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Home My WebLink About190718 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1 ei ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC CHECK AMOUNT: $609.10 CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 CHECK NUMBER: 190718 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 9777 609.10 AUTO REPAIR MAINTEN CUSTOM TRUCK AND AUTO, INC 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 317 896 -5956 10/4/2010 3:49 PM page 1 Invoice 9777 FIRE DEPARTMENT CARMEL 1 CIVIC SQUARE CARMEL IN 46032 -fold here Vehicle 1997 Chevrolet Truck K2500 314 Ton 4WD Pickup 5.7 L VIN 1 GCGK24R3VZ207403 Color Red Created 9/22/2010 9:16:03 AM Odometer In 56481 Complete :9/22/2010 11:53:44 AM Odometer Out: 56481 Invoiced :9/2912010 6:27:33 PM Contact BOB (664 -0958) Qty Codeffech* Reference Description Condition Unit Price Price 1 CB` SERPENTINE BELT $47.98 $47.98 1 CB` COMPRESSOR, HT -6 $323.50 $323.50 1 CB' ACCUM, C- SERIES 96 -2000 New $35.48 $35.48 CB" A/C COMPRESSOR R &R M $49.00 NOTE 1: Times shown DO NOT include recover, evacuate and charge system. If necessary to open refrigerant system; refer to System Charge (Complete) for appropriate time.NOTE 2: Times listed are for Factory and Dealer dash installed Integral Type air condi CB" RECEIVER DRIER R &R M $28.00 NOTE 1: Times shown DO NOT include recover, evacuate and charge system. If necessary to open refrigerant system; refer to System Charge (Complete) for appropriate time.NOTE 2: Times listed are for Factory and Dealer dash installed Integral Type air condi CB` EVACUATE, CHARGE PERFORMANCE TEST $70.00 2 CB" REFRIGERANT R134a New 17.57 $35.14 Note; M Labor Database, Copyright, Mitchell International, All Rights Reserved Labor $162.00 less discount: $15.00 $147.00 Parts $453.02 less discount 1 $10.92 $442.10 Sublet/Misc. $0.00 SHOP SUPPLIES $20.00 Charges I.............. $0.00 Sales Tax Tax Exempt 0031201550020 $0.00 Total Due $609.10 Tech Certification CB Il III I Ill! III IIIIIIIIIIIII CUSTOM TRUCK AND AUTO, INC 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 317- 896 -5956 10/412010 3:49 PM page 2 Invoice 9777 Vehicle 1997 Chevrolet Truck K2500 3/4 Ton 4WD Pickup 5.7 L Recommended Service Service Notes Due Interval SERVICE REAR DIFFERENTIAL on 912 212010 (Every 100000 miles) SERVICE DIFFERENTIAL FUEL SYSTEM SERVICE on 9/22/2010 (Every 30000 miles) FUEL SYSTEM SERVICE ENGINE OIL SYSTEM CLEANING on 9/22/2010 (Every 60000 miles or 12 months) COMPLETE LUBE, OIL AND FILTER SERVICE on 9/22/2010 (Every 3000 miles) FUEL FILTER SERVICE on 9/22/2010 (Every 30000 miles) REMOVE OLD FUEL FILTER AND INSTALL NEW FUEL FILTER COOLANT FLUSH on 9/22/2010 (Every 60000 miles) FLUSH COOLANT SYSTEM TRANSMISSION FLUSH -AUTO on 9/22/2010 (Every 60000 miles) COMPLETE TRANSMISSION SERVICE ROTATE TIRES on 9/22/2010 (Every 8000 miles) ROTATE TIRES ROTATE AND BALANCE TIRES on 9/22/2010 (Every 8000 miles) ROTATE AND BALANCE TIRES 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! Illlllllllllll IIIIIIIIQIIIII VOUCHER NO. WARRANT NO. ALLOWED 20 Custom Truck Auto, Inc. IN SUM OF 17249 Foundation Parkway Westfield, IN 46074 $609.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 9777 43- 510.00 $609.10 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 OCT 1 2010 V Fire Chief 1 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)) 9777 7403 $609.10 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