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Home My WebLink About190717 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 358637 Page 1 of 1 ONE CIVIC SQUARE CUMMINS CROSSPOINT `zo CARMEL, INDIANA 46032 PO BOX 663811 CHECK AMOUNT: $3,182.86 INDIANAPOLIS IN 46266 CHECK NUMBER: 190717 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBE AMOU DESCRIPTION 1120 4237000 001 -64155 85.34 REPAIR PARTS 1120 4351000 64353 3,097.52 AUTO REPAIR MAINTEN r Crosspoint TERMS: NET 30 unless otherwise specified. A SERVICE CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this C" invoice for accuracy. If a discrepancy is found, call your servicing location immediately we will promptly respond. INDIANAPOLIS BRANCH ONO" C- 3621 W MORRIS STREET P O BOX 42917 001 -64353 INDIANAPOLIS, IN 46242 -0917 REMIT TO: P.O. BOX 663811 (317)244 -7251 INDIANAPOLIS, IN 46266 BILL TO OWNER CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 1 OF 4 CARMEL, IN 46032- CARMEL, IN 46032- CHARGE HT BOB VANVOORST 317 6640958 DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 24 -SEP -2010 1 5- M AY -2003 I 380 FIRE PUMP CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 23- SEP -2010 35073147 CPL827300 ALL REF. NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUFAP CODE UNIT NO. 111172 86886 44507 E45 'i 1 M11 OSNfMSNNIN N058675 COMPLAINT INSPECT FOR AIR LEAK AT TURBO ACTUATOR INSPECT FOR LOW POWER UNDER ACCEL NO LIGHTS UNIT HAS HAD PERFORMANCE ISSUES SINCE DAY ONE AT LIGHT ACCELERATION HAS A FLUTTER CHECK CAC CAUSE ROCKER HOUSING GASKET LEAKING FAILED EXH GAS PSI SENSOR TURBO ACTUATOR BAD COOLANT REPLACEMENT REQUIRED CORRECTION BROUGHT IN AND RAISED CAB. HOOKED UP INSITE. HAD ACTIVE FAULT FOR EXHAUST GAS PRIES SENSOR. SENSOR WAS SHORTED INTERNALLY. PRES CHECK CAC AND IT WAS GOOD. DID TURBO TEST AND TURBO PASSED BUT THE ACTUATOR IS LEAKING AIR. LOOKED OVER FOR LEAKS AND THE ROCKER HOUSING AND PASS THRU ORINGS LEAKING. PULLED UNIT IN. NOTICED COOLANT LEAKING ONTO THE FLOOR. PRESSURE TESTED SYSTEM TO FIND LEAK. LEAK WAS COMING FROM TOP HOSE AT THERMOSTAT HOUSING. REPLACED HOSE CLAMP, PRESSURE TESTED AGAIN TO CHECK FOR MORE LEAKS, NO OTHER LEAKS FOUND. TESTED COOLANT AND FOUND THAT IT NEEDS REPLACED WITH NEW COOLANT. R &R TURBO ACTUATOR, REMOVED A/C COMPRESSOR, REMOVED CAC PIPES, AIR CLEANER PIPE AND AIR FILTER, REMOVED VALVE COVER, REMOVED JAKE BRAKES, REMOVED ROCKER ARM ASSEMBLIES, REMOVED INJECTORS, REMOVED ROCKER HOUSING AND CLEANED. CLEANED TOP OF HEAD AND PUT ON ROCKER HOUSING. REPLACED HOSE AND CLAMPS BETWEEN T -STAT AND TOP RAD PIPE, BUILT TOP SIDE, V/C IS ON. INSTALLED ALL WIRING, HOOKED UP ALL COOLANT LINES, INSTALLED A/C COMPRESSOR, INSTALLED CAC PIPES, INSTALLED AIR FILTER PIPE AND FILTER. BROCK FILLED COOLANT SYSTEM. CLEANED DOWN, RAN ENGINE, DROVE AROUND SHOP, LIFTED CAB CHECKED FOR ANY LEAKS, NONE FOUND. PARKED TRUCK ON LOT, CLEANED BAY AND CART. CUSTOMER BILLABLE MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. AUTHORIZED BY (print name) SIGNATURE DATE o r�EOwLYVVARRANTvYV|T rRE6PECT NES.PAnTS.CUMPONENTSORPRODUCT8T, '|CHTH|GINYD|OEl7-'1E LA" ES|S Ti XT �ARRANTY |F ANY. MADE GY 1EltAIANLI�FACTURER7HEREOF CUNW|NS("RJSSpO(NT.1 L�O'CCRPr)I` nsGARo|wGSUC EmG|m�5 PART9 COMPONENTS 0R PRODUCT S.vVmETHER .ARISING BYOPERAT ION ORiAvn.On/NIPL/EF,)aY Q7UFZISsOroEAUwG,USA'GE0n TRADE, INCLUDING ANY |mPuEDvvARsvwTvOF NTA 8|uTYOROF FITNESS FOR APART!CULAR Pu�p�S�CCnrT|S NOT RE-SOwS/oLE FOR |mC|osm7AL.SPEC{AL OR COwSsDUswT/ALoAwAGE"'S. mOs� rOnTysCuMm|m6wevvwO CORP-: 8,QwTvvATERPut0p PRODUCT, THE :VAIRRANTy|GCUVIM/NG ONE YEAR PARTS w&nnANT,REP:_AcsMEEwTw|T*ouTPRoGRsoavE DAMAGECOVER8SE. AND EXCLU, V _MELv SI Cummi .LLCLimi11-edSo/xiceYva/anhccvorsfaUu/sn.umich are aclimm Cu/nmmu Cn)snpXm.LLCon "he pum:aoe Tnsmmom�eoxtengx for aper'odofnno�onded dayc(10O}gayswr25,.0DV m1,O0Omous of wkirh.�marcnmoo n,st. frOlm Je data the oermvom 0*��xned by Cummins onsspoint. u� (`CCn"r> as spenms4 nn the ro ,of�ioinvci*a�T�isiimi�dnamir�wa,��|ema�mm�aorigioa|Pur&a,-ero/ services mod repairs asmFmj/iedvo{hahnn,u/ this invoiceaod dooe not app|vmsubaeqysn,purohaxeomuye/a. OZdE;� C��AGES �ngmvman�cp��noenbreh^iK byCCRPTfn,vF�|eon -in exchange basis pnvseuoyasapnra\�)*anarlypmi;yCvp`eso/m/wpp|icya,G�p°*|�zb|c; to »umha,es of o, comp;"_o,nopon ,aqu*c*. Ezo'usiva 8eonedy Tko P:n`ksse�u oo(u an'� exc|uai�e remsUy �rany daim reu.|Vog /ron� Ua"ec� |n*orxmanyNp g`aU ue oo:ooUon n[in�pmoo,iy Ae,�xmed namicoo, napa�rutr1heexpmnomn�CCP pT. CCRpTwi)| a|no pnymrreaonnabl e parts {abo,neodad to conectaoydamage to other Poll ofUeunit (nvmsh�*vknownos''nxngems|vwda'naQes^>di,scdynssv|tmgfmn -such Improperly pv�n"nwwoxvn�nsxipbyCCRpT, Lip toamanimumof $ooUO. nobIom and condiuuno :eein �rnit2fibCNIS EXCEPT FOR THE FORE5O|NG CCPRT MAKES NO WARRANTY OF ANY KIND, '0,JHETHER EXPRESS, ARISING BY OPEPATIONOR LAIA), OR IMPLED BY COURSE: OF DEALINC, 'USAGE, OR 7RADE NICLUDiNG ANY IMPLIED WARRANTY OF MERCHANTABIL Tiv OR SERV/CE OR. {�PL|ED VAIARRAIN47 Y OF FIT NESS FOR A PARTiCULAR PJRPOSE OR ANY IMPLIED \PVARRANT: AR'STIG VV:TH RESPECT TO SERVICE OR REPAIRS vYH/cH ARE THE SUBJECT VFTn.S/nYO.CE EXCE�D r'A3 PROv/DEDHERE/m CCnPT SHALL wOrBELIABLsF0R ANY |wC1DEwTAL. SPECIAL OnC0m5sOUswrA1 IN- LuD|mG.vY|TH0uTL|�|TAr}Ow. LOST PROFITS, DAMAGES REsLLr|NGFnONI ''DOvvwT|mE^ExPswaEo.CAn000xmAoss TDvv|NGFss� COSTOpSUesT|TUTssQU|PwswT.r�C|�|T|sS�gSsRv|�s3O��wYOrxsRaUS|NsS5 COSTS awD LOSSES RESu�TiNG FROM aCOVERED FAILURE. "ICnpT'S COmPLETEUaa|L|TY FOR ANY Fw|LuRsSnsSVLT[wGF_RO"V` /mpROPE�vV0RK��wS�/PP�RFORNIEDBTCCRPr. AND THE PURCHASER'S exCL �3/vseEMEoY THEREFOR. �nsum/T"orO GORRECT|0wOrWPROPERLYPERpO9MEDv;ORxMANG/i|PAT THE EXPENSE OFCoRpT /FCCRPTos�snm{wEC�|w|TS SOLE oeSCRET|Ow THAT {T|3|kIpRACT|:ALTnRsmEoY DEFECTS eY SERVICE On9EP*|n, CCRpTmAr REpUmDTHEP*RT Or THEPuRC*x3EPR/CE ATTR/BUTAoLETO THE DEFECTIVE SERVICE un REPAIR rXoBvTHE PURCHASER, AND SUC*R spuwoS��AL; BE S c__ AND EXCULSIVE REMEDY FOR ANY SUCH CLAIV Thewarr�nty setfinrth herein is me sole warran-Cvmsdouy CcRP7 w1m mA*d1vsorvioo 'wpairs po'fonnod hyDcRPT. Iv is Not Coveted By ThLs �Varranty Thm`�anan�y;nv�rooe,viciIinrnepai/ on|y,CCRPTdoo»outy�a',antv any engine. p/nduct. nrpi�/1 and mc:n|ywa/onty a pmduc,.con`ponexto,paniomewsnsn/y.i(eny�maoeuy'Lha'nanmf�,cU'ermerooiCCRpT makes onsaxenly and oha|}have no for any VorJvn Lj�<mo Puokmserx aquipmom UmtCGRPT g000 mut wn�k not 'a.pply bdamage 1by occkenL failure perfonn pmpor maim�:oncm abuma. �ia�me nog|*r ation by Purchamnorthird parties. This warranty does not apn|yi, senjca or re ma po�;nn(x) of e oquipmen(epo|reubyCCnpTiopemonnedbyanyqnepthe, than CCRp aAe, the ga'-e\h|owarrantytecnmcooffeonwa prio.m the oxp/raur',ntm/ynm,an/y.,|`on//cino|rx/m`asmcfuom000,/epa|m must cl)vn notice nf andgoo,er0`munit sro�,er�oxpaouo�o�CRPT�oi|i\yNrm^a/'ormawomer|ooadon�ospnnifiodbyCCRPT.T}mod0ina|Pucheo��inresponsib|e r providing its o�ig|na� epairoocumen�yon |eh:n *he pr:wiseo niCCRPT aft�-�r cepair*wl, has be rona;d��ed wbm:dnn:d_ Such :7�atedu� mar be nrao}u a,:mno|ad|cumuonor�CRpT Uo/oeoPro' s(% nam'e*4Vi CCRPT oaymnn/iu�8b/PuM�Muox�rai|memicemdmpai,wo�perhxmed��,CCnPTandto'mny pa: a.componanS,eng/neeandpmdu�m*um�hed�pu�haonr�m||by�a:eat�et�om:onp|oVono,�a��o/ran�;em/��wn��|/��ui�i� a**,me '3pu,c)aoe,% pu/cmane,agroeom pay ax ccou and expenses. mciuuinnem song b|eanome;s'fees, inxuasd by CCRPTincc||mcdng any amounbVuo�CC�pT�m�P:r:hmoe� Anv.`v*io*miohiopaal ns shall bear imo/*'siunU| pad at!xamueof1 Sv- per monmor,{fsucvrs,ciog,male, Crosspoint TERMS: NET 30 unless otherwise specified. A SERVICE CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this co invoice for accuracy. If a discrepancy is found, call your servicing location immediately we will promptly respond. INDIANAPOLIS BRANCH 3621 W MORRIS STREET P O BOX 42917 001 -64353 INDIANAPOLIS, IN 46242 -0917 REMIT TO: P.O. BOX 663811 (317)244 -7251 INDIANAPOLIS, IN 46266 BILL TO OWNER CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 2 OF 4 CARMEL, IN 46032- CARMEL, IN 46032 CHARGE HT BOB VANVOORST 317 6640958 DATE CUSTOMER. ORDER N0. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 24 -SEP -2010 1 MAY 2003 ISM 3 FIRE PUMP CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 23 -SEP -2010 35073147 CPL827300 ALL REF. NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO, 111172 86886 44507 E45 OSNIMSNNIN N058675 COVERAGE REMARK WE APPRECIATE YOUR BUSINESS! THANK YOU. 1 1 4928594 SENSOR,PRESSURE CECO 112.24 112.24 1 1 4042573 KIT,VG ACTUATOR SERVICE CECO 396.67 396.67 1 1 4973102 GASKET,RKR LEVER HOUSING CECO 93.83 93.83 6 6 3070136 SEAL,O RING CECO 3.11 18.66 6 6 3070137 SEAL,O RING CECO 311 18.66 6 6 3070138 SEAL,O RING CECO 3.14 18.84 1 1 3163713 SEAL,ELECTRICAL CONNECTOR CECO 3.94 3.94 1 1 3163714 SEAL,ELECTRICAL CONNECTOR CECO 4.35 4.35 2 2 3163715 SEAL,ELECTRICAL CONNECTOR CECO 4.14 8.28 2 2 3058653 SEAL,O RING CECO .89 1.78 5 5 3049221 SEAL,O RING CECO 1.55 7.75 1 1 3033915 SEAL,O RING CECO 16.68 16.68 1 1 3102645 SEAL,O RING CECO 1.27 1.27 1 1 3103077 GASKET,EXH GAS RCN VALVE CECO 15.32 15.32 1 1 3104230 GASKET, EXH GAS RCN VALVE CECO 28.25 28.25 1 1 3102392 GASKET, EXH GAS RCN VALVE CECO 3.44 3.44 4 4 3682826 SEAL,GROMMET CECO 1.83 7.32 1 1 3871472 GASKET CECO 52.49 52.49 2 2 ACTION -SP DEGREASER SOLVENT 112 GAL OTHER 13.41 26.82 MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANC THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. AUTHORIZED BY (print name) SIGNATURE DATE Crosspoint TERMS: NET 30 unless otherwise specified. A SERVICE CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this invoice for accuracy. It a discrepancy is found, call your servicing location immediately we will promptly respond. as INDIANAPOLIS BRANCH INVOICE N& 3621 W MORRIS STREET P O BOX 42917 001 -64353 INDIANAPOLIS, IN 46242 -0917 REMIT TO: P.O. BOX 663811 (317)244 -7251 INDIANAPOLIS, IN 46266 BILL TO OWNER. CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 3 OF 4 CARMEL, IN 46032- CARMEL, IN 46032- "*CHARGE*** HT BOB VANVOORST 317 6640958 DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 24 -SEP -2010 15- MAY -2003 ISM 380 FIRE PUMP CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 23- SEP -2010 35073147 CPL827300 ALL REF. NO. SALESPERSON PARTS DISP. MILEAGEHOURS PUTAP CODE UNIT NO. 111172 86886 44507 E45 5 1 93 Em OSNIMSNIVIN N058675 1 1 3893692 GASKET,SUPPORT CECO 9.28 9.28 2 2 320 -0340 2 318 INCH OTHER .69 1.38 2 2 92240 CLAMP,HOSE DAYCO 1.90 3.80 1 1 77225GL HOSE,FLEXIBLE DAYCO 20.22 20.22 ALREADY PULLED 6 6 3071967 SCREEN,FILTER CECO 1.37 8.22 ALREADY PULLED 9 9 CC36077 OAT FLG 15.00 135.00 1 1 WF2071 WF PKG FLG 10.52 10.52 PARTS: 1,025.01 PARTS COVERAGE CREDIT: O.00CR TOTAL PARTS: 1,025.01 SURCHARGE TOTAL: 0.00 LABOR: 2,036.70 LABOR COVERAGE CREDIT: 0.000R TOTAL LABOR: 2,036.70 MISC.: 35.81 MISC. COVERAGE CREDIT: O.00CR TOTAL MISC.: 35.81 SHOP SUPPLIES 20.50 ENVIRONMENTAL COMPLIANCE 15.31 TAX EXEMPT NUMBERS: IN 003120155 002 0 TAXES: STATE 0.00 MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE SEEN READ AND FULLY UNDERSTOOD. AUTHORIZED BY (print name) SIGNATURE DATE Crosspoint TERMS: NET 30 unless otherwise specified. A SERVICE CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this co invoice for accuracy. If a discrepancy is found, call your servicing location immediately we will promptly respond. INDIANAPOLIS BRANCH s 3621 W MORRIS STREET P O BOX 42917 001 -64353 INDIANAPOLIS, IN 46242 -0917 REMIT TO: P.O. BOX 663811 (317)244 -7251 INDIANAPOLIS, IN 46266 BILL TO OWNER CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 4 OF 4 CARMEL, IN 46032- CARMEL, IN 46032- CHARGE HT BOB VANVOORST 317 6640958 DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 24 -SEP -2010 15- MAY -2003 ISM 380 FIRE PUMP CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 23 -SEP -2010 35073147 CPL827300 ALL REF. NO. SALESPERSON PARTS DISP. MILEAGE /HOURS PUMP CODE UNIT NO. 111172 86886 44507 E45 MIS v/ OSNIMSNNIN N058675 MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS SUB TOTAL: 3,097.52 INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER TOTAL TAX: 0.00 ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. TOTAL AMOUNT: US 3,097.52 AUTHORIZED BY (print name) SIGNATURE DATE Crosspoint TERMS: NET 30 unless otherwise specified. A SERVICE CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this invoice for accuracy. If a discrepancy is found, call your servicing C. location immediately we will promptly respond. Indianapolis Branch 3621 W Morris Street P O Box 42917 001 -64155 Indianapolis, IN 46242 -0917 (317) 244 -7251 REMIT TO: P.O BOX 663811 INDIANAPOLIS, IN 46266 SOLD TO SHIP TO Carmel Fire Department Carmel Fire Department 2 Civic Square 2 Civic Square PAGE 1 OF 1 Carmel, IN 46032 Carmel, IN 46032 CONTACT ON ACCOUNT CHARGE HT DATE CUSTOMER ORDER NO. DATE IN SE_ RVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 23 -SEP -2010 E 45 CUSTOMER NO, SHIP VIA FAIL DATE ENGINE SERIAL NO, CPL NO. EQUIPMENT MODEL 400706 CUSTOMER PICK UP REF. NO. SALESPERSON PARTS DISP. MILEAG €!HOURS PUMP CODE UNIT NO. 0E- 100 464003 1096 2 2 4071224 CAP,FILLER CECO 42.67 85.34 REMIT TO: BOX 663811, INDPLS,IN 46266 THANK YOU VERY MUCH FOR YOUR BUSINESS. A 15% RESTOCKING FEE WILL BE ASSESSED FOR PARTS RETURNS, NO RETURNS ALLOWED ON OPEN ELECTRNIC COMPONENTS TRACKING# SUB TOTAL: 85.34 r MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT AL BRANCHES. THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS TOTAL AMOUNT: US 85.34 SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY (print name) SIGNATURE DATE VOUCHER NO. WARRANT NO. ALLOWED 20 Cummins IN SUM OF P.O. Box 42917 Indianapolis, IN 46242 $3,182.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department I PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 64353 43- 510.00 $3,097.52 1 hereby certify that the attached invoice(s), or 1120 001 -64155 42- 370.00 $85.34 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 OCT 11 12010 l 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)) 64353 Repair E45 $3,097.52 001 -64155 E45 $85.34 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