HomeMy WebLinkAbout332130 11/13/18 `y *� CITY OF CARMEL, INDIANA VENDOR: 362147
ONE CIVIC SQUARE CUSTOM TRUCK &AUTO INC CHECK AMOUNT: $*******100.05*
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER 332130
WESTFIELD IN 46074 CHECK DATE: 11113/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 39685 100.05 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 362147
CUSTOM TRUCK&AUTO INC IN SUM of$ CITY OF CARMEL
17134 WESTFI ELD PARK ROAD 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.
WESTFIELD, IN 46074
Payee
$100.05
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
39685 42-370.00 $100.05 1 hereby certify that the attached invoice(s),or 11/5/18 39685 E340 $100.05
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
Tuesday, November 6,2018
V4 -
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
t ^� 17134 Westfield Park Rd Store Copy
Westfield, IN 46074
317.896.5956 Invoice #39685
custom truck & auto
FIRE DEPARTMENT CARMEL Thursday,November 1. 01
Ordered on
1 CIVIC SQUARE DSNYDER@CARMEL.IN.GOV; Thursday, November 1,2018
CARMEL IN 46032 jforce@CARMEL.IN.GOV
Workorder#42190
IMAKE& MODE11 F' FE!NO PHONE RFP rSH P() 1
2003 KOVATCH FIRE TRUCK ENGINE 340 1 SCOTT 317-371-31401 Scott SedWcl SDS Cash
! T0RQI 1 11 E', F N.GINE SUP TRANSMISSION C01 OR PRD I
NA/NA 1 K9AF42883N058675
CATALOG RIPTIO TY PARTS I LABOR I DISCFET I TOTAL I Code
RIM2 NEW RIM 1 100.05 $100.05 SDS-SDS
PAID_.BY Parts $100.05 Taxable $100.05
Account$100.05 Labor $0.00 Non-Taxable $0.00
Freight $0.00 Resale $0.00
Other $0.00
Current Balance:$1,717.74 FET $0.00 TOTAL $100.05
Supplies $0.00
Any warranties on the itemltems sold are those made by the manufacturer. The seller,Custom Truck and Auto,Inc.,hereby expressly disclaims all warranties,either express or implied,including any implied
warranty of merchantabildy or fitness fora particular purpose,and Custom Truck and Auto,Inc.,neither assumes nor authorizes any otherperson to assume for it any liability in connection with the same of this
itemfitems.A finance charge of 1%%per month will be added to any unpaid balance over 30 days past due,an annual percentage rate of 18%.
Print Name Signature Date
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