HomeMy WebLinkAbout198176 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CARMEL, INDIANA 46032 CHECK AMOUNT: $84.59
i 170 CHERRY AVE
WEST SAYVILLE NY 11796 -1221 CHECK NUMBER: 198176
CHECK DATE: 6/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 39456 84.59 OTHER CONT SERVICES
K`J S S MAU L INVOICE 39456
ELECTRONICS CO., INC.
170 CHERRY AVENUE WEST SAYVILLE, NY 11.796 -1221 USA Page; Dale:
TEL: 631 567 -0314, FAX: 631- 567 -5826, www.kussmaul.com, sales@kussmaul.com 1 5/31/11
Sold to: Ship to:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
ACCOUN.TNO CUSTOMERORDERNb S'ALESRERSON'. ORDER TERMS SALES:QR..'i
CAR033 JASON CHRIS TAMARGO NET 30 DAYS 285192
ORDER PATE F Q;B POINT SHIPPED DATEjSHIPPEp NO. PA. CKAGES
5/31/11 W.SAYVILLE FEDEX GROUND RESID. 5/31/11 1
QTY ORDERED PART NUMBER /DESCRIPTION SERIAL NO UNIT >�RICE NET PRICE AMOUN
1 REPAIR OF 091 -55 -20 -120 .00 70.00 70.00
S/N S25006143. REPAIR WP22227
SHIPPING TRACKING
023887510198974
PLEASE WRITE INVOICE NUMBER ON ALL PAYMENTS SUBTOTAL 70.00
NO RETURNS ON C.O.D. SHIPMENTS OR ANY SHIPMENTS UNDER $50.00 SHIPPING HANDLING 14.59
ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE TAX .00
ABSOLUTELY NO RETURNS AFTER 30 DAYS
ALL PAYMENTS IN U.S. DOLLARS ORIGINAL :INVOI`CE TOTAL, $84.59
PLEASE PAY THIS AMOUNT-----
HOME OF THE A UTO CHARGE A UTO EJECT AIR EJECT- AUTO PUMP
KUSSMAUL ELECTRONICS CO., INC REPAIR ORDER 2 Z
170 CHERRY AVENUE, WEST. SAY VILLE. NEW YORK 11796 R.GA.
TEL. IN NY: 631 -567 -0314 TOLL�FREE: 800- 346 -0857 DATE:
CUSTOMER:
A N� EQUIPMENT: SUPER AUTO EJECT
SERIAL M Z U
g
ADDRESS: PROJECT 091 -55 Z0
l 1 V C �p�'g�"�
SALES ORDER M
CUST. ACCT. A
PHONE: -j 7 P.O.
REPAIR AUTHORIZED BY: O A MFG. DATE: Z j
CUSTOMER COMPLAINT: PH1(5.)CAL INSPECTION:
UNIT RETURNED FOR CREDIT
UNIT LOOKS NEW
EZ"t1NIT DOES NOT EJECT UNIT LOOKS USED S INSTALLED
UNIT WORKS INTERMITTENTLY UNIT HAS DAMAGED PARTS
PROBLEM WITH UNIT: RFJ*JR ACTION:
NO PROBLEM FOUND REPLACED PINS RECEPTACLE /EJECT PIN
ARCED DAMAGED PINS RECEPTACLE REPLACED SOLENOID
DAMAGED/ INOPERATIVE SOLENOID REPLACED ARM SPRINGS
DAMAGED ROKEN SPRINGS E] REPLACED EJECTION BRACKET ASSEMBLY
DAMAGED BROKEN EJECT. BRACKET ASSY. ADJUSTED/ REPLACED MICROSWITCH
MICROSWITCH OUT OF ADJUSTMENT REPLACED BACK COVER
MISSING BROKEN BACK COVER REPLACED 1213 CABLE
MISSING DAMAG "'`y ,`B LE REPLACED 1 8re CABLE
WATER DAMAGE TO UNIT 1 CLEANED AN ES UNIT
i
:OMMENTS:A) v /G0A) V f
PARTS UNIT EXT. TECHNICIAN:
091 -55-001 EJECTION PIN STANDARD REPAIR
091.65-048 LEFT RIGHT ARM SPRINGS COST
091 -55-075 EJECTION`BRACKET ASSEMBLY.
091.65-079 MOLDED BACK COVER
09181 12/3 CORD ASSEMBLY MATERIAL COST
.65-0
091.55.099 18/2 SOLENOID INPUT WIRE
091-55- 139-15 -12 15 AMP RECEPTACLE SUB TOTAL
E] 091 -W139- 20-120 20 AMP RECEPTACLE
FS350 -1 -12 12 VOLT SOLENOID SHIPPING
FS350 -1 -24 24 VOLT SOLENOID
V31_2913 -09 MICROSW ITCH TOTAL COST SEE INVOICE
IWINTY ALL MATERIALS AND LABOR ON THIS REPAIR ORDER ARE GUARANTEED FOR A PERIOD OF 30 GAYS AFTER RETURN OF
i ENT TO CUSTOMER. THE EQUIPMENT IS TESTED UPON THE COMPLETION OF ALL REPAIRS. KUSSMAUL ELECTRONICS CO.. INC. IS
9LE FOR THE SUBSEQUENT FAILURE OF ANY PARTS NOT LISTED ON THIS ORDER. OR FOR DAMAGE THAT MAY RESULT WHEN THE
EQUIPMENT IS INSTALLED.
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))
39456 $84.59
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF
170 Cherry Avenue
West Sayville, NY 11796
$84.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 39456 I 43- 509.00 I $$4.59 I 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
UN 6 2011
VW I
i Tj U f�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund