159103 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 358697 Page 1 of 1
ONE CIVIC SQUARE TRUCK SERVICE INC. CHECK AMOUNT: $927.20
CARMEL, INDIANA 46032 P 0 Box 73506
CLEVELAND OH 44193 -0002 CHECK NUMBER: 159103
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N48895 927.20 AUTO REPAIR MAINTEN
4
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Fft UCK SERVICE INC. TRUCK SERVICE, INC. INVOICE DATE
04/09/2008
El INDIANAPOLIS SPRING SERVICE INDIANAPOLIS SPRING INVOICE NO. PAGE
(317) 243 -7491 14700 HERRIMAN BLVD N48895 1
CLEVEL 1-4010 RING SERVICE TR VICE N O B L E S V I L L E I N 46060 CUSTOMER NO. BRANCH
(216) 431-4010 (z1s) 447-0004
DENT TRUCK SERVICE NORTON TRUCK SERVICE 1 28 7 3 N
(513) 771-4527 (804) 388.1408
so CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT.
TV Arw. Bob TO
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46002
REMIT TO: P.O. BOX 73506 CLEVELAND, OH 44193 -0002
CUSTOMER P.O. R/S ORDER NO.
000261 (317) 571-2600 KL 000 /000
OTY PART NO. DESCRIPTION LIST I PRICEMER EXTENSION
COMPLETION DATE: 04/09/2008
UNIT: AMB45 YEAR: 2002 MAKE /MODEL: IHC 4700
SERIAL: 3HTMNAALX3N585816 MILEAGE: 73187
JOB #O1 23 100 00 INSPECT SUSPENSION
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 0.00
x* JOB SUBTOTAL 0.00
JOB #02 41 400 00 COMPUTERIZED BRAKE _YSTEM ANALYSIS
PARTS SUBTOTAL 0.00
L a4: SUk 0100
;3013 SU TUT L 0.00
JOB #03 00 009 95 TES "f. DcI -V V L�J
U- y A L 0.00
LA 6UBTj TM 0.00
t�'L 0.00
JOB #04 00 009 98 TEST DRIVE AFTER CO" N T GONFTft:4 iP I
ABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #05 45 585 08 REMOVE /REPLACE BRAKE CHAMBER HEAVY DUTY TRUCK
XXXXKXXXXXXXXXXXXXXXXXXXxxxxxxx xxXXXXXXXXXXXKXXXXxXICXXXX
PARTS AND LABOR TO REPLACE BOTH REAR AXLE BRAKE CHAMBERS
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2 NS MGM3224051 CHAMBERS MWB $311.22 BIL 139.98EA* 279.96
2 NS R810019 CLEVIS..MWB $22.4€3 BIL 9.98EA* 19.96
X h 0 Y
RECEIVED BY FREIGHT SUBTOTAL 1` f J v3 T -S� TATE- SALES TAX PLEASE'PAY 9
Y
"CONTINUED*
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Irnrolroa not pald by the 10th of the month foltovdrg the month of the Invoice dale win be considered
10 DAYS OR 600 MILES Past due. A late chmge of 1 1,2% per month .All be assessed on all amounts not paid by M m
e end of the onth followGq the INVOICE
Invoke 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.
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TRUCK SERVICE INC. TRUCK SERVICE, INC. INVOICE DATE
a K I 1 84 Ig c 04/09/2008
INDIANAPOLIS SPRING SERVtCE INDIANA S P R I N G INVOICE NO. PAGE
(317) 243- 7491 144700 HERRIMA.N BLVD N48895 2
El CLEVELAND SPRING SERVICE E.A,B. TRUCK SERVICE N O B L E S V I L L E I N 46 06 0
(Z16) 014010 (216)447-0004 CUSTOMER NO. BRANCH
DENT TRUCK SERVICE HORTON TRUCK SERVICE 12 N
(513) 771-4527 (904) W -1488
SOLD CARMEL FIRE DEPT. SHIP CARMEL FIRE DEPT.
TO." A rr; `13o b
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. R!5 ORDER NO.
000261 (317) 571--2600 KL 000/000
CITY PART NO. DESCRIPTION I LIST PRICE/PER EXTENSION
LABOR SUBTOTAL 124.00
JOB SUBTOTAL 423.92.
JOB #06 45 680 01 REMOVE /REPLACE SLACK ADJUSTER
xxxxXXXYXXXXXXXXXXXXXXXXXXxxXXXXXXXx7 xxxxXXXXXXXXXKK? xxx
PARTS AND LABOR TO REPLACE BOTH FRONT AND BOTH REAR
BRAKE SLACK ADJUSTERS........ .i
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXxXXX XXXXXXXXXXXXXXXXXXXXXX
2 NS 8803108 SLACK..FRT.. �B $158.03 BIL 94.82EA� 189,64
1 NS R803048 SLACK..REAR. W8 BIL 94.82EA* 94.82
1 NS 8803049 SLACK..A 1_I $1 8'af� BSS 94.82EA* 94.82
AlU9 .0I 379.28
-O UiB�f b T'A 124.00
S.0 LOIT 503.28
TKI
-A L— A 679.20
TOI .LA -O 248.00
Everyday price On DOT annual ttp:
Z
Y
RECEIVED BY FREIGHT SUB TOTAL TAX STATUSSTATE SALES TAX PLEASE RAY
Y
f
g 927.20 EXEMPT IN 0.00 927.20
RETIGHTEN U-BOLTS AFTER TERMS: NET 10TH PROC. Irwices not paid by the 10th of the month following the month of tie invoice date wig be Considered
10 DAYS OR SW MILES Pam due. A late charW m 1 12% per month rain m
be eaaeeaed on all amounts not Paid by to and of the month ta—inp the
Imolce date. (Anm.ai Interest rate o118%). INVOICE
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
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))
04/09/08 N48895 Repair Brakes E40 $927.20
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. WA NO.
Trucf: Service, Inc. ALLOWED 20
IN SUM OF
14700 Herriman Blvd.
Noblesville, IN 46060
$927.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# /Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1120 N48895 43- 510.00 $927.20 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund