169329 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 009987 Page 1 of 1
ONE CIVIC SQUARE ALTEC INDUSTRIES, INC CHECK AMOUNT: $1,476.41
CARMEL, INDIANA 46032 DRAWER 0414
Po Box 11407 CHECK NUMBER: 169329
BIRMINGHAM AL 35246 -0414
CHECK DATE: 31412009
DEPARTMENT ACC OUNT PO NU INVOICE NUMBER A DESCRIPTION
2201 4351000 1284940 1,476.41 AUTO REPAIR MAINTEN
r�
3
Page: 1 of 2
SERVICE INVOICE.
Please Remit To: Invoice Number Invoice Date
Altec Industries, Inc. Altec Industries, Inc.
5661243 25- FEB -09
5201 West 84th Street PO Box 11407
Indianapolis IN 46268
BIRMINGHAM AL 35246 -0414 Request No. Request Date
United States United States 1458634 23- FEB -09
Terms Sale Order No.
(877) 462 -5832
NET 30 1284940
S CARMEL STREET S CARMEL STREET
0 3400 W 131 ST ST H ALTEC INDIANA SVC CTR
L WESTFIELD IN 46074 1 5201 W 84TH ST
D United States T INDIANAPOLIS IN 46268
O 0 United States
Customer No. 11491 Site No. 230470 Site No. 250876
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
027 2163219 300 JEFF STEWART 317- 417 -5053
In Service Date Device Serial No. Model Technician Odometer
26- FEB -04 0104CV2665 LRV58 Richardson, Trent A 24441
VIN Garage Lic. Plate No. Driver Eng. Meter Reading
1 HTMMAAN95H678103 656331N 1690
PTO Hours Credit /Fleet Card Information Crew No. VMS Note UP Note
456
Quantity UOM Part Number Description Price Extended Price Charge
2 EA 035620145- QUICK DISCONNECT; CAP; FITS .38NS TYP $4.82 9.64 9.64
2 EA 705500137- HAZMAT -AIR 0K;;;CLEANER;SPRAY CAN; $10.31 20.62 20.62
1 GAL 705000608- HYDRAULIC OIL;1 GAL;22 GRADE;;;;;CO $10.30 10.30 10.30
1 EA 035330007- HYDRAULIC RETURN FILTER;CARTRIDGE 0 $13.77 13.77 13.77
1 EA 035620144- QUICK DISCONNECT; CAP; FITS .38 FF HT $5.76 5.76 5.76
1 EA 705500135- PENETRATING OIL;SPRAY CAN;CHAIN AND $21.67 21.67 21.67
1 EA 009900017- *HAZMAT -AIR OK *GEAR SHIELD;EXTR $14.81 14.81 14.81
1 EA 705500337- HAZMAT -AIR OK;;;BLASTER HEAVY LUBR $12.84 12.84 12.84
970039906- CHARGE;PM INSPECTION;SVC;SID;; 850.00 1,103.00
970025606- CHARGE; SVC;; DIELECTRIC TEST 185.00 264.00
Sub Total $1,476.41
State Tax
County Tax
City Tax
Total Tax
Total Invoice $1,476.41
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))
02/25/09 1284940 $1,476.41
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. WA NO.
ALLOWED 20
Altec Industries, Inc.
IN SUM OF
P. O. Box 11407
Birmingham, AL 35246 -0414
$1,476.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 1284940 43- 510.00 $1,476.41 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
Frid y Feb ry 27, 200°
Street /I
ttre
o►rrlH�issioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund