189746 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC
i CHECK AMOUNT: $389.85
CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY
WESTFIELD IN 46074 CHECK NUMBER: 189746
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 9541 309.38 AUTO REPAIR MAINTEN
1120 4237000 9588 80.47 REPAIR PARTS
T
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317- 896 -5956
9/1/2010 2:14 PM page 1
Invoice 9588
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle 0 PARTS ONLY PARTS
VIN PARTS
Created :8/31/2010 10:32:04 AM Odometer In 0
Complete :8/31/2010 10:35:24 AM Odometer Out: 0
Invoiced 8/31/2010 10:35:24 AM
Contact BOB (664 -0958)
Qty Code/Tech' Reference Description Condition Unit Price Price
1 BELT, V 142" New $80.47 $80.47
SPECIAL ORDER
Labor................... $0.00
Parts........................ $80.47
Sublet/Misc. $0.00
SHOP SUPPLIES I................... $0.00
Charges .......I $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $80.47
Any warranties on the item /items sold are those made by the manufacturer. The seller, Custom Truck
and Auto, inc., hereby expressly disclaims all warranties, either express or implied, including any
implied warranty of merchantability or fitness for a particular purpose, and Custom Truck and Auto,
Inc., neither assumes nor authorizes any other person to assume for it any liability in connection with
the same of this item /items.
PAYMENT iS DUE AT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE
WITH MANAGEMENT.
THANK YOU FOR YOUR BUSINESS!
El
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CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317 896.5956
9/1/2010 2:14 PM page 1
Invoice 9541
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle :1988 KME ENGINE 40
VIN 62176 Color Red
Fleet 40
Created 8125/2010 9:51:39 AM Odometer In 3338
Complete :8/31/2010 9:08:47 PM Odometer Out: 3338
Invoiced :8/31/2010 9:08:47 PM
Contact BOB (664 -0958)
Qty Code/Tech* Reference Description Condition Unit Price Price
SW* REPLACE BOTH HEATER HOSES FOR HEATER CORE $140.00
SW* REPLACE LEFT FRONT BRAKE CHAMBER $70.00
12 SW* PREMIUM HTR HOSE New $1.69 $20.28
1 SW* AIR C HAMBER New $67.20 $67.20
Labor........................ $210.00
Parts $117.55 less discount $30.07 $87.48
Sublet/Misc. $0.00
SHOP SUPPLIES $11.90
Charges.................. I'll $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $309.38
Tech Certification
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VOUCHER NO. WARR;'\NT NO.
ALLOWED 20
Custom Truck Auto, Inc.
IN SUM OF
17249 Foundation Parkway
Westfield, IN 46074
$389.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 9541 43- 510.00 $309.38 1 hereby certify that the attached invoice(s), or
1120 9588 42- 370.00 $80.47 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
SEP 1 3 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))
9541 E40 $309.38
9588 A41 $80.47
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