182320 02/17/2010 a CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
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ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC
CHECK AMOUNT: $203.67
CARMEL, INDIANA 46032 16389 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 182320
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 1802255 203.67 AUTO REPAIR MAINTEN
Dickinson Fleet Services, LLC Invoice #1802255
16389 COLLECTIONS CENTER DRIVE Date 1/29/10
CHICAGO, IL 60693 Page 1
Phone: 317.872.4542 Fax: 317.872.7624
Center: 2
INDIANAPOLIS, IN 317 -872 -4542
.Customer: CARMEL STREET DEPT Vehicle: 1992 VOLV DUMP TRUCK
Address 3400 W 131 ST ST Unit 816190
City WESTFIELD, IN 46074- VIN 4V2JCBJF8NR816190
Phone 1 317 733 -2001 Ext Engine: Trans
Phone 2 317 733 -2005 Ext Mileage: 0
Op Tech Description Labor Parts Subtotal
Quan Part Number Part Description Reason for Replacement Price
0560 repair hyd. fluid leak 123.47 72.85 196.32
Technicians: 0051, JJOH
5.00 HYDOIL DTE11M HYD OIL 72.85
OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation
PAYMENT TERMS: NET30 REMIT: 16389 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693 Labor: $123,47
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE REPAIRS TO THE VEHICLE ON THIS Parts: $72.85
INVOICE AND THE REPAIRS MEET THE CUSTOMERS REQUIREMENTS AND EXPECTATIONS. Sublet $0.00
CUSTOMER FURTHER AGREES TO PAY THE INVOICE IN FULL, AS SHOWN, WITHOUT Other Fees: $0.00
DEDUCTION OR SET OFF. ANY WARRANTIES ON THE PARTS AND ACCESSORIES SOLD HEREBY MIS /Fuel /EPA $7.35
ARE MADE BY THE MANUFACTURER. DICKINSON FLEET SERVICES, LLC MAKES NO Subtotal: $203.67
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AND DISCLAIMS ALL WARRANTIES OF Sales Tax: $0,00
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, WITH REGARDS TO THE
SERVICE, PARTS, LABOR, AND /OR ACCESSORIES PURCHASED AND THAT IN NO EVENT SHALL Paid By: Total: $203.67
DICKINSON FLEET SERVICES, LLC BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL On Account
DAMAGES OR COMMERCIAL LOSS ARISING OUT OF SUCH PURCHASES. Pay Ref: Paid $0,00 Due: $203.67
X
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dickinson Fleet. Services
IN SUM OF
16389 Collections Center Drive
Chicago, IL 60693
$203.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 1802255 43- 510.00 $203.67 1 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
Thursday, February 11, 2010
w i
Street Commissioner
Y
v SI UIiL VI_ll li �.�..i
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 showy 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))
01/29/10 1802255 $203.67
1 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
Clerk- Treasurer