HomeMy WebLinkAbout334035 01/04/19 CITY OF CARMEL, INDIANA VENDOR: 362147
ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC CHECK AMOUNT: $********57.00*
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK NUMBER: 334035
WESTFIELD IN 46074 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 40068 57.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 362147
CUSTOM TRUCK&AUTO INC IN SUM OF$ 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
$57.00
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
40068 43-510.00 $57.00 1 hereby certify that the attached invoice(s),or 12/18/18 40068 E341 $57.00
1120 101 Prior Year 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday,January 3, 2019
U®r '_z�-
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
���'• 17134 Westfield Park Rd
Westfield, IN .46074
s 317.896.5956 �11VO1C@ #4��6$ -
custom truck & auto
FIRE DEPARTMENT CARMEL Tuesday,Decembel-UPA00 .
Ordered on
1 CIVIC SQUARE DSNYDER@CARMEL.IN.GOV; Thursday, December 13,2018
CARMEL IN 46032 jforce@CARMEL.IN.GOV
Workorder#42685
I
008 GMC Truck C4500 1 1/2 Ton Truck 6.6 L 403 CID V8 E41 I SCOTT 317-371-31401 Scott Sedvvicl SIDS111 Cash
NA/NA 1GDE4V1978F418435 16.6 L 403 CID V8 DIES RED
:CATALOG . '
DESCRIPTIO TY PARS LABOR I FET' T TAL
LABOR HEAVY DUTY TIRE INSTALL 1 45.00 $45.00 JRF-SDS
TIRELARGE LARGE TIRE DISPOSAL 1 12.00 $12.00 JRF
DISMOUNT AND MOUNT TWO TIRES ON RIMS.CUSTOMER BROUGHT IN NEW TIRES AND RIMS.
SS Shop Supplies $2.25
.PAID BY Parts $0.00 Taxable
Account$59.25 Labor $45.00 Non-Taxable $57.0
Freight $0.00 Resale 0.00
Other $12.00
Current Balance:$59.25 FET $0.00 TOTAL
Supplies $2.25
Any warranties on the itemllems sold are those made by the manufacturer. The seller,Custom Truck and Auto,Inc.,hereby expressty disclaims all warranties,either express or implied,including any implied
warranty of merchantability or fitness for a 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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