182745 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 009987 Page 1 of 1
ONE CIVIC SQUARE ALTEC INDUSTRIES, INC CHECK AMOUNT: $1,532.08
CARMEL, INDIANA 46032 DRAWER 0404
CHECK NUMBER: 182745
BIRMINGHAM AL 35246 -0414
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 5736565 1,532.08 AUTO REPAIR MAINTEN
Page 1 of 3
SERVICE INVOICE
Please Remit To: Invoice Number Invoice Date
Altec Industries, Inc. Altec Industries, Inc. 5736565 24- FEB -10
5201 West 84th Street PO Box 11407
Indianapolis IN 46268
BIRMINGHAM AL 35246 -0414 Request No. Request Date
United States United States 1550247 16- FEB -10
Terms Sale Order No.
(877) 462 -5832
NET 30 1571075
S CARMEL STREET S CARMEL STREET
0 3400 W. 131 ST ST H ALTEC INDIANA SVC CTR
L WESTFIELD IN 46074 1 5201 W 84TH ST
D United States T INDIANAPOLIS IN 46268
T
0 0 United States
Customer No. 11491 Site No. 230470 Site No. 250876
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
027-2163219 300 JEFF STEWART 317 -417 -5053
In Service Date Device Serial No. Model Technician Odometer
26- FEB -04 0104CV2665 LRV56 Jones, Eric LEE 30190
VIN Garage Lic. Plate No. Driver Eng. Meter Reading
1 HTMMAAN95H678103 65633 IN 1690
PTO Hours Credit(Fleet Card Information Crew No. VMS Note UP Note
562
Quantity UOM Part Number Description Price Extended Price Charge
1 EA 035330007- HYD. SPIN ON FILTER ELEMENT;RETURN $14.96 14.96 14.96
1 EA 035610001- FILLER BREATHER;8.00 INCOMPLETE AS $56.10 56.10 56.10
2 EA 705500139- GREASE;TUBE $4.14 8.28 8.28
1 EA 035620144- QUICK DISCONNECT;CAP;FITS .38 FF HT $5.94 5.94 5.94
4 EA 067000801- PLACARD; NIA;INFORMATION;ARROWS 561 $5.70 22.80 22.80
16 HRS 970024594- LABOR;SVC;SID;PLT $85.00 1,360.00 1,360.00
970032952- CHARGE;SVC;EDF /SHOP SUPPLIES 64.00 8 64.00
Sub Total 81,532.08
State Tax
County Tax
City Tax
Total Tax
Total Invoice $1,532.08
Page: 2 of 3
SERVICE INVOICE
Please Remit To: Invoice Number Invoice Date
Altec Industries, Inc. Altec Industries, Inc. 5736565 24- FEB -10
5201 West 84th Street PO Box 11407
Indianapolis IN 46268
BIRMINGHAM AL 35246 -0414 Request No. Request Date
United States United States 1550247 16-FEB-1 0
Terms Sale Order No.
(877) 462 -5832
NET 30 1571075
S CARMEL STREET s CARMEL STREET
0 3400 W 131 ST ST H ALTEC INDIANA SVC CTR
L WESTFIELD IN 46074 1 5201 W 84TH ST
D United States P INDIANAPOLIS IN 46268
T T
0 0 United States
Customer No. 11491 Site No. 230470 Site No. 250876
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
027 2163219 300 JEFF STEWART 317 417 -5053
In Service Date Device Serial No. Model Technician Odometer
26- FEB -04 0104CV2665 LRV58 Jones, Eric LEE 30190
VIN Garage Lie. Plate No. Driver Eng. Meter Reading
1 HTMMAAN95H678103 65633 IN 1690
PTO Hours Credit /Fleet Card Information Crew No. VMS Note UP Note
562
Quantity UOM Part Number Description Price Extended Price Charge
Call Reason:
1. PERFORM A PM INSPECTION.
A) LIST ALL ITEMS NEEDING REPAIRS.
2. PERFORM A DIELECTRIC TEST.
3. TEST ALL REPAIRS MADE.
4. PRESSURE WASH ONCE ALL REPAIRS ARE COMPLETE.
Cause:
CUSTOMER REQUEST
Correction:
1. PERFORMED PM INSPECTION
2. PERFORMED DIELECTRIC TEST
ITEMS FOUND DURING PM INSPECTION:
A. GREASE FITTINGS MISSING CURBSIDE FORWARD DOOR
2. DUMP BED UPPER PIVOT BAR WILL NOT TAKE GREASE
3. DUMP BED UPPER PIVOT CURBSIDE GREASE FITTING NEEDS RE- TAPPED AND REPAIRED
4. PINTLE HITCH WAY TOO LOOSE (NEEDS SHIMMED)
5. LOWER BOOM REST DAMAGED (MAY BREAK OFF LARGE PIECE BEFORE NEXT YEAR INSPECTION RECOMMEND REPLACEMENT DUE TO
CONDITION OF UNIT)
6. DIELECTRIC ARROWS MISSING BOTH BOOMS
7. PLATFORM MOUNTING BOLTS FOUND LOOSE
8. CURBSIDE PTO DECAL NEEDS REPLACED
9. HOSE LOOM NEEDS SECURED AND PULLED UP INTO LOWER BOOM
10. REPLACED FILLER CAP
11. MINOR LEAK SUCTION HOSE FITTING AT PUMP
12. (1) FEMALE QUICK DISCONNECT CAP DRY ROTTED AND NEEDS REPLACED
Sub Total $1,532.08
State Tax
County Tax
City Tax
Total Tax
Total Invoice $1,532.08
Page 3 of 3
SERVICE, INVOICE
a
Please Remit To: m Invoice Nuber Invoice Date
Altec Industries, Inc. Altec Industries, Inc. 5736565 24- FEB -10
5201 West 84th Street PO Box 11407
Indianapolis IN 46268
BIRMINGHAM AL 35246 -0414 Request No. Request Date
j United States United States 1550247 16- FEB -10
Terms Sale Order No.
(877) 462 -5832
NET 30 1571075
S CARMEL STREET S CARMEL STREET
O 3400 W 131 ST ST H ALTEC INDIANA SVC CTR
L WESTFIELD IN 46074 1 5201 W 84TH ST
D United States 7 INDIANAPOLIS IN 46268
0 O United States
Customer No. 11491 Site No. 230470 Site No. 250876
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
027-2163219 300 JEFF STEWART 317- 417 -5053
In Service Date Device Serial No. Model Technician Odometer
26- FEB -04 0104CV2665 LRV58 Jones, Eric LEE 30190
VIN Garage Lic. Plate No. Driver Eng. Meter Reading
1 HTMMAAN95H678103 65633 IN 1690
PTO Hours Credit /Fleet Card Information Crew No. VMS Note UP Note
562
Quantity UOM Part Number Description Price Extended Price Charge
13. PLATFORM LINER SHOWING SIGNS OF AGE MAY NEED TO BUDGET FOR REPLACEMENT NEXT YEAR
NOTE: CUSTOMER DECLINED REAR STROBE REPAIR
Sub Total $1,532.08
State Tax
County Tax
City Tax
Total Tax
Total Invoice $1,532.08
VOUCHER NO. WARRANT NO.
ALLOWED 20
Altec Industries, Inc.
IN SUM OF
P. O. Box 11407
Birmingham, AL 35246 -0414
$1,532.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE N0. ACCT#/TITLE AMOUNT
Board Member:
2201 5736565 43- 510.00 $1,532.08 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
r n
Q ,,Mo da.y; March 01, 2010
Street Commissioner
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))
02/24/10 5736565 $1,532.08
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