163275 09/03/2008 F CITY OF CARMEL, INDIANA VENDOR: 176450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
170 CHERRY AVE CHECK AMOUNT: $62.92
CARMEL, INDIANA 46032 WEST SAYVILLE NY 11796.1221 CHECK NUMBER: 163275
CHECK DATE: 9!3!2008
DEPARTMENT ACCOUNT PO NU MBER INVOICE NUM AMOUNT DESCRIPTION
1120 4350900 62885 62.92 OTHER CONT SERVICES
i
i
U INVOICE 52885
ELECTRONICS CO., INC.
170 CHERRY AVENUE WEST SAYVILLE, NY 11796 -1221 USA, Page Qate
TEL: 631- 567 -0314, FAX: 631 567 -5826, www.kussmaul.com, sales@kussmaul.com 1 8 2 0 0 8
Sold to: Ship to:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
ACCOUN F NO CUSTQDd!1 R ORtER N0 S'ALESRERSbN TER4vt5 SALE ORDER
CAR033 E44 CHRIS TAMARGO NET 30 DAYS 227279
:;,ORDER,DATE E O B POINT :SHIPPED VIA:', DATE!SEHPPED NO PACKAGES
8/20/08 W.SAYVILLE FEDEX GROUND 8/20/08 1
Q7 Y ORt?ERED PARTNU1y DER bESCRIPTION SERIAL N.0 UNIT'PRICE NET PRICE AMOUNT.
1 REPAIR OF 091 -20WP -120 .00 55.00 55.00
S/N W20003209, REPAIR 20423
SHIPPING TRACKING
023887510118842
PLEASE WRITE INVOICE NUMBER ON ALL PAYMENTS SUBTOTAL 55.00
NO RETURNS ON C.O.D. SHIPMENTS OR ANY SHIPMENTS UNDER $50.00 SHIPPING HANDLING 7.92
ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE TAX 00
ABSOLUTELY NO RETURNS AFTER 30 DAYS
ALL PAYMENTS IN U.S. DOLLARS ORI.G INAL.' INV01'CE ��TAL
$62.92
PLEASE PAY THIS AMOUNT-----
HOME OF THE A UTO CHARGE AUTO EJECT- AIR EJECT A UTO PUMP
REPAIR ORDER WP AUTO EJECTE,
KUSSMAUL ELECTRONICS CO., INC REPAIR ORDER
0 170 CHERRY AVENUE, WEST SAYVILLE, NEW YORK 11796 R.G.A.
TEL. IN NY: 631- 567 -0314 TOLL FREE: 800- 346 -0857 DATE: g r
CUSTOMER: 13& v Qti V (y(ry o a EQUIPMENT WP AUTO EJECT
SERIAL 0
ADDRESS: C c V c- c \al(e PROJECT 091- W P
SALES ORDER
CUST. ACCT.
PHONE: P.O. C
REPAIR AUTHORIZED BY: MFG. DATE:
CUSTOMER COMPLAINT: PHYSICAL INSPECTION:
NIT RETURNED FOR CREDIT UNIT LOOKS NEW
UNIT DOES NOT EJECT UNIT LOOKS USED INSTALLED
UNIT WORKS INTERMITTENTLY UNIT HAS DAMAGED PARTS
PROBLEM WITH UNIT: REPAIR ACTION:
❑i 0 PROBLEM FOUND REPLACED PINS RECEPTACLE EJECT PIN
ARCED DAMAGED PINS RECEPTACLE REPLACED SOLENOID
DAMAGED INOPERATIVE SOLENOID REPLACED MOUNTING FLANGE HOUSING
DAMAGED MOUNTING FLANGE HOUSING REPLACED TERMINAL SCREWS
MISSING DAMAGED TERMINAL SCREWS REPLACED TRIGGER PLATE/ SPRINGS
O TRIGGER PLATE SPRING EJECT PIN REPLACED POP RIVETS
WATER DAMAGE (NOTE WATER DAMAGE UPDATED OLD STYLE HOUSING
IS NOT COVERED UNDER WARRANTY) CLEANED AND TESTED UNIT
f�
COMMENTS:
OTY. PART UNIT EXT. TECHNICIAN:
091-13-017-TRIGGER PLATE
C] 091 -18 -053 MOUNTING FLANGE HOUSING COST REPAIR
091 -18 -057 EJECTION PIN
091 18-091 LINE PIN
091 -18 -093 NEUTRAL PIN MATERIAL COST
j 091 -18 -102 15 AMP RECEPTACLE
091 -18 -105 20 AMP RECEPTACLE
Q 091 -18 -116 GROUND PIN SUB TOTAL
53732 -87 12 VOLT SOLENOID SHIPPING
53732 -88 24 VOLT SOLENOID
ADS42 POP RIVETS TOTAL COST SEE INVOICE.
sm-c 4
WARRANTY ALL MATERIALS AND LABOR ON THIS REPAIR ORDER ARE GUARANTEED FOR A PERIOD OF 30 DAYS AFTER RETURN OF
EQUIPMENT TO CUSTOMER. THE EQUIPMENT IS TESTED UPON THE COMPLETION OF ALL REPAIRS. KUSSMAUL ELECTRONICS CO., INC. IS
NOT LIABLE FOR THE SUBSEQUENT FAILURE OF ANY PARTS NOT LISTED ON THIS ORDER, OR FOR DAMAGE THAT MAY RESULT WHEN THE
EQUIPMENT IS INSTALLED.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF
170 Cherry Avenue
West Sayville, NY 11796
$62.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 62885 43- 509.00 $62.92 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
2 20%
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))
62885 Repair Auto Eject $62.92
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