162656 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 355831 Page 1 of 1
1 ONE CIVIC SQUARE BRICKYARD INTERNATIONAL
CARMEL, INDIANA 46032 CHECK AMOUNT: $3,280.82
5730 FORTUNE CIRCLE DR W
INDPLS IN 46241 CHECK NUMBER: 162656
CHECK DATE: 8/20/2008
DEPAR ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 8190392 304.45 AUTO REPAIR MAINTEN
1120 4351000 8195392 2,510.73 AUTO REPAIR MAINTEN
1120 4351000 8198488 465.64 AUTO REPAIR MAINTEN
i
I
INVOICE DATE
m B RIC KYARD 06/13/2008 12:55PM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE INVOICE NO. PAGE
8190392 1
INDIANAPOLIS IN 46241 CUSTOMER NO. BRANCH
I�EALEASE 317- 247 -6631 04001 8*
a may.- ,ate,
REMIT TO BRICKYARD MTERNATI(7NAL TI UCKS�573Q FORR [JNE CIRCLE WEST TNDIANAPbLIS FIN.,46241
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
SOLD SHIP 16085
TO: 2 CIVIC SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
CUSTOMER PO. REFERENCE NO.
AMB44 061394 (317) 571 -2600 SB 000 /000
PRICFIPER I EXTENSION
TERMS: (00) DUE BY 10TH
COMPLETION DATE: 06/12/2008
UNIT: 44 YEAR: 2003 MAKE /MODEL: INTERNATIONAL 4300
SERIAL: 3HTMNAAL13N585817 MILEAGE: 68491
OPR #01 40 000 01 QUICK CHECK
QC (N) QUICK CHECK
PERFORM QUICK CHECK AT NO COST TO CUSTOMER
REVIEW INSPECTION WITH SERVICE ADVISOR
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 16.60
OPR SUBTOTAL 0.00
OPR #02 15 000 00 FUEL SYSTEM
CK ELEC LIGHT ON, LOW FUEL LIGHT ON AND FUEL GAUGE IS
ERRATIC IN ITS READINGS
06/12/2008 MECHANIC: 08496
FOUND FUEL TANK SENDER BAD REPLACED AND UPDATED ESC FROM
27 TO 88 WORKS FINE NOW
1 100 250669401 KEY 6.50EA* 6.50
1 100 2585993091 GAUGE $156.00 117.01EA 117.01
PARTS SUBTOTAL 123.51
LABOR SUBTOTAL 166.00
SHOP SUPPLIES 14.94
OPR SUBTOTAL 304.45
*TOTAL PARTS: 123.51
*TOTAL LABOR: 166.00
*TOTAL SHOP SUPPLIES: 14.94
ASK ABOUT OUR RENTAL TRUCKS THE NEXT TIME YOUR TRUCK
IS IN FOR SERVICE AND RECEIVE 5% OFF OUR RENTAL RATES
STATEMENT OF DISCLAIMER: The factory warranty
constitutes all of the warranties with respect to the sale of (1) The account is due and payable in TERMS STRICTLY CASH UNLESS ARRANGEMENTS MADE
this itemftems. The Seller, BRICKYARD INTERNATIONAL full by the 10th of the month following I hereby authorize the repair work herein set forth to be done along with the
purchase. necessary material and agree that you are not responsible for loss or damage
TRUCKS and iDEALEASE, hereby expressly disclaims all to vehicle or articles left in vehicle in case of fire, theft or any olhercause beyond
(2) Accounts past due are subject our control or for an dela s caused unavailabili of arts or Bela s In arts
warranties, either express or implied, including any implied to a delinquency charge of 20°! (per annum) shipments by the supplier or transporter. I hereby grant you and/or yyour employees
warranty of merchantability or fitness for a particular on the outstanding balance. In the event permission fo operate the vehicle herein described on streets, hig0ys or else
purpose, and BRICKYARD INTERNATIONAL TRUCKS and the account is referred for collection, it is where for the purpose of testing andror inspection. An express garage keepers lien
IDEALEASE, neither assumes nor authorizes any other agreed that the balance due includes ail is hereby acknowledged on above vehicle to secure the amount of repairs thereto,
person to assume for it any liability in connection with collection costs including a reasonable I understand that pursuant to said express garage keepe> s lien, I have no right of
the safe of this item /items. attorney fee, possession of this vehicle until the repairsthereto have been paid in full or until
y ou and/or your employees have voluntarily released the vehicle to me.
FREIGHT SUBTOTAL TAX STAT Sr TATE I SALESTAX I PLEASE PAY
304.45 EXEMPT IN 0.00 304.45
Customer Approval for repairs not covered by warranty, policy, or field CUSTOMER TERMS
SIGNATURE
charges. All parts installed are new unless specified otherwise. i x
e
B R I O KYA D INVOICE DATE
07/21/2008 09:38AM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE INVOICE NO. PAGE
8195392 1
INDIANAPOLIS IN 46241 CUSTOMER NO. BRANCH
IDEALEASE 317- 247 -6631 04001 8*
RIjMIT TO BRICK 'ARD ]Nfrp TI TRUCKS;�5730 FORTUNE tlktEt WEST INDIXW6I.IS IN 4b241
B w,..,
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
SOLD SHIP 16085
TO: 2 CIVIC SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
CUSTOMER P REFERENCE NO
061615 (317) 571 -2600 DG 000 /000
PRICE/PER EXTENSION
�I TERMS: (00) DUE BY 10TH
l COMPLETION DATE: 07/11/2008
UNIT: 44 YEAR: 2003 MAKE /MODEL: INTERNATIONAL 4300
SERIAL: 3HTMNAAL13N585817 MILEAGE: 68644
OPR #02 12 000 00 ENGINE ASSEMBLIES
WI (N) INTERNATIONAL WARRANTY
WATER IN OIL— LINERS LEAKING INSTALLED WORKS KIT SUBLET
HEAD TEST RPL ALL GUIDES LAP VALVES PER GREG METTLER,
56% PARTS AND LABOR REL #GJM541 -441 FILE 98 HAD TO R &I".
AMBULANCE RADIO EQUIPMENT
SRT: Al2 -3300 HRS: 3
SRT: Al2 3301 HRS: 8 t� a
SRT: Al2 -3301 HRS:
SRT: Al2 -3301 HRS:
SRT: Al2 -3301 HRS: 8
SRT: Al2- 3301 HR: 8
SRT: Al2- 3300 -2 `HRS': 2.7�
SRT: Al2 -4400 HRS: 10.5
SRT: Al2- 4400 -1 HR'S: .2
SRT: A09-180-; HRS: .4
SRT: Al2 T1 HRS: 1
x Fay
SRT: Al2 —T2 HRS: 1
R &I RADIO EGbiP
CAUSE: 12000 -192 —K
1 100 1836195C98 PACKAGE $2183.54 1.706.06EA 1706.06
10 HDW 7485 DISC $3.73 2.38EA 23.80
1 HDW 7652651 GREASE $11.20 7.17EA 7.17
1 100 1822135C1 RING $0.81 0.52EA 0.52
1 100 1824908CI RING $1.14 0.85EA 0.85
18 HDW TRLHD TIE $0.48 0.30EA 5.40
4 259 ZJB227804G DELO ELC $20.76 19.31EA 77.24
SERVICE— SUBLET 548.00
STATEMENT OF DISCLAIMER: The factory warranty
constitutes all of the warranties with respect to the sale of (1) The account is due and payable in TERMS STRICTLY CASH UNLESS ARRANGEMENTS MADE
this item/ltems. The Seller, BRICKYARD INTERNATIONAL full by the 10th of the month following I hereby authorize the repair work herein set forth to be done along with the
purchase. necessary material and agree that you are Pot responsible for loss or damage
TRUCKS and IDEALEASE, hereby expressly disclaims all to vehicle or articles left in vehicle in case of fire, theft or any other cause beyond
(2) Accounts past due are sub ourcontrol or for an del caused unavailabilit of its ordela s in arts
warranties, either express or implied, induding any implied Y Y Y by Pa Y P
warranty f merchantabil or fitness for articular to a delinquency charge of 20% (per annum) shipments try the supplier or transporter. I hereby grant you and/or your employees
ry Y P on the outstanding balance. In the event permission o operate the vehicle herein described on streets, highways or eise-
purpose, and BRICKYARD INTERNATIONAL TRUCKS and the account is referred for collection, it is where for the purpose of testing and/or inspection. An express garage keepers lien
IDEALEASE, neither assumes nor authorizes any other agreed that the balance due includes all is hereby acknovdedgo on above vehicle to secure the amount of repairs thereto.
person to assume for it any liability in connection with collection costs including a reasonable I unders tand that pursuant to said express garage keeper's lien, I have no right of
the sale of this item /items. attorney fee. possession of this vehicle until the repairsthereto have been paid in iull or until
and/or our empl ees have voluntarily released the vehicle to me.
SUB TOTAL TAX STATUSISTATE I SALESTAX I PLEASE PAY
*CONTINUED*
CUSTOMER TERMS
Customer Approval for repairs not covered by warranty, policy, or field SIGNATURE
charges. All parts installed are new unless specified otherwise. i x
I C KA INVOICE DATE
07/21/2008 09:38AM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE
INVOICE NO PAGE
8195392 2
INDIANAPOLIS IN 46241 CUSTOMER NO. BRANCH
IDEALEASE 317- 247 -6631 04001 8*
REMIT TU: BRICKYIAR.D TNTERNATIbNAL TRUCKS, i573O OF T UNE CIRCLE WEST INDIANAPOLIS; IN
Y
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
SOLD SHIP 16085
TO: 2 CIVIC SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
CUSTOMER RO. REFERENCE NO.
061615 (317) 571 -2600 DG 000 /000
PRIC PER I EXTENSION
(REF: 83134.00/061615)
BILLBACK WARRANTY INTL 1875.04
MISC SUBTOTAL 1327.04
PARTS SUBTOTAL 1821.04
LABOR SUBTOTAL 1892.40
OPR SUBTOTAL 0.00
ABOVE BEING SUBMITTED FOR INTERNATIONAL WARRANTY
OPR #03 08 000 00 ELECTRICAL SYSTEMS
REPLACE STARTER OK PER JEFF
07/11/2008 MECHANIC: 08503
FOUND STARTER BAD REMOVED AND REPLACED STARTER.
LET TRUCK GET UP TO TEMP. TOOK ON LONG TEST DRIVE TRUCK
RAN GREAT NO PROBLEMS. CLEANED INSIDE AND OUT OF TRUCK
1 100 3574175094 MOTOR $466.31 364.28EA 364.28
PARTS SUBTOTAL 364.28
LABOR SUBTOTAL 249.00
SHOP SUPPLIES 22.41
OPR SUBTOTAL 635.69
OPR #04 12 000 00 ENGINE ASSEMBLIES
INTERNATIONAL AGREED AS GOODWILL POLICY TO COVER
56% OF REPAIRS FOR COOLANT IN OIL THIS IS THE
44% THAT IS CUSTOMER RESPONSIBILITY
BILLBACK WARRANTY INTL 1875.04
44% OF $4261.44
MISC SUBTOTAL 1875.04
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 0.00
OPR SUBTOTAL 1875.04
*TOTAL PARTS: 364.28
*TOTAL LABOR: 249.00
*TOTAL OTHER: 1875.04
*TOTAL SHOP SUPPLIES: 22.41
STATEMENT of DISCLAIMER: The factory warranty
constitutes all of the warranties with respect to the sale of (1) The account is due and payable in TERMS STRICTLY CASH UNLESS ARRANGEMENTS MADE
this itern items. The Seller, BRICKYARD INTERNATIONAL full by the 10th of the month following I hereby authorize the repair work herein set forth to be done along with the
purchase. necessary material and agree that you are not responsible for loss or damage
TRUCKS and IDEALEASE, hereby expressly disclaims all to vehicle or articles left in vehicle in case of fire, the or any other cause beyond
(2) Accounts past due are subject your or for an warranties, eitherexpress or implied, induding any implied y y, delays caused by unavailability of parts or delays in parts
warranty f merchantability or fitness for a articular to a delinquency charge of 20 (per annum) shipments by the supplier or transporter, I hereby grant you and/or Your employees
ry h+ P on the outstanding balance. In the event permission to operate the vehicle herein descr bed on streets, higFiways or 2e-
purpose, and BRICKYARD INTERNATIONAL TRUCKS and the account is referred for collection, it is where for the purpose of testing and or inspection. An express garage keepers lien
IDEALEASE, neither assumes nor authorizes any other agreed that the balance due includes all is hereby acknowledged on above vehicle to secure the amount of repairs thereto.
person to assume for it any liability in Connection with collection costs including a reasonable I understand that pursuant to said express garage keeper's Ilen, I have no right of
the sale of this item /items. attorney fee. possession of this vehicle until the repairs hereto have been paid in fuH or until
You a",, our em ees have voluntaril released the vehicle to me.
FREIGHT _SUBTOTAL ---TAX STAT TA ESTAX PLEASE PAY
*CONTINUED*
Customer Approval for repairs not covered by warranty, policy, or field CUSTOMER TEAMS
SIGNATURE
charges. All parts installed are new unless specified otherwise. X
BRICKYARD INVOICE DATE
07/21/2008 09:38AM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE
INVOICE NO. PAGE
8195392 3
INDIANAPOLIS IN 46241 CUSTOMER NO. BRANCH
IDEALEASE 317- 247 -6631 04001 8*
REMIT TO BRIC TRUCKS,'5730 FORTUNE,CIR EME$q, INDI�ANAI'OLIS,AIN 46241
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
SOLD SHIP 16085
TO: 2 CIVIC SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
CUSTOMER PO REFEFIENCE NO.
061615 (317) 571 -2600 DG 000 /000
PRIMPER I EXTENSION
ASK ABOUT OUR RENTAL TRUCKS THE NEXT TIME YOUR TRUCK
IS IN FOR SERVICE AND RECEIVE 5% OFF OUR RENTAL RATES
STATEMENT OF DISCLAIMER: The factory warranty
constitutes all of the warranties with respect to the sale of The account is due and payable in TERMS STRICTLY CASH UNLESS ARRANGEMENTS MADE
this itemfitems. The Seller, BRICKYARD INTERNATIONAL full by the 10th of the month following I hereby authorize the repair work herein set forth to be done along with the
purchase. necessary material and agree that you are not responsible for loss or damage
TRUCKS and IDEALEASE, hereby expressly disclaims all to vehicle or a ticles left in vehicle In case of fire, the or any other cause beyond
(2) Accounts past due are subject our control or for an delays caused unavailab of arts or delays p
warranties, either express or implied, including any implied to a delin uenc char a of 20°/ er annum Y 9. y fry N p ys in arts
of merchantabil or fitness for articular q di g (P shipments b� th perate t v h cle herein descn. bed on you streets, hig or e C s
warranty Y P on the outstanding balance. in the event permission to operate the vehicle herein described on streets, highways or e�se-
purpose, and BRICKYARD INTERNATIONAL TRUCKS and the account is referred for collection, it is where for the purpose of testing and/or inspection. An express garage keepers lien
IDEALEASE, neither assumes nor authorizes any other agreed that the balance due includes all is hereby acknowledged on above vehicle to secure the amount of repairs thereto,
person to assume for it any liability in connection with collection costs including a reasonable I understand that pursuant to said express gamge keeper's lien, I have no right of
attorney fee. possession of this vehicle until the repairsllhereto have been paid in full or until
the sale of this item /items. Y 1 you andlor your employees have voluntarily released the vehicle to me.
FAE IGHT T TA TAX T T T T ALE TAX PLEASE PA
2510.73 EXEMPT IN 0.00 2510.73
CUSTOMER
Customer Approval for repairs not covered by warranty, policy, or field SIGNATURE
charges. All parts installed are new unless specified otherwise. I x reAms
I C KYA R INVOICE DATE
08/11/2008 09:45PM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE INVOICE NO. PAGE
8198488 1
INDIANAPOLIS IN 46241 CUSTOMER NO. BRANCH
IDEALEASE 317- 247 -6631 04001 8*
REMIT B"' RICKYARD INTERNATIONALTRUCKS,'S730 ORTCINE CIR.'CLE WEST',1NI IANAPQI S �1N 46241
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
SOLD SHIP 16085
VI TO: 2 CIVIC SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
CU STOMER P.O. REFERENCE NO.
063824 (317) 571 -2600 SB 000 /000
PRICF/PER I EXTENSION
TERMS: (00) DUE BY 10TH
COMPLETION DATE: 08/11/2008
UNIT: 45 YEAR: 2003 MAKE /MODEL: INTERNATIONAL 4300
SERIAL: 3HTMNAALK3N585816 MILEAGE: 77989
OPR #01 40 000 01 QUICK CHECK
QC (N) QUICK CHECK
PERFORM QUICK CHECK AT NO COST TO CUSTOMER
REVIEW INSPECTION WITH SERVICE ADVISOR
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 16.60
OPR SUBTOTAL 0.00
OPR #02 12 000 00 ENGINE ASSEMBLIES
NOT POWER AT TIMES CK AND ADIVSE WITH EST.
WENT THRU ALL GOOD TEST DROVE COULD NOT DUPLICATE PROB
HAS GOOD POWER AT THIS TIME.
TEST DROVE ONE TIME IT ACTED LIKE TURBO NOT WANTING TO
INGAUGE. FOUND MAP SENSOR NOT READING UNTILI3 -14 PSI.
SMACKED IT WITH SCREWDRIVE AND WORKS FINE. ORDER SEMSOR.
INSTALLED MAP SENSOR, TEST DROVE GOOD
1 100 184007801 SENSOR $140.86 103.76EA 103.76
PARTS SUBTOTAL 103.76
LABOR SUBTOTAL 249.00
SHOP SUPPLIES 22.41
OPR SUBTOTAL 375.17
OPR #03 04 000 00 BRAKE SYSTEM, AIR OR HYDRAULIC
ABS LIGHT ON CK AND ADVISE
08/05/2008 MECHANIC: 08496
FOUND LR SENSOR UNPLUGGED CLEANS OUT TERMINALS AND
PLUGGED IN LATCHED GOOD. TEST DROVE ALL GOOD.
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 83.00
STATEMENT OF DISCLAIMER: The factory warranty
constitutes all of the warranties with respect to the sale of (t) The account is due and ayable in TERMS STRICTLY CASH UNLESS ARRANGEMENTS MADE
this itemfitems. The Seller, BRICKYARD INTERNATIONAL full by the 10th of the month following I hereby authorize the repair work herein set forth to be done along with the
purchase. necessary material and agree that you are not responsibte for loss or damage
TRUCKS and IDEALEASE, hereby expressly disclaims all to vehlcie or articles left in vehicle in case of fire, then or any other cause beyond
(2) Accounts past due are subject your control or for any delays caused by unavailability of parts or delays in parts
warranties, either express or implied, including any implied to a delinquency charge of 20% (per annum) shipments by the supplier of transporter. I hereby grant you and/or your employees
warranty of merchantability or fitness for a particular on the outstanding balance. In the event permission fo operate the vehicle herein described on streets, higfrways or else
purpose, and BRICKYARD INTERNATIONAL TRUCKS and the account is referred for collection, it is where for the purpose of testing and/or inspection. An express garage keepers lien
IDEALEASE, neither assumes nor authorizes any other agreed that the balance due includes all is hereby acknowledged on above vehicle to secure the amount of repairs thereto.
erson to assume for it an liabili i n Connection with collection costs including a reasonable I understand that pursuant to said express gg arage keepers lien, I have no right of
p y ty c011ec fee. possession of this vehicle until the repairs hereto have been paid in full or until
the sale of this item /items. y you and/or your employees have voluntarily released the vehicle to me.
F T SUBTOTAL TAX STATUSISTATE LE TAX PLEASE PAY
*CONTINUED*
Customer Approval for repairs not covered by warranty, policy, or field CUSTOMER 7FWS SIGNATURE
charges. All parts installed are new unless specified otherwise. X
BR INVOICE GATE
08/11/2008 09:45PM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE INVOICE NO. PAGE
8198488 2
INDIANAPOLIS IN 46241 CUSTOMER NO. BRANCH
lGEA
A ll 317- 247 -6631 04001 8*
REMIT TOBRICKYEIR.D 1NTERNATI(�NAL TRUCKS,',5730bRTUNECIR�CLE WEST, INDIAI�IAP ®LIS; IN 46211
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
SOLD SHIP 16085
TO: 2 CIVIC SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
C USTOMER P REFERENCE N.
063824 (317) 571 -2600 SB 000 /000
PRICEIPER I EXTENSION
SHOP SUPPLIES 7.47
OPR SUBTOTAL 90.47
*TOTAL PARTS: 103.76
*TOTAL LABOR: 332.00
*TOTAL SHOP SUPPLIES: 29.88
ASK ABOUT OUR RENTAL TRUCKS THE NEXT TIME YOUR TRUCK
IS IN FOR SERVICE AND RECEIVE 5% OFF OUR RENTAL RATES
STATEMENT OF DISCLAIMER: The factory warranty
constitutes all of the warranties with respect to the sale of (t) The account is due and payable in TERMS STRICTLY CASH UNLESS ARRANGEMENTS MADE
this itemfttems. The Seller, BRICKYARD INTERNATIONAL full by the 10th of the month following I hereby authorize the repair work herein set forth to be done along with the
purchase. necessary material and agree that you are not responsible for loss or damage
TRUCKS and IDEALEA5E, hereby expressly disclaims all to vehicle or articles left in vehicle in case of fire, theft or any other cause beyond
(2) Accounts past due are subject our control or for an delays caused unavailab of arts arts
or del in
warranties, eitherexpress or implied, including any implied Y Y. Y by ty P Y P
of merchantabil or fitness for articular o a delinquency charge n e I (per annum) permis l the supplier v h cle herein I hereby grant you and or your employees
tY Y p on the outstanding balance. In the event permission to operate the vehicle herein descntx on stree s, ways or d t hlgf
warrant w efse-
purpose, and BRICKYARD INTERNATIONAL TRUCKS and the account is referred for collection, it is where for the purpose of testing and/or inspection. An express garage keepers lien
IDEALEASE, neither assumes nor authorizes any other agreed that the balance due includes all is hereby acknowledged on above vehicle to secure the amount of repairs thereto.
erson to assume for it an liabili In connection with collection costs including a reasonable I understand that pursuant to said express garage keeper's lien, I have no right of
p y ry attorne fee. possession of this vehicle until the repairsthereto have been paid in full or until
the sale of this item /items. y you and/or your employees have voluntady released the vehicle to me.
FREIGH SUBTOTAL T ALES TAX PLEASE PAY
465.64 EXEMPT IN 0.00 465.64
rEams
CUSTOMER
Customer Approval for repairs not covered by warranty polic Of field SIGNATURE
charges. All parts installed are new unless specified otherwise. I x
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brickyard International Trucks
IN SUM OF
-5730 Fortune Circle Drive
Indianapolis, IN 46241
$3,280.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 8190392 43- 510.00 $304.45' 1 hereby certify that the attached invoice(s), or
1120 8195392 43- 510.00 $2,510.73 bill(s) is (are) true and correct and that the
1120 8198488 1 43- 510.00 $465.64
materials or services itemized thereon for
which charge is made were ordered and
received except
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))
8190392 Repair A44 Fuel Problem $304.45
07/21/08 8195392 Repair A44 Engine Assemblies $2,510.73
08/11/08 8198488 Repair A45 Engine Assemblies /Brakes $465.64
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