HomeMy WebLinkAbout187910 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 363271 Page 1 of 1
ONE CIVIC SQUARE KENWORTH OF INDIANAPOLIS
CARMEL, INDIANA 46032 2929 S. HOLT ROAD CHECK AMOUNT: $102.30
INDIANAPOLIS IN 46241 CHECK NUMBER: 187910
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 235697 102.30 AUTO REPAIR MAINTEN
CUSTOMER INVOICE
KENWORTH OF INDIANAPOLIS, INC.
2929 SOUTH HOLT ROAD
INDIANAPOLIS, IN. 46241
Phone (317) 243 -1668 Fax (317) 241 -5742 06 -30 -10
WATTS: 1- 800 -827 -8421
REPAIR ORDER NUMBER
CUSTOMER NAME NUMBER C2475I 235697
CITY OF CARMEL FIRE DEPT PHONE 844 -3111
2 CARMEL CIVIC SQUARE P.O. NO. 1
CARMEL, IN 46032 COMPLETE 06 -29 -10 DATE 06 -30 -10 10:54
SVC WTR CM *cm
SERIAL NO. 1K9AF42822N058489 UNIT NO. E41 MILEAGE 60223
YEAR /MAKE /MODEL 2002 KME FIRE TRUCK LICENSE
ENGINE /MODEL /SERL CPL /ARRG
TRNS /MODEL /SERL R RATIO
RXLS MODEL /SERL LOYAL##
SELL DLR DEL DATE NIS DEL MILE
1 PERFORM VIS INSPECTION FOR BRAKING ISSUE
we performed VIS .inspection with customer observing
TOTAL LABOR 93.00
MISCELLANEOUS SHOP CHG 9.30
CUSTOMER LABOR SERV 461 93.00
MISCELLANEOUS SUPPLY 4610 9.30
PLEASE PAY THIS TOTAL 220 102.30
DISCLAIMER OF WARRANTIES
ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE MADE BY MANUFACTURER,
IF ANY. THE SELLER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES EITHER EXPRESS,
OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OR MERCHANTABILITY OR FITNESS FOR
A PARTICULAR PURPOSE, AND KENWORTH OF INDIANAPOLIS, INC. NEITHER ASSUMES NOR.
AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH
THE SALE OF SAID PRODUCTS.
WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLI-
CABLE REQUIREMENTS OF SECTIONS 6, 7 AND 12 OF THE FAIR LABOR STANDARDS ACT OF
1938, AS AMENDED AND OF REGULATIONS AND ORDERS OF THE ADMINSTRATOR OR WAGE AND!.
HOUR DIVISION ISSUED UNDER SECTION 14 THEREOF.
RECEIVED BY
VOUCHER NO: WARRANT NO,
ALLOWED 20
Kenworth of Indianapolis
IN SUM OF
2929 S. Holt Road
Indiar'iapolis, IN 46241
$102.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 235697 43- 510.00 $102.30 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
JUL to 2wa
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))
235697 E41 Brakes $102.30
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