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198290 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 363282 Page 1 of 1 ONE CIVIC SQUARE TRUCK SERVICE INC CHECK AMOUNT: $639.23 CARMEL, INDIANA 46032 ATTN: A/R 3140 W MORRIS STREET CHECK NUMBER: 198290 INDIANAPOLIS IN 46241 CHECK DATE: 6/612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 55979 500.73 AUTO REPAIR MAINTEN 1120 4351000 56076 138.50 AUTO REPAIR MAINTEN TRUCK SERVICE INC_ TRUCK SERVICE INC INVOICE DATE 05/06/2011 01:06P INVOICE NO. PAGE CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 H E R R I M. A N BLVD N 5 5 9' 7 9 1 TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S V I L L E IN 4 CUSTOMER NO. BRANCH WARNER SPRING HORTON TRUCK SERVICE 317-776-6464 12873 N t trksmeom SOLD CARMEL 'FIRE DEPT. SHIP CARMEL 'FIRE DEPT. TO 2 CARMEL CIVIC SQUARE TO 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R, 3140 W. Morris St. Indianapolis, IN 46241 CUSTOMER P.O. R/S ORDER NO. 005486 (317) 571 -2600 DS 000/000 QTY PART NO. DESCRIPTION LIST PRICUPER EXTENSION CO ATE: 05/06/2011 UNIT: ENGINE 44 YEAR: 1996 MAKE /MODEL: KME GS02670 SERIAL: 4288TNO58336 MILEAGE: 89121 JOB #01 61 900 00 GENERAL SHOP LABOR PARTS AND LABOR TO CHANGE FUEL /WATER SEP.ASSY.. 1 NS 3231 F..FILTER...NAP $85.44 BIL 47.47EA* 47.47 1 NS RK22425 SEPKIT TDI BIL 205.81E.A" 205.81 1 NS RK22616 -01 ELMREPL TOI BIL 153.4.0EA* 153.40 PARTS SUBTOTAL 406.68 L A B °O R S U'B 8 5 7 3 I SHOP fS•UP,P'LI 8.32 Ire I. J06 SUBTOTAL 500.73 TOOT A L P -A R? S 7 NI 4'0 6.6 8 –"'TOTAL- LAB 85..73 "TO;TAL SH;OPSU'PPLI °ES 8.32 '"COMPLETE 'SPRING SHOP SERVICE' "'REPALR /REPLACE /BUILD —UP OF LEAF S PRINGS" 90 DAY WARRANTY ON PARTS AND LABOR W 2 Y RECEIVED BY FREIGHT SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY 500.73 EXEMPT IN 0.00 500.73 RETIGHTEN U- LT AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the Invoice date will be considered 10 DAYS O 500 MILES Past due. A late charge of 1 12% per month will be assessed on all amounts not paid by the end of the month following the Invoice date. (Annual Interest rate of 18 STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT PICKED UP 30 DAYS AFTER COMPLETION OF WORK. nivnict= TRUCK SERVICE I TRUCK SERVICE, INC INVOICE DATE m.. N OT I 05/20/2011111:01A Nr INVOICE NO. PAGE CLEVELAND SPRING SERVICE El INDIANAPOLIS SPRING 14700 H. E R R I M A N BLVD N 5 6 0 7 6 1 TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S V I L L E I N 4606 CUSTOMER NO. BRANCH WARNER SPRING HORTON TRUCK SERVICE 317-776-6464 12873 N* trksmcom SOLD CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT. TO TO 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 REMIT TO: A/R, 3140 We Morris Ste Indianapolis, IN 46241 CUSTOMER P.O. RIS ORDER NO. 005555 (317) 571-2600T DS 000 OTY PART NO. DESCRIPTION LIST PRICEIPER EXTENSION 'COMPLETION DATE: 05/20/2011 UNIT: A45 YEARN 2003 MAKE /MODEL:. I/H 4.30OSBA LP 4X2 SERIAL: 3HTMNAALX3N585816 MILEAGE: 114408 JOB #01 00 009 95 TEST DRIVE VEHICLE PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.0.0 JOB SUBTOTAL 0.00 JOB #02 23 100 00 INSPECT F/E AND SUSPENSION PAR SU BTOTAL 0.00 LABOR SU,BT0TA;L 0.00 J`O S U T 0 A LSIS 0.00 JOB #03 41 400 00- C- OWPUTER- L BRAKE SY- STEM-- A,NALY �SP_EC_I_AL� D,ISCO_U.N_Ti LAB:OR_1 L 25.00 M I S�C [S U T A L I, r TM 25.00- -P -A R T S U.B T O )1` A.L -j 0.00 L:AB0R "S- UBT0TA'L 25.00 JO-B SUB7 07AL 0.00 JOB #04 00 '009 98 TEST DRIVE AFTER COMPLETION TO CONFIRM REPAIR PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 0.00 JOB SUBTOTAL 0.00 JOB #05 11 500 02 TWO AXLE COMPUTER ALIGNMENT CHECK PARTS SUBTOTAL 0.00 LABOR SUBTOTAL 128.60 Z SHOP SUPPLIES 9.90 Y RECEIVED BY FREIGHT SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY Y f LL "CONT,INUED" RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the invoice date will be considered 10 DAYS OR 500 MILES past due. A late charge of 1 1!2% per month will be assessed on all amounts not paid by the end of the month following the Invoice date. (Annual Interest rate of 18%). STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT PICKED UP 30 DAYS AFTER COMPLETION OF WORK. INVnICF TRUCK SERVICE INC- TRUCK SERVICE, INC INVOICE DATE 05/20/2011 11:01A INVOICE NO. PAGE CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 H E R R I M A N BLVD N 5 6 0 7 6 2 TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S V I L L E IN 4 6 0 6 0 CUSTOMER NO. BRANCH WARNER SPRING HORTON TRUCK SERVICE 317-776-64 12873 N trksmcom SOLD CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT. TO TO 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 I REMIT TO: A/R, 3940 We Morris S#. Indianapolis, IIV 46241 CUSTOMER P.O. R/S ORDER NO. 005555 (317) 571 -2600 DS 000 /000 OTV PART NO. DESCRIPTION I LIST PRICEIPER EXTENSION JOB SUBTOTAL 138 *TOTAL PARTS: 0.00 "TOTAL LABOR: 153.60 "TOTAL OTHER: 25..00 "TOTAL SHOP SUPPLIES: 9.90 "COMPLETE SPRING SHOP SERVICE "REPA.IR /REPLACE /BUILD -UP OF LEAF_ ,SPRINGS 90 DAY W _`ARRANTY ON PA,RtTS! AND LA� 6 OR�` TM N 2 Y RECEIVED BY FREIGHT SUB TOTAL TAX STATUSISTATE SALES TAX PLEASE PAY Y f 138.50 EXEMPT IN 0.00 138.50 ETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the Invoice date will be considered 10 DAYS OR 500 MILES past due. A late charge of 1 12% per month will be assessed on all amounts not paid by the end of the month following the Invoice date. (Annual Interest rate of 18 STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT PICKED UP 30 DAYS AFTER COMPLETION OF WORK. INVOICE 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)) 55979 E44 $500.73 56076 A45 $138.50 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Truck Service, Inc. IN SUM OF 3140 W. Morris Street Indianapolis, IN 46241 $639.23 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 55979 43- 510.00 $500.73 1 hereby certify that the attached invoice(s), or 1120 56076 43- 510.00 $138.50 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 JUN76 2011 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund