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190503 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 363282 Page 1 of 1 ONE CIVIC SQUARE TRUCK SERVICE INC CHECK AMOUNT: $344.87 s lo CARMEL, INDIANA 46032 ATTN: A/R 3140 W MORRIS STREET CHECK NUMBER: 190503 INDIANAPOLIS IN 46241 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 54439 344.87 AUTO REPAIR MAINTEN TRUCK SERVICE INC. TRUCK S E R V I C E IN C.- INVOICE DATE 09/08/2010 11:46A INVOICE NO. PAGE CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 H E R R I M A N BLVD N 5 4 4 3 9 1 TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S V I L L E IN 46060 CUST MER N BRA q WARNER SPRING HORTON TRUCK SERVICE 317-776-6464 287 trksmcom CARMEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO 2 CARMEL CIVIC SQUARE TO 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R, 3140 W. Morris 6t. Indianapolis, IN 46241 CUSTOMER P.O. R/S ORDER 004351 (317) 571 -2600 JS 000 /000 OTY PART NO. DESCRIPTION LIST PRICE/PER EXTENSION COMPLETION DATE: 09/08/2010 UNIT: LADDER41 YEAR: 1989 MAKE /MODEL: GRUMMAN 102A.ERIALCAT SERIAL: 1G9ACDDT2JR088012 MILEAGE: 48149/5989 JOB #01 23 100 00 INSPECT F/E AND SUSPENSION. PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 JOB SUBTOTAL 0.00 JOB #02 00 009 95 TEST DRIVE VEHICLE PARTS SUBTOTAL 0.00 L A;B&O SSU O T AL --1\ 0.00 j JO-B-,SUB- TOFT�AL 0.00 JOB #04 00 009 98 T -E -S %T DR -IV_E AF-TER CO_MPLETIJON� TO` CONFIRM REPAIR PA SU BIT OTAL E 0.00 L A-B.O Rte S U�B 7-0 TrA -L— TM 0.00 J 0.B' -S.0 B T 0 T AL-1 0.00 JOB #05 31 140 08 L.O.F. HEAVY DUTY I TM.G -OIL 1 5 V 28 C4 RT15W 4 0Q 12 E .2$ 3.67EA 102.76 1 ROTELLA 1 BA B95 M/L F -F LUBE_SPIN -ON' $26:82 ���12J87EA 12.87 1 BA BF5810 M. /L SECONDARY FUEL SP $21.74 8.97EA 8.97 1 BA BF5800 M/L PRIMARY FUEL SPIN $21.94 9.53EA 9.53 PARTS SUBTOTAL 134.13 LABOR SUBTOTAL 50.00 JOB SUBTOTAL 184.13 JOB #06 61 900 00 GENERAL SHOP LABOR PULL FRONT TIRES AND ROTATE CHECK ALL BRAKES Y RECEIVED BY FREIGHT SUB TOTAL TAX STATUSSTATE SALES TAX PLEASE PAY Y *CONTINUED* LL RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the Invoice date will be considered 10 DAYS OR 500 MILES past due. A late charge of 1 112% per month will be assessed on all amounts not paid by the end of the month following the Invoice date. (Annual Interest rate of 18 STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE PICKED UP 30 DAYS AFTER COMPLETION OF WORK. TRUCK SERVICE, INC. TRUCK SERVICE INC. INVOW U8 2 010 11:4 6 A 14700 HERRIMAN BLVD INVOICE N54439 PA GE CLEVELAND SPRING SERVICE ❑INDIANAPOLIS SPRING `f 7 C 46060 L TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE O B L E S Y I L L E IN WARNER SPRING ❑NORTON TRUCK SERVICE 317-776-6464 cusr�nr�� �Rar�I# trksmcom CAR.MEL FIRE DEPT. CARMEL FIRE DEPT. SOLD SHIP TO 2 CARMEL CIVIC SQUARE TO 2 CARMEL CIVIC SQUARE CA'RMEL—IN 46032 CARMEL IN 46032 REMIT T A/R, 3144 W. Morris St. Indianapolis, IN 46241 CUSTOMER P.O. H75 ORDER N0. 004351 (317) 571 -2600 JS 000/000 OTY PART NO. DESCRIPTION LIST PRICEIPER EXTENSION PULL REAR WHEELS AND CHECK BRAKES PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 146.53 SHOP SUPPLIES 14.21 JOB SUBTOTAL 160.74 *TOTAL PARTS: 134.13 *TOTAL LABOR: 196.53 *TO`T -A,L SHOP SUPPLIES: 14.21 r r r NEW PAYMENT ADDRESS: 3140 W t .MORR'I .S STµ I�N;D.IANAPOLIS, IN 46241 t s i Ever day p.ice` on DO��T a nuald�7�n y p_e 7 nn $b5 s N 2' Y IT R I FREIGHT SUB TOTAL TAX STATUS/STATE SALESTAX PLEASE PAY Y 344.87 EXEMPT IN 0.00 344.87 RETIGHTEN U -BOLTS AFTER TERMS: NET 1OTH PROX. Invoices not paid by the 101h of the month following the month of the Invoice date will be considered 10 DAYS OR 500 MILES past due. A late charge of 1 12% per month will be assessed on al! amounts not paid by the end of the month following the invoice date. (Annual Interest fate of 18%). STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE PICKED UP 30 DAYS AFTER COMPLETION OF WORK. VOUCHER NO. WARRANT NO. ALLOWED 20 Truck Service, Inc. IN SUM OF 314 0 W. Morris Street Indianapolis, IN 46241 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1- -----5-32= t47- 43= 5 =1O:Q0 $3,270,-7.5 I hereby certify that the attached invoice(s), or 1120 54439 43- 510.00 $344.87 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 S EP 2 6 Lulu" Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. X01 (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)) 53214 $3,270.75 54439 $344.87 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