181166 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC
l i o CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY CHECK AMOUNT: $140.00
`4 WESTFIELD IN 46074
2 CHECK NUMBER: 181166
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 7333 140.00 AUTO REPAIR MAINTEN
JAN 07 2010 THU 11 :17 AM Custom Truck Auto FAX:317 867 2499 P. 001
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317- 896 -5956
1/7/2010 11:09 AM page 1
Invoice 7333
FIRE DEPARTMENT CARMEL Eve Phone 690 4283
1 CIVIC SQUARE
CARMEL IN 46032
-fold her
Vehicle 1988 FIRE 102FT.AC
VIN 1G9ACDDT2JR088012
Fleet LADDER41
Created 11/17/2009 11:05:26 AM Odometer In 45628
Complete 11/18/2009 7:23 :20 AM Odometer Out 45628
Invoiced 11/18/2009 7 :23:20 AM
Contact BOB (664 -0958)
Qty Code/Tech' Reference Description Condition Unit Price Price
PM* GENERAL USE LABOR $140.00
REMOVE OIL COOLER FOR HYDRAULIC FLUID BROUGHT DOWN TO CHARLIES RADIATOR FOR EVALUATION REPAIR
BOB BROUGHT BACK TO SHOP AND WE INSTALLED BACK INTO TRUCK
WASH OUT CORES ON COOLER AND BLOW OUT RADIATOR
INSTALLED NEW CLAMPS ON COOLBR
TOPPED OFF COOLANT LEVEL FOR RADIATOR
Labor $140.00
Parts $0.00
Sublet/Misc. $0.00
SHOP SUPPLIES $0.00
Charges $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $140.00
tech Certification
PM JPOJX9OKSIVIOODY
ill! Iii it IIIl1IIII' Ilil'lllll
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck Auto, Inc.
IN SUM OF$
17249 Foundation Parkway
Westfield, IN 46074
$140.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
f O# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 7333 43- 510.00 $140.00 I hereby certify that the attached invoice(s), or
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
JAN 1 1 2010
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7333 $140.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with 10 5- 11- 10 -1.6
20
Clerk- Treasurer