183260 03/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC
CARMEL, INDIANA 46032 16389 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $1,669.27
CHICAGO IL 60693 CHECK NUMBER: 183260
CHECK DATE: 3/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 1802877 1,669.27 AUTO REPAIR MAINTEN
Dickinson Fleet Services, LLC Invoice #1802877
16389 COLLECTIONS CENTER DRIVE Date 2/25110
CHICAGO, IL 60693 Page 1
Phone: 317.872.4542 Fax: 317.872.7624
Center 1
INDIANAPOLIS, IN 317- 872 -4542 P.O.# :201
Customer: CARMEL STREET DEPT Vehicle: 2002 GMCT 7000
Address 3400 W 131ST ST Unit 201
City WESTFIELD, IN 46074- VIN 1 GDT7H4C32J507320
Phone 1 317 1 733 -2001 Ext Engine Trans
Phone 2 317 1 733 -2005 Ext Mileage 28180
Op `tech Description Labor Parts Subtotal
Quan Part Number Part Description Reason for Replacement Price
0180 REPAIR R /REAR WHEEL AND HUB FAILURE 402.99 1194.47 1597.46
BROUGHT UNIT INTO SHOP AND INSPECTED R /REAR STUDS BROKEN. FOUND OTHER STUDS
SPINNING IN HUB AND HAD TO BE CUT OFF.REMOVED TIRES AND FOUND ALL HAD
BEEN LOOSE AND TORE UP WHEELS AND HUB ASSY.ADVISED JEFF OF FINDINGS AND HE
BROUGHT 2 NEW TIRES AND WHEELS TO SHOP TO INSTALL.ORDERED ALL OTHER PARTS
NEEDED AND REMOVED AND REPLACED HUB ASSY AFTER INSTALLING STUDS.CLEANED UP
AND INSPECTED ALL BEARINGS,FOUND STILL GOOD.REASSEMELED AND FILLED HUB AND
DIBF WITH OIL AS NEEDED.TORQUE WHEELS TO SPEC.CHECKED OPERATION AND TOOK ON
SHORT ROADTEST AND ALL OK NOW.
Technicians: 0908, DSHEL
1.00 12361080 HUES 709.78
10.00 12389580 STUD 165.50
10.00 15048801 NUT 231.50
8.00 15529185 DOWEL 12.00
6.00 75W90SYN 75W90 SYN GEARLUBE 29.52
1.00 15632918 GSKT 3.02
1.00 15982869 SEAL 43.15
OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation
PAYMENT TERMS: NET30 REMIT: 16389 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693 Labor: $402.99
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE REPAIRS TO THE VEHICLE ON THIS Parts: $1,194.47
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 $71.81
ARE MADE BY THE MANUFACTURER, DICKINSON FLEET SERVICES, LLC MAKES NO Subtotal: $1,669.27
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AND DISCLAIMS ALL WAPIkANTIES 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: $1,669.27
On Account
DICKINSON FLEET SERVICES, LLC BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL Pay Ref: Paid: $0.00
DAMAGES OR COMMERCIAL LOSS ARISING OUT OF SUCH PURCHASES. Due: $1,669.27
X
r
r
4
VOUCHER NO. WARRA NO.
ALLOWED 20
Dickinson Fleet Services
IN SUM OF
161389 Collections Center Drive
Chicago, IL 60693
$1,
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member:
2201 1802877 43- 510.00 $1,669.27 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
--T� 4 Th r day rch 11, 201 C
u
Street Commis] o er
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, b?
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))
02/25/10 1802877 $1,669.27
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
Clerk- Treasurer