HomeMy WebLinkAbout179177 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 362447 Page 1 Of 1
ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC
CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY CHECK AMOUNT: $210.00
r WESTFIELD IN 46074 CHECK NUMBER: 179177
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 43S1000 6918 210.00 AUTO REPAIR MAINTEN
Z
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317- 896 -5956
1 /6/2009 10 :58 AM page 1
Invoice 69
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle :1996 KME FIRE ENGINE 44 FIRE TRUCK CUMMINS M11
VIN lK9AF4288TNO58336 Color Red -White
Fleet 44
Created 9/18/2009 2:45:24 PM Odometer In 0
Complete :911812009 2 :46 :07 PM Odometer Out: 22255
Invoiced :9/18/2009 2:48:07 PM
Contact BOB (664 -0958)
Q ty Coda/Tech Reference Description Condition Un t r ce Price
PM" GENERAL USE LABOR $210.00
RE P LACE AIR GY LENDERS ON RIGHT AND LEFT WAITER VALVES
Labor .......111,1 ..111.1.................. $210.00
Parts........................ $0.00
Sublet/Misc. I................. $0 -00
SHOP SUPPLIES I $0.00
Charges------------------------------------------------ $0.00
Sales Tax Tax•Exempt 0031201550020 $Q -Q0
Total Due $210.00
ech erti ication
PM IPOJX9QK5MOODY
Any warranties on the item /items sold are those made 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 itemfitems.
PAYMENT IS DUE AT TIME OF REPAIRS UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE
WITH MANAGEMENT.
THANKYOU FOR YOUR BUSINESS[
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER l
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))
6918 $210.00
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
VOUCHER NO. WA RRANT NO.
ALLOWED 20
Custom Truck Auto, Inc.
IN SUM OF
17249 Foundation Parkway
Westfield, IN 46674
$210.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 6918 43- 510.00 $210.00 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 m 9 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund