 B951950 2/19/18.MILEAGE 94482.DROVE TO CUSTOMERS LOCATION.
MILEAGE 94503. REMOVED THE AIR COMPRESSOR AIR INLET TUBE, FUEL
LINES,ECM WIRES, ECM, FUEL FILTER,AND THE ECM COOLING PLATE.
REPLACED THE FUEL LIFT PUMP. INSTALLED THE ECM COOLING PLATE, ECM,
FUEL FILTER,THE FUEL LINES,AND THE AIR COMPRESSOR AIR INLET TUBE.
RAN THE LIFT PUMP TO BLEED AIR FROM THE FUEL LINES. STARTED THE UNIT
TO CHECK FOR LEAKS. NO LEAKS WERE FOUND. CLEANED UP MESS.
CLOCKED OFF
3-2-18. 9108
MILES. 104287-104318
DROVE FROM SHOP TO CUSTOMER AND MET SCOTT AT SHOP LIFTED UNIT AND
PER STEVE WE NEED TO INSTALL FUEL GEAR PUMP FOR LEAKING FROM WEEP
HOLES AND CRANK NO START REMOVED THE FOLLOWING FOR ACCESS
FUEL LINES
WIRING
FRESH AIR INTAKE TO COMPRESSOR
FUEL FITTINGS
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 0
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-722
(317)244-7251 Remit
To 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`**
OD SCOTT OSBORNE -317 371-3140
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
07-MAR-2018 UNIT#341 10-NOV-2011 ISL CM2150 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 16-FEB-2018 73068965 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
186667 235298 341
QUANTITY BACK QUANTITY� PART PRODUCT
ORD E RED ORDERE SHIPPED NUMB DESCRIPTION CODE UNIT PRICE AMOUNT
OSN/MSNNIN BCST2029
GEAR PUMP
CLEANED SEAL SURFACE AND INSTALLED NEW GEAR PUMP AND GASKET
TORQUED BOLTS AND INSTALLED ALL THAT WAS REMOVED AND TIGHTENED
PRIMED UNIT AND STARTED RAN FOR A BIT AND SHUT DOWN AND PICKED UP
ALL TOOLING AND CLEANED MESS UP STARTED UNIT AGAIN AND STARTED
FINE ADVISED SCOTT UNIT IS READY FOR SERVICE LEFT JOB
VERIFY SERIAL NUMBER(S)-ESN 73068965
1 1 5260632 PUMP,FUEL TRANSFER CECO 247.17 247.17
PLEASE PULL FOR TRACY
1 1 4061755 HUB,ACCESSORY DRIVE CECO 5.96 5.96
1 1 4928575 GASKET,FUEL PUMP CECO 14.95 14.95
PLEASE PULL FOR TRACY
1 1 2872545 PUMP,FUEL CECO 644.03 644.03
1 1 4928575 GASKET,FUEL PUMP CECO 14.95 14.95
1 1 FREIGHT 4928575-MEMPHIS FREIGHT 20.00 20.00
PARTS: 947.06
PARTS COVERAGE CREDIT: O.00CR
TOTAL PARTS: 947.06
SURCHARGE TOTAL: 0.00
LABOR: 1,977.00
LABOR COVERAGE CREDIT: O.00CR
TOTAL LABOR: 1,977.00
MISC.: - 365.40
MISC.COVERAGE CREDIT: O.00CR
TOTAL MISC.: - 365.40
SHOP SUPPLIES 150.00
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.
Remit To:Cummins Crosspoint
Service 75 Remittance Dr-Ste1701
Chicago, IL 60675-1701
INDIANAPOLIS BRANCH 0 0
3621 W MORRIS STREET ***REPRINT***
INDIANAPOLIS, IN 46242-0917 001-722
(317244-7251 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***
OD SCOTT OSBORNE-317 371-3140
DATE CUSTOMER ORDER NO. DATE.IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
07-MAR-2018 UNIT#341 10-NOV-2011 ISL CM2150 SEAGRAVES FIRE
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 16-FEB-2018 73068965 CPL315500 PUMPER
REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO.
186667 235298 341
QUANTITY BACK QUANTITY� PART PRODUCT
ORD E RED ORDERE SHIPPED NUMBER DESCRIPTION CODE UNIT PRICE AMOUNT
OSN/MSNNIN BCST2029
HAZ WASTE DISPOSAL 98.85
ROAD MILEAGE FS ENG 128.25
FREE CUSTOMER SVC-FSE - 742.50
TAX EXEMPT NUMBERS:
LOCAL 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: 2,558.66
EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE TOTAL TAX: 0.00
BEEN READ AND FULLY UNDERSTOOD.
TOTAL AMOUNT:US$ 2,558.66
AUTHORIZED BY(print name) SIGNATURE DATE