177164 09/15/2009 a CITY OF CARMEL, INDIANA VENDOR: 00351052 Page 1 of 1
ONE CIVIC SQUARE CUMMINS
CARMEL INDIANA 46032
PO BOX 663811 CHECK AMOUNT: $2,485.88
INDIANAPOLIS IN 46266 CHECK NUMBER: 177164
CHECK DATE: 9/15/2009
DEPARTMENT AC PO N INVOICE NUMBE A MOUNT DE
1120 4351000 001 -35441 2,485.88 AUTO REPAIR MAINTEN
w
Crosspoint TERMS: NET 30 unless otherwise specified. A SERVICE
CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL
BE CHARGED ON PAST DUE ACCOUNTS. Please check this
co invoice for accuracy. If a discrepancy is found, call your servicing
location immediately we will promptly respond.
INDIANAPOLIS BRANCH
3621 W MORRIS STREET *REPRINT
P O BOX 42917 001 -35441
INDIANAPOLIS, IN 46242 -0917 REMIT TO: P.O. BOX 663811
(317)244 -7251 INDIANAPOLIS, IN 46266
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 1 OF 3
CARMEL, IN 46032- CARMEL, IN 46032 CHARGE'**
HT BOB VANVOORST 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
28 -AUG -2009 E44 -BOB 15- JUN -1995 M11- 320E FIRETRK U NLI S TED
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 26 -AUG -2009 34776755 CPL185500 ALL
REF. NO. SALESPERSON PARTS DISP. MILEAGEMOURS PUMP CODE UNIT NO.
99382 86452 79340 44
OSN /MSN/VIN TN058336
COMPLAINT SYMPTOMS:
OIL LEAKS -UPPER END
CAUSE HEADGASKET LEAKING
COOLANT TEMP GAUGE IN CAB INOP
CORRECTION CHECK UNIT IN, INSPECT FOR AN OIL LEAK, FOUND THE HEAD GSK LEAKING
OIL BAD
DRAIN COOLANT, REMOVE CAC PIPING. PULL DOWN TOP SIDE AND REMOVE
CYLINDER HEAD, CLEAN PARTS AND TOP OFF BLOCK, NOTE HEAD BOLTS
WERE LOOSE SMALL ONES) REMOVE BROKEN EX. BOLT 1 PORT, INSTALL
HEAD AND TORQUE, BOLT UP EX. MANIFOLD, BOLT UP FAN HUB AND
CONNECT FUEL LINES.
PUT ROCKER HOUSING ON TORQUED IT CLEANED INJ HOLES OUT PUT NEW
ORINGS ON I NJS PUT INJS IN TORQUED PUT CROSSHEADS ON PUT ROCKER
LEVERS ON TORQUED SET CLEARANCE PUT INJ WIRING HARNESS ON
SECURED IT SET V &I PUT BRAKE HOUSING ON TORQUED PUT BRAKES ON
TORQUED SECURED FAN BELT CHANGED TEMP SENSOR PUT CAC PIPES ON
SECURED THEM RAN IT TOPPED OIL OFF PUT VALVE COVER ON SECURED IT
HOOKED BLOW BY UP PUT COOLANT IN CLEANED DOWN BACKED OUT LET RUN
CLEANED BAY BROUGHT BACK IN
CLEAN DOWN ENGINE REAL GOOD AROUND LEFT SIDE AND UNDERNEATH
ENGINE, RUN AND LEAK CHECK ON APRON ,FINAL INSPECT AND WIPE DOWN,
FOUND THE CAB COOLANT TEMP GAUGE INOP NOTE THIS IS ON THE OEM
SIDE, WE HAD NO CONTACT WITH THIS) PUT ON LOT AND ADVISE CSR, UNIT
IS DONE
COVERAGE N/A
REMARK WE APPRECIATE YOUR BUSINESS! THANK YOU.
1 1 4089478 SET,UPPER ENGINE GASKET CECO 284.86 284.86
1 1 3871472 GASKET CECO 49.40 49.40
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY: DATE:
r
T:EOwLYvV�R�4NTvYV��PESPE�7TDAmYEN6NES`PART3.00mPONEmTSoRPRO�UCr�T0xY�|CHTHi�|�x0Cs��L�TESiSThAT
A'ARRANTY.|F ANY, NiADEBYT*5NAXNV FACT 3RERTr-EREU F,CUMN|WSCROSSp0NT,U-C("CCRPT? MAKES NDY�JARRANTyOF ANY n|ND
RsEmRo|nGS UC�EwG/meS.PARTS, CDmDOwswTSCRpR0oVCTG,mHIsTnEn .xR/S|wGav OPERATION ORLAvv.ORI IMPLIED av
CDunSE-1 Op DEALING, USAGE 0R TRADE. |wCLUD/mG ANY IMPLIED OFwERCHP"%'Nr*G|U7YOROP FITNESS FDR*P4RT�CU|An
pu. E�CCRPT|SNOTRESJNS|KE FOR |NO!DENT AL. SPEQAt- O9OONSEQUENT|ALDAMAGES, NOrE: F0RTHECU0fA{NSwsw>NO
CORE8DNT\wATIERPUN'IPPRoOUCT' THE VvARRANTY|3CUIVIM|RG ONE YEAR P*RTSYxARRAmTv REPLACEMENT YY|T*oUTPROGRESB/VE
Dx,t�i GE COVER���
CommmxCmonpomtLLCL)m|o�dSomic*vvwrnnty coves fai|u,es.wh:rh are adin*ct result nfinnpwparwm,kmanoMpper:cnneebyCu'n'n.n�
Cn,spn|n�.LLCon�opyrn��sar�oqoiprent min�wsu�ev��o�a�raper|eUo�m�ohvnd��nig���avo(180)usysor25.U00nt|oom1,0Do:cur*
ofouo'a�on.��io|ev�cnmes5al.�om�oUw��heue�|mawrropui,wom��xpo�nnnag:ycummino�moapo�nLLL�[CCRpT^>seapeo�uuox�o
ror
does not amply �osub*enuempurchaoe,snruoem�
OTH=R
and oorrponenisreUuP,uyCCRPTf0/ sate :nanexnfienge basis a,e covered nyaoeparmlewv,,antvru|,cy Cop/csor�|s policy are to
p:*�oo��nrme�onpeo/nc�ng/neyu'co'rponrnuupon,*quao|
The aruew|us\v°rome(!yfc;r any omkn'*aumoconmd*fecto|n*m/*mansmpg`a}|:cooxncuonuff1"pmpe/|yowrf`,n,mVoem}con,
mpa\,a! theexpen000iCCRPT� GCRFTNii|o|sopaymr parts and labor naodwdtl) correct any Uama e, tuofhe,»u'ono�of �!'ouox
(zmnehrne,knmwnus^pmBromsivc4amageo^)d|,vclly,eou{Ung from such impmperx performed vmrkmsnshiphyCCRPT.unwanmvimumcd$5OOV
subject tou`e|enna and cong'Uonaoonla/noUherein
r.. la t i o i i s;
EXCEPTrOP FIE CCRPTmAKESw0vv^RRANTYop ANY n\No.vvHET HER EXPRESS, ARISING Sr OPERA r|OwoR L*m/.on
/0pL/coeY COURSE OFDEm.|NG USAGE, 0RTPADE/NCLUo|wG ANY |%,"!Pueo WARRANT vOFMsRC*4NTAo|c[/YDR SsRv|CEOR|MFUsD
\m�nn�mTYDFr|Tms�GFOn�PxRT|CU���PU�POSEn��w,|�PL|�Dvv�nR^wrYAP|S/mGvv|T* RESPECT TO SERVICE CRREPAIRS
vvH|CH ARE T*E SUBJECT OFTH/S!NvO`CE
sxCEpTASSPEC|:-':/CAI.L,pROv!osoX[Rs IN, CCnPT SHALL NOT ss 'LIABLE FOnamY,N0 DEN Tn". SPECIAL ORCOmSsO3EwrmL
o.AwAGES|wcLoD|ws.vvlT'/our 1'0117A LOST PROFITS, DAMAGES RESULT:NG FROM "DO'VVNTWE" E=XPENSES, CARGO DAMAGES,
TU�|ws FEES. �'0SSOFuSEOFE�U|pmsmT.CO3TOrSUg3TIrUTEEOU|PwsmT,FAC/uns6ORSsnv|CsG0n�m,OTHE�oUS(NES�
COS rSAmD LOSSES nsSUL TING, FrROmA COVERED FAILURE. CCRpT'SCDVpLETEUA8|UTYFOR ANY FA�LURESRc0UcT(wGp�0�
imPnOPs�wJnxm�N��/PPeRF0nMsoB,CCnpr AND THE PURCHASen'3EXCLUS|vEREN'Iso,TH EREFOn ARE L|m/"soT0
CORREcT|OwnF |mPROPEn�YPEncOR�EDvvORKM3NGH|PATT E EXPENSE OFF oCqPT
IF C-RiPT DETERMINES, IN IT S SOLE OESCRET!ON, THAT IT IS IMPPAC ICAL TO REMEDY DE FECTS BY SERVICE OR Ri PA/R, CCnpTmxv
REFUND TMs PART Gr THE PURCHASE PR /CE ATTRIBUTABLE TO THE DErs{7/VEE SERviCEOR REPAIR PAID av THE PunCH*3ER.AND
3II)CHREPUNE) SHALL 8ETHs SOLE AND EXCOLS|vE REMEDY FORAwYSUCHCLA|NIThmvvanantys=,fn,t:hmremin/hesn/awa,mn"v made by
CCnPTwiu`reoa/d/000�/c*er repairs pe�0nn*ubyCCRPT,
Tmnwa,,ant'� orepai,wwrKDrily, CCRPT does not warantyanyeog/on. product, coincunam and mavn{y*m,
pmuuc�.00mpamn�orport.io if any, n�adebymemanaboR:rerthereo[CCnPTmaika000wm'rao|, and oha||-aveon responsibility axy
pnrVonu��hvpvnd�awa/oeq:ipmer|tl`elCCRPr does ,m k on, rhisasmanydoesriot app|yto ca'nagebyaudUex,.faiiura to, p*r"conpmpsr
mam�oun*n�ausxe.�isuao�neg{s�u,mn�/ncexonby�urcxaoy,ormi,upamieo�Th/sw�nan,y�poonu�apn/y/,oapJcoo,navai,/om*po�nn(s}orma
cquinmen/ repaired oyCCnPTinpmfomodh;nnyo:e, other than CCRPT after the date <niowananty becomes effective.
How to Obtain Service V�Jarrantv
Pxo,|oUmaxrim/|onof UVnwvr,an|y. the ndgino|Puohaserofsamimanrnepa|ramvot give notice o(anywansnWmetsi!ure,/oCGRPTand deliver the onu
e|owre/ooxoerme 11"CRPTr�3oi|ity for ,epui,mmenome,|mztionasspecifiodoyCCRpT, The original Purchaser iumoponsib|e txpsv|dingh|5
o�ghm|moa�r�ooumen�bo:
Aoyms�edms|ehm`u'rpemisenu(CCRPTal'exmpai,wo'k has beencomp/oled,uobesonn�dcrodabanjrnod. bencovpagnrsold.
a��osmamncm�|on'�CCRrT,
Un|aooPr:ot anan0sments are, n`ado.wnlCCRPT.naymen�inoJ/byPurchaoe,FGraUso�ioeandmpai,mn*pedoonad�yC��PTandkxa/v
pano.�� po:anS
extt�nde11c a�nyeo �po/ ao costs and expe:s*s inuuuing �essunab/s a,�moys' /oes. :�cuxed byCCRPTin conarung anv
a/monu'6emCCRpTfmmPon1o�er�`yinvoi;o**iu`.npa�uu�s*m: bear in/ems *e is'
rao�r
�so that o�xx�yxyapp!icau|��`vyudn|�xse,s�as�ax��uoaoo�meg'
TERMS: NET 30 unless otherwise specified. A SERVICE
CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL
BE CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. If a discrepancy is found, call your servicing
location immediately we will promptly respond.
C.
INDIANAPOLIS BRANCH INVOICE NO:
3621 W MORRIS STREET *REPRINT
P O BOX 42917 001 -35441
INDIANAPOLIS, IN 46242 -0917 REMIT TO: P.O. BOX 663811
(317)244 -7251 INDIANAPOLIS, IN 46266
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 2 OF 3
CARMEL, IN 46032- CARMEL, IN 46032- ***CHARGE*—
HT BOB VANVOORST 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
28 -AUG -2009 E44 -BOB 15- JUN -1995 M11- 320E FIRETRK UNLISTED
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
400706 26 -AUG -2009 34776755 CPL185500 ALL
REF. NO. SALESPERSON PARTS DISP. MILEAGE /HOURS PUMP CODE UNIT NO.
99382 86452 79340 44
q! p l inno!
dMffMMffl I
OSN /MSN/VIN TN058336
12 12 600 -0155 TYRAP LONG (1//4" BLACK) OTHER .17 2.04
12 12 600 -0150 TYRAPS REG (1/4" BLACK) OTHER .05 0.60
4 4 3824541 DISC, CLEANING CECO 1.83 7.32
2 2 ACTION -SP DEGREASER SOLVENT 1/2 GAL OTHER 13.41 26.82
PULL FOR BAY 12
1 1 3865312 SENSOR,TEMPERATURE CECO 23.57 23.57
1 1 4965698 SCREW,HEX FLANGE HEAD CAP CECO 3.88 3.88
1 1 3883780 HOSE,FLEXIBLE CECO 45.09 45.09
2 2 213 -5 HOSE, STRATOFLEX STRAT 4.77 9.54
2 2 725 -5 -5 #5SWIVEL FTG (20821 -5 -5) STRAT 14.94 29.88
PULL FOR BAY 12
PARTS: 483.00
PARTS COVERAGE CREDIT: 0.000R
TOTAL PARTS: 483.00
SURCHARGE TOTAL: 0.00
LABOR: 1,980.90
LABOR COVERAGE CREDIT: 0.000R
TOTAL LABOR: 1,980.90
MISC.: 21.98
MISC. COVERAGE CREDIT: 0.000R
TOTAL MISC.: 21.98
SHOP SUPPLIES 9.66
ENVIRONMENTAL COMPLIANCE 12.32
TAX EXEMPT NUMBERS: IN 003120155 002 0 TAXES:
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS
INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD.
AUTHORIZED BY: DATE:
L
ENGINES. PARTS, COMPONENTS AND OTHER PRODUCTS I.N.4ANUFACTURER'S WARRANTY
r�EOmLYvvARn�wTYvv�*nESP�CrT0�wYswG|msG.p�RTn.CO�POmEmTSO��m]oUCT5rOvv*|C�TH|GiwvO�s�E��rss|S T*�T
A./ ARRAwTY.|F ANY, MADE aY THE MAmu FACTURE R THEREOF. CUMMINS CnOSSP0|NT.LLC 'CCnPT^)m�wsSwOwARR*mTYOF ANY KIND
REGARDING SVCH ENG|msS. PARTS. COMPONENTS On PRODUCTS, WHETHER EXPRESS, AR|S|wGe, OPERATION OR LAW. OR IMPLIED BY
COURSE OF DEALING. USAGE OR TRADE, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR OF FIT NESS FOR A PARTiCULAR
PURPOSE. CCnPT/S NOT RssDm3|aLE FOR INCIDENTAL. SPECIAL ORCOmSEQuEwTW DAMAGES. NOTE: FOR THE CUMMINS NEW-NO
CORE 88NT WA7ER PUMP PRODUCT, THE WARRANTY IS CUMMINS ONE YEAR PAR TS WARRANTY REPLACEMENT 'AflTHOUTPROGRESSIVE
DAmAGsCOvsRAGe
LIMITED SERVICE WARRANTY AND EXCLUSIVE REMEDY
Coveraoe
Cummins Ciosspoint. LLC Limited Service'V%Iarranty covers failures, which are a direct result of improperworknianship performed by Cummins
Crouopomt.LLCon 'the purchaser's equipment. Tmscnvwragwa^tendaforaperiodofnoohvndedoigx*days(1nV)daysvrzo.0o0mi|o»o,1 000 hours
of operation. whichever comes first, from the cate the serviceor repairwork was performed by Cummins Crosspoint. LuC(^CCRPT')ao specified onthe
rnn�o/mininvo/oe. TNs|imu:demicovm,rintyismpdetvtxen,igioa|pumoaoerorem|vooand,epai,sasspeci5edonU`nhnn,o/m/v|n,oivaand
does not apply msuboeqven,pu,ohasv,snrusers.
OTHER COVERAGES
Engines and components rebuilt by CCRPT for- sale on in exchange basis are covered by a separate po6cy, Copies ur this policy are p.axamvw
Purchasers o' these specific engines o' components upunrequest.
The Purc sole and exclus" remp-dy fio claim resulting fioni defectsin workmanship shall be correction ofinipropepriv perforfried sEfrVK;0 elf
repair at the ex,ewseoiCCnpT, CCnPT will a|nopayfo, reasonable parts and labor needed to correct any damage momo' portions or the unit
(scirretimes known. as "progressive- darnages"', directly resulting from s uch improperly performed workmanship by CCRPT, UD to a MaXimUrn Of 5000.
subject m the mnnsarid conditions contained herein,
Limitations
EXCEPT FOR rHEFOREGOING, CCRPT MAKES No WARRANTY OF ANY KIND, VV*ETHEREXPRESS, ARISING aYOPERAT ION OR LAW. OR
'IMPLIED BvCOURSE OF DEALING, USAGE, OR TRADE INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILTlY OR SERVICE OR IMPI JED
'WARRANT vOF FIT NESS FOR A PARTICULAR PURPOSE OR ANY IMPLIED'OUARRANTY ARISING WITH RESPECT TO SERVICE OR REPAIRS
WHICH ARE THE SUoJsoTOp THIS INVOICE
EXCEPT AS SPECIFICALLY PROVIDED HEREIN, CCRPT SHALL NOT oE LIABLE -FOR ANY INCIDENTAL, SPECIAL OnCOmSs0uEmTmL
DAMAGES INCLUDING, WITI HOUT 'LIMITATION. LOST PROFITS, DAMAGES RESULTING FROM ''DOYVNT|ME'' EXPENSES, CARGO DAMAGES.
TOWING FEES. LOSS OF USE OFsoU/p�swT. COST 0F SUBSTITUTE EOU|PwEwT.FACILITIES OR SERVICES OR ANY OTHER BUSINESS
COST S AND LOSSES RE3ULT|NG�R0w*COvsRsD FAILURE. CCRPT'SCOMPLETEUA8|L|TY FOR ANY Fx|LunESnESocT|mGpROm
IMPROPER WORKMANSHIP PERFORMED BYCCRPT. AND THE PURCHASER'S sxCLoS|vEREMEDY THEREFOR. ARE LIMITED T0
CORRECTION OF IMPROPERLY PERFORMED WORKMANSHIP AT THE EXPENSE OrCCRPT
CCRPT DETERMINES, IN T S SOLE DESCRETION, THAT IT IS IMPRACTICAL TO REMEDY DEFECTS BY SERVICE OR REPAIR, CCRPTMAY
REFUND THE PART OF THE PURCHASE PRICE ATTRIBUTABLE TO THE DEFECTIVE SERVICE OR REPAIR PAID BY THE PURCHASER. AND
SUCH REFUND SHALL BE T HE SOLE AND EXCULSIVE REMEDY FOR ANY SUCH CLAIM The warranty set forth herein is the soie warranty made oy
CCRpT,xm regard to service or repairs po'fo,,nouuyCCRPT.
What Is Not Covered By This Warrant
Tmsvia,,m`ty �;ovarpsa,v/crc,roua"vwmonly. Ccnprdoosnnt warranty any an product, component orpar/, and the only ~m''an�,ospacunoa
m
pdvc m
�.c�m:no.`to'pa�ivm n
vwnax�.iraov m
�ausuvm manufacturer iuinty ,00y
portion of the Purchaser's equipmem that CCRP*i does noi work on. 7hisvvarrantydoes not; a pply to clarnage by accident. failuieto perform proper
maintenance. abuso,miSLIse. negiect or modification by Purchaser or third parties, This warranty does not apply if service or ren-air to 'he porion(s) of the
equiPment repaired by CCRPT is performed by anyone other than CCRPT after the date this warranty becomes effective.
How 1.01 Obtain Service 1 0!arrant
Prior to the expiration of this warranty, the original Purchaser of service or repairs fr. ust give notice of anywarrantable failure to CCRPT and deliver the unit
a/ owner's expense maCCRPTfacility for repair or to another location as specified by CCRPT, The original Purc is responsible for providing his
nhg|na|epn/r�ucumenmuoo
Abandoned Material
Arivmaterja,s efton. 1-,e premises of CCRPT afterrepairwork has beef completedwill be considered abandoned. Such Mate-nals may be scrapped orsoW,
a,mrso/au|sonknnrCCRPT,
Unless Pnor credl' arrangements ore rnadewith CCRPT, payment in full by Purchaser for all service and repairwork u:rCCRpTand for any
parts con,ponents, engiries andoroducts furnished to Purchaser shall by made it the time of compietion of the repair and ser-vico wo |f credit io
exlefided 'o Purchaser. Pur�haser agrees to pay al'; costs and expenses, including reasonable attorneys' fees, incurred to CCRP i in coileclinci aily
ar,ounu due tcCCRPTiro./'Pvrc:ao=.*nvinvoino=xio11io;a,/'mesxm/�ea, mtoreo,unn|pamet *he rnieo�1�os, Der monu`o',/,su:x,a g
,ei,,sa[a,
manma bva
crosspoint TERMS: NET 30 unless otherwise specified. A SERVICE
CHARGE OF 1.5% PER MONTH (EFFECTIVE APR 19.6 WILL
BE CHARGED ON PAST DUE ACCOUNTS. Please check this
invoice for accuracy. If a discrepancy is found, call your servicing
location immediately we will promptly respond.
ca
INDIANAPOLIS BRANCH 0 VLSI Lei 210
3621 W MORRIS STREET ***REPRINT***
P O BOX 42917 0
INDIANAPOLIS, IN 46242 -0917 REMITTO:P.O.BOX663811
(317 )244 -7251 INDIANAPOLIS, IN 46266
BILL TO OWNER
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 3 OF 3
CARMEL, IN 46032- CARMEL, IN 46032- ***CHARGE*—
HT BOB VANVOORST 317 6640958
DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
28 -AUG -2 E44 15- JU N 1995 M 11- 3 20E- FIRET UNL ISTED
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CAL NO. EQUIPMENT MODEL
400706 26 -AUG -2009 34776755 CPL185500 ALL
REF. NO, SALESPERSON PARTS DISP. MILEAGEiHOURS PUMP CODE UNIT NO.
99382 86452 79340 44
A Y
R3
OSN /MSNNIN TN058336
STATE 0.00
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS, COMPONENTS, REPAIR AND /OR SERVICE IS
SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS SUB TOTAL: 2,485.88
INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER TOTAL TAX: 0.00
ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY
UNDERSTOOD. TOTAL AMOUNT: US 2,485.88
AUTHORIZED BY: DATE:
"urnm iris Ciossoci�ii, L:_0
T�sOu�YvYAFnAmTv;v[' ��E5PECrTOAwY PARTS, COmPQmemTSoRpnOouCT H|S|mvO/C; PeLxrES|Srwj4r
*iARRANTY.|FANN, NIADEBYTHENeIANuFACTURER THEREOF, CUm�|MSOROSSPOiNT.LLC MAKES NOvVARR*mTY0FAnYKIND
RESAno|wG S! ICHENGINIES, PARTS, COMPONENTS OR PROIDUCTS.'WHETHER EXPRESS, ARISING 15' OPFP T
�0mORLAvv.0n/I'VIPL|Eoav
COuIR5EDr DEALING, USAGE OR TRADE, /wtLuD|wG ANY IMPLIED vvARRAmTYOFI)VIERCHAmT*S|UTYOnOFp|TNEGOrORApART|CULAn
PuRpOiSE CCRPT|SmOF RsSOwS|eL sFOR|mC/oEmTAL,SPcCm' ORCDwSEQVEwn*L DAIVIA0e5. wDTE� FOR, T*ECUr
CO.REuumTvYATsRPUNP PRODUCT THE vVAPRxNTY�SCumm/w,' ONE- YEAR PARTS vVARRAwTvREpLACcmEwTVY|T*nurPROGRESSws
Cu�AGECOxERAGE
Covegg
C:mninnCmsv�oinc �LCu�i�dS*/�ineVva/��n�ycvve,s�i|u,��.�wmid�ar*ydi,�u�rpsu{to�i,np,vpe,wp�menshippe,�/m*v byCummino
Csxsp*m.LLCm/�ep:n:nav*/ouuu|p,n*nL Tnio�*nmgeox�ndvkxapahogn/ one »und�do�x�dayv;8V) days or25.000m:*wor1,O0oxvor�
ofo»nr�
hnnto+'hsio,0:r=- rmo/|m4ed service wnrantyis�aoetothephg|na|Pvn�unercv�enxo��or�r�paieaoap�um��nn�ha�nn,n/mi�mvo/naaou
ouoo nmap;|yu nubnequmn,pu,c»aas/sn,users
OT HIEP COVERAGES
EnQireuanu :v�ponen;u ebvX�byCCRPT �,sale vnsn exdsnge basis ae nuvanoU �va �vpn/a�mennn�po�icy� Copi�o o/�nis po(i�ya/evva|.ab!rto
purr,naaers (oese ypec/5canginmo o,omrponsnts xponrenues�,
Ex- usize mUy
T|�op�m�`zo�rso*|ovnuexo\uz�),o,sm�_dxfc, any oh|mnwowo'`g/roxniuofedoinwvrmnansnipy|`aUuecn,enhunn[i,npm»o,|;norfonneuoer,|c:o,
rapahou the expanmaoiCCRPT CCRPT will a|eo pay parts and labor noodad �coneoaoydamaqebomerpsrtivnycy the
un.�
(aomehmenxno^nn�`pmgrooe/v�da�aqo�''}dinvouyoosuUin0rmmsunh/mp,opadyp�'�o,modwm�msnoxivbyC�npr�u�mumaui�vmo���00o
Subject toU and conditions cnnta/neuherem.
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Prescribed by State Board of Accounts I 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))
001 -35441 $2,485.88
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. WARRANT NO.
ALLOWED 20
Cum_ mins
IN SUM OF
P.O. Box 42917
Indianapolis, IN 46242
$2,485.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 001 -35441 43- 510.00 $2,485.88 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
SEP 14 2009
0
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund