176378 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00352025 Page 1 of 1
ONE CIVIC SQUARE P F M TRUCK CARE
CARMEL, INDIANA 46032 1402 WEST HANNA AVE
CHECK AMOUNT: $307.52
INDIANAPOLIS IN 46217
CHECK NUMBER: 176378
CHECK DATE: 8119/2009
DEP ACCOU P O NUMBER INVOICE NUMBER AM OUNT DESCR
1120 4351000 2038964 307.52 AUTO REPAIR MAINTEN
t
SOUTH- 1402 W. Hanna Ave., Indianapolis, IN 46217
Truck Car Care Center 317 784 -7777 Fax 317 788 -5860
Car Truck Care Center FISHERS 9501 Corporation Dr., Indianapolis, IN 46256
4900 W. 7777
0 Mitsubishi Fu50
Z/OiNSV/LLE 4900 W. 106th St., Zionsville, IN 46077
Group OnSite Services 317- 733 -7777 Fax 317- 733 -3979
Date 8/6109 Page 1 PO Issued by:: Invoice #2038964
Customer: CARMEL CLAY FIRE DEPARTMENT Vehicle 2004 FREI P30 IIII I I IIIIII I III I II I II IIII
Address: 2 CIVIC SQUARE Unit
City: CARMEL, IN 46032- VIN: 4UZAASBVX4CM98519 LicP
Phone 1 571 -2600 Ext OFF Engine Trans
Phone 2 664 -0958 Ext CELL Mileage 2451 Loc
Retail Customer Job Job Job
Job Description Part Description Price Price Extended Labor Parts Subtotal
:service Requests:
onsite PM 8.5.09, arrive between 0800 0900
contact bob 664:'0958 when* en route, bob
will arrange for brian smith to be on scene
with unit.
SERVICE CALL 45.00 45.00
PERFORMED PM SERVICE ON SITE AND REPLACED FUEL FILTER 135.76 106.64 242.40
1.00 OIL FILTER 17.05 14.45 14.45
1.00 FUEL FILTER 49.02 41.54 41.54
5.00 GAL OIL 11.95 10.13 50.65
OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation
I hereby authorize the repair work to be done along with the necessary parts Labor: $180.76
and materials and hereby grant you and /or your employees permission to operate Parts: $106.64
the vehicle herein described on streets, highways or elsewhere, at your des- Sublet: $0.00
cretion- -fcr- the purpose of testing and /or- inspection. An express mechanics Other Fees: $0.00
lien is hereby acknowledged on the above vehicle to secure the amount of re- Shop /EPA $20.12
pairs thereto. I understand that dealer /owner is not responsible for delays Subtotal: $307.52
consequences. Not responsible for damage or articles left in car in case of Sales Tax: $0.00
fire, theft or any other cause beyond our control. A 2% service charge will be
added to the monthly account balance with a storage charge of $5.00 a day for Paid By Total: $307.52
vehicles left beyond 21 days. Any warranty must be performed by us or with On Account Paid: $0.00
our prior approval. Warranty is limited to the original invoice amount. Pay Ref:
Due: $307.52
IL
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))
2038964 $307.52
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
VOUC NO. W NO.
ALLOWED 20
PFM Truck Care
IN SUM OF
1402 West Hanna Avenue
Indianapolis, IN 46217
$307.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 2038964 43- 510.00 $307.52 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
AUG 1 9 2-nn®
A J
VI
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund