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HomeMy WebLinkAbout204541 12/13/2011 f CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1 ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC CHECK AMOUNT: $156.22 CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 CHECK NUMBER: 204541 CHECK DATE: 12/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 11734 156.22 AUTO REPAIR MAINTEN CUSTOM TRUCK AND AUTO, INC 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 317 896 -5956 12/5/2011 2:38 PM page 1 Invoice 11734 FIRE DEPARTMENT CARMEL 1 CIVIC SQUARE CARMEL IN 46032 -fold here Vehicle 2003 KME FIRE ENGINE 45 FIRE TRUCK CUMMINS ISM VIN :1K9AF42883N058675 Fleet 45 Created 5/13/2011 10:02:48 AM Odometer In 0 Complete 11/3/2011 11:40:43 AM Odometer Out: 0 Invoiced 11/3/2011 11:40:43 AM Contact BOB (664 -0958) Qty Code/Tech* Reference Description Condition Unit Price Price PM* GENERAL USE LABOR $80.00 1 PM* EXH WRAP New $70.21 $70.21 Labor......................... $80.00 Parts........................ $70.21 Sublet/Misc. $0.00 SHOPSUPPLIES $6.01 Charges........................ $0.00 Sales Tax Tax Exempt 0031201550020 $0.00 Total Due $156.22 Tech Certification PM IPOJX9QK5MOODY Any warranties on the item /items sold are those rnade by the manufacturer. The seller, Custom Truck and Auto, Inc., hereby expressly disclaims all warranties, either express or implied, including any implied warranty of merchantability or fitness for a particular purpose, and Custom Truck and Auto, Inc., neither assumes nor authorizes any other person to assume for it any liability in connection with the same of this item /items. PAYMENT IS DUE AT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE WITH MANAGEMENT. THANK YOU FOR YOUR BUSINESS! I II II III III I VIII II I II 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)) 11734 E45 $156.22 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. WAR NO. ALLOWED 20 Custom Truck Auto, Inc. IN SUM OF 17249 Foundation Parkway Westfield, IN 46074 $156.22 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members 1120 I 11734 I 43- 510.00 I $156.22 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 DEC 112 2011 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund