Loading...
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