190718 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