160104 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 358697 Page 1 of 1
ONE CIVIC SQUARE TRUCK SERVICE INC. CHECK AMOUNT: $1,878.71
CARMEL, INDIANA 46032 P 0 BOX 73506
CLEVELAND OH 44193 -0002 CHECK NUMBER: 160104
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N49099 1,878.71 AUTO REPAIR MAINTEN
TItUCK SERVICE INC. TRUCK SERVICE, INC INVOICE DATE
1 05/16/2008 04:09Ph
INDIANAPOLIS SPRING SERVICE I N D I A N A P O L I S SPRING INVOICE NO. PAGE
(317) 243 -7491 14700 HERRIMAN BLVD N49099 1
CLEVELAND SPRING SERVICE E.A.S. TRUCK SERVICE
(216) 4314010 (216) 447 -0004 N O B L L- 5 V I L L E IN 46060 CUSTOMER NO. BRANCH
Cl DENT TRUCK SERVICE HORTON TRUCK SERVICE 12873 N
(513) 7714527 (904) 366.1489
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: P.O. BOX 73506 CLEVELAND, OH 44193 -0002
CUSTOMER P.O. RIS ORDER NO.
000371 (317) 571 -2600 EB 000 /000
OTY PART NO. DESCRIPTION LIST I PRICE/PER EXTENSION
COMPLETION DATE; 05/16/2008
UNIT: 42 YEAR: 2002 MAKE /MODEL: AMERICAN LAFRANCE
SERIAL: 4Z3HAAA843RK92637 MILEAGE: 39667
JOB #01 23 100 00 INSPECT SUSPENSION
RUN FIRE TRUCK OVER BALANCE TESTER BEFORE
COMPLETING ANY WORK.
PARTS SUBTOTAL 0.00
ABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #02 41 400 00 COMF? TERIZED E K ESTE 5YSM AN NA Y5
RUN TRUCK OV R BR A Ail! �7j LPONJO PL ION
OF WORK FOR f-I N k %�1 -N)GS �U
O`-T- L 0.00
ImABO•R SUBT T L TM 0.00
.I LLIBT TA 0.00
JOB #03 45 564 08 AIR BRAKES COMPLETE TRUCl -1` HR E AXI E
1 NS KIT15016 SLIDE PIN KI Y1 $2`359 Z46 7EA 143.67
4 CR 47697 A*SCOTSEAL �W 56U) $86.28 43.14EA 172.56
2 CR 35066 *"SCOTSEAL (6526 $68.37 BIL 34.50EA 69.00
PARTS SUBTOTAL 385.23
LABOR SUBTOTAL 1224.61
SHOP SUPPLIES 45.31
JOB SUBTOTAL 1655.15
,JOB #04 15 590 08 REMOVE /REPLACE SHOCK HEAVY DUTY TRUCK
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2 RECEIVED BY." M R I J V V L V R i V FREIGHT L f7 4 L h3Ug,TOTACt V I\ 1 V I_ rl A LTAX•STATOSISTATE, I\ J+
SALES TAX PLEASE PAY
*CONTINUED*
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Imofcsa not pall by the 10th of the month following the month of the awoice date wl0 be eonstdarad
10 DAYS OR 500 MILES I taro at charge Interest r ate ales nth be assessed on all emo"lb not Pe'd by the and of the month MIo"4"9 81e INVOICE
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
dRUCK SERVICE INC. TRUCK S E R V I C E INC. INVOICE DATE
05/16/2008 04:09P
INDIANAPOLIS SPRING SERVICE INDIANAPOLIS SPRING INVOICE NO. PAGE
(317) 243 -7491 14700 HERRIMAN BLVD N49099 2
CLEVELAND SPRING SERVICE E.A.B. TRUCK SERVICE N O B L E S V I L L E IN 46060
(216)431-010 (216)447-0004 CUSTOMER NO. BRANCH
DENT TRUCK SERVICE HORTON TRUCK SERVICE 12873 N*
(51 3) 7711527 (904) 366 -1486
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: P.O. BOX 73506 CLEVELAND, OH 44193 -0002
CUSTOMER P.O. WS ORDER NO.
000371 (317) 571 -2600 EB 000 /000
OTY PART NO. DESCRIPTION I LIST I PRICEIPER EXTENSION
XXXXXXXXXXXXXXXXXXX; dnXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
4 MS 66636 GAS MAGNUM SHOCK ABSO $69.47 31.68EA 126.72
PARTS SUBTOTAL 126.72
LABOR SUBTOTAL 92.49
SHOP SUPPLIES 4.35
*k JOB SUBTOTAL 223.56
JOB #05 00 009 98 TEST DRIVE AFTER COMPLETION TO CONFIRM REPAIR
PARTS SUBTOTAL 0.00
ABOR SUBTOTAL 0.00
n (YOB SUBTOTAL 0.00
D E,= I Tc AL f A�< 511.95
T Ci T-A. L— L F�_0_ J 1317.10
T L S'HO UP TM 49.66
x Everyday price on DOT an t
a
N 2
z
2
Y
x REC VED Y FREIGHT SUB TUTAL TAX STATUSISTATE SALES TAX PLEASE PAY
O
LL �LJC 1878.71 EXEMPT IN 0100 1878.71
RETIGHTEN U -BOLTS AFTER MS: NET 10TH PROX. Imokes not paid M the 10th of me month following the ffw M of Ow Invoke Cate win be considered
10 DAYS OR 500 MILES Inyoiee date. (amuel m rate diee ffwM Ma be aseessee on a9 amamts not paid by me and of me =nth following the
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
Prescribed by State Board of Accounts City Form No. 201 (Re� 1995)
ACCOUNTS PAYABLE VOUCHER
r
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))
05/16/08 N49099 Repair E42 Brakes Shocks $1,878.71
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. WAR NO.
ALLOWED 20
"ruck Service, Inc.
IN SUM OF
14700 Herriman Blvd.
Noblesville, IN 46060
$1,878.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 N49099 43 510.00 $1,878.71 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
r
r
r
�3 c
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund