203649 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 363282 Page 1 of 1
ONE CIVIC SQUARE TRUCK SERVICE INC
(i CHECK AMOUNT: $1,134.00
CARMEL, INDIANA 46032 ATTN: A/R
3140 W MORRIS STREET CHECK NUMBER: 203649
INDIANAPOLIS IN 46241
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 N57137 1,134.00 AUTO REPAIR MAINTEN
i
TRUCK SERVICE INC TRUCK SERVICE, INC. INVOICE DATE
10/25/2011 09:14A
INVOICE NO. PAGE
F
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 /y H E R R I M A N N BLVD N 5 713 7 1
F TRUCK SERVICE NOBLESVILLE F E.A.B. TRUCK SERVICE N V B L E S V I L L E IN 4606 CUSTOMER NO. BRANCH
WARNER SPRING HORTON TRUCK SERVICE 3 17 776 6464 1 2 8 7 3� N
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SOLO CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT.
TO TO
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
REWT TO: A/R, 3140 W. Morris St. Mdianap09is, ON 46241
CUSTOMER P.O. R5 ORDER NO.
006273 (317) 571 -2600 EB 000 /000
QTY PART NO. DESCRIPTION LIST PRICE/PER EXTENSION
COMPLETION DATE: 10/25/2011
UNIT: A42 YEAR: 2002 MAKE /MODEL: IHC AMBALANCE
SERIAL: 3HTMNAAL83N585815 MILEAGE:
JOB #01 00 009 95 TEST. DRIVE VEHICLE
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #02 23 100 00 INSPECT F/E SUSPEN-SION (CURSORY INSPECTION)
PARTS SUBTOTAL 0.00
L aR SUBJOTAL 0.00
SUBTOTAL 0.00
JOB #03 41 400 Qa OO ff R °2Ebr(BR KEG S Y T NAil YSIS
P= CI
E -AL` DISCOUNT"j -LAB0 25.00- LJ t
MI:�G :SUBTCITr�'L R r 25 .00- 2
PUT SU.BTgTAL� 0.00
LABOR SU'B'T€ T, AU 25.00
J O•B S U.B.Tj 0 7'A L L 0.00
JOB #04 00 009 98 TEST DRIVE AFTERL- &OMPLETION TO CONFIRM REPAIR
PARTS SUBTOTAL O100
LABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #05 31 140 08 L.O.F. HEAVY DUTY VEHICLE
PARTS AND LABOR TO COMPLETE FALL P.M. SERVICE.
CAHNGED OIL, OIL FILTER, 2 -FUEL FILTERS, AND AIR FILTER
1 BA B7030 M/L LUBE SPIN -ON $63.76 27.69EA 27.69
X
RECEIVED BY FREIGHT SUB TOTAL TAX STATUSISTATE SALES TAX PLEASE PAY
Y
*CONTINUED*
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the filth of the month following the month of the Invoice date will be considered
10 DAYS OR 500 MILES past duo. A late charge of 1 12% per month will be assessed on all amounts not paid by the and of the month following the
Invoke date. (Annual Interest rate of 18
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30-DAYS AFTER COMPLETION OF WORK.
I
TRUCK SERVICE .INC TRUCK SERVICE, INC INVOICE DATE
10/25/2011 09 e 14A YI
INVOICE NO. PAGE
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 H E R R I M A N BLVD N 5 7 7 2
TRUCK SERVICE NOBLESVILLE EAB. TRUCK SERVICE N O B L E S V I L L E I N 46060 CUSTO 12873 MER NO. BRANCH
WARNER SPRING El HORTON TRUCK SERVICE 3 1 7 776 646 4 N
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SOLD CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT.
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
REMIT TO: A/R, 3140 W. Morris Ste Indianapolis, IN 46241
CUSTOMER P.Q. R/S ORDER N0.
006273 (317) 571 -2600 EB 000/000
OTY PART NO. DESCRIPTION I LIST I PRICEIPER EXTENSION
1 'BA BF7629 FILTER $28.22 12..26EA 12.26
1 BA BF1345SP BF1345 W /SENSOR PORT $61.56 26.74EA 26.74
1 BA RS4636 AIR FILTER $144.84 62..91EA 62.91
30 C4 15W40 12/1 ROTELLA TMG OIL 1 $6.63 4.59EA 137.70
PARTS SUBTOTAL 267.30
LABOR SUBTOTAL 78.41
JOB SUBTOTAL 345.71
JOB #06 61 900 00 GENERAL SHOP LABOR._-
PARTS AND LAB_Q_R. !"0 R_ &R�AI DRIER
1 BX 109477X A PIR D'IE E? $657.;89 EXC 367.65EA* 367,65
1 BX CLASSII 0.9- CORE. A D�4 .DR $266.67 GH13" 266.67EA 266.67
I I
1 —BX CLASS11 C1 :`a 0 1- 9= GORE. A 4 D;RY,ER GD RE 'n 266.67EA 266.67
RTS SUB` TOTAL'j 367.65
LABOR SIJBTQTAL ~``T 128.60
SHOP S {1P "PCE t S= 12.47
ftaB U6 07AL 508.72
JOB #07 11 500 02 TWO AXLE COMPUTER �ALtIGNMENT�CH_EG_K
LABOR. TO COMPLETE 2 AXLE WHEEL AIL— I- GNMENT. ADJUSTED
TOE MEASUREMENT TO MANUFACTURE'S SPECIFICATION. CASTER,
CAMBER, REAR THRUST ANGLES ALL O.K. AT THIS TIME.
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 128.60
SHOP SUPPLIES 9.90
JOB SUBTOTAL 1.38.50
z
E RECEIVED BY FREIGHT SUBTOTAL TAX STATUSBTATE SALES TAX PLEASE PAY
a
Y
f
Q
'CONTINUED`
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 n t d date. I to ch at In ate of r month will be assessed on all amounts not paid by the end of the month fallowing the
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
I
TRUCK SERVICE INC- TRUCK SERVICE, INC INVOICE DATE
1012512011 09:14A
},,1 BLVD INVOICE NO. PAGE
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 1470 1 �I 1 E R, R I M A N B L V D 7 N 5 f 13 7 3
TRUCK SERVICE NOBLESVILLE EAB. TRUCK SERVICE N O B L E S V I L L E IN 46060 CUSTOMER NO. BRANCH
WARNER SPRING [j HORTON TRUCK SERVICE 3 17 776 6464 1 2 8 7 3 N
tYI(SVc.cOm
SOLD CARMEL HIRE 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 Sts Indianapolis, IN 46241
CUSTOMER P.O. R/S ORDER NO.
006273 (317) 571 -2600 EB 000/000
OTY PART NO. DESCRIPTION LIST PRICPIPER EXTENSION
JOB #09 61 900 00 GENERAL SHOP LABOR
LABOR TO PULL ALL WHEELS AND CHECK BRAKES,
FRONT BRAKE PADS 600
REAR BRAKE PADS 650
PARTS SUBTOTAL 0,00
LABOR SUBTOTAL 128.60
SHOP SUPPLIES 12.47
JOB SUBTOTAL 141.07
TOTAL ARTS. 634.95
TOTAIL 489.21
LABOR
c *TONAL OTHER l 25.00
**COMPLETE i +bTA SU PpL`IE.S 34 .84
SPRING SHOP .SERVIC TIM
*REPAIR /REPLACE /BUILD —UP L' SPRINGS
90 DAY WARRANTY ON PARTS AND,YABOR
E RECEIVED BY FREIGHT SUB TOTAL TAX STATUSSTATE SALES TAX PLEASE PAY
Y
Q
C 11.34.00 EXEMPT IN 0 io0 1134.00
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the Invoice late will be considered
10 DAYS OR 500 MILES Pest due. A late charge of 1 112% per month will be assessed an all amounts not paid by the end of the month following the
Invoice date. (Annual interest rate of 16
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30.DAYS AFTER COMPLETION OF WORK.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Truck Service, Inc.
IN SUM OF
3140 W. Morris Street
Indianapolis, IN 46241
$1,134.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I N57137 I 43- 510.00 I $1,134.00 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
NOV -7
r\ r
7
Fire Chief
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))
N57137 A42 $1,134.00
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