178107 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC CHECK AMOUNT: $85.43
CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY
WESTFIELD IN 46074 CHECK NUMBER: 178107
CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 6937 85.43 AUTO REPAIR MAINTEN
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317 896 -5956
9/24/2009 3:52 PM page 1
Invoice 6937
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-told here
Vehicle 1996 FIRE TRUCK ENGINE 43 CUMMINS M11
VIN 1 K9AF4285VN058491 Color Red -White
Fleet 43
Created 9/22/2009 7:46:57 AM Odometer In 72521
Complete 9/22/2009 7:55:01 AM Odometer Out 72521
Invoiced :9/22/2009 7:55:01 AM
Contact BOB (664 -0958)
Qty Code/Tech` Reference Description Condition Unit Price Price
1 PM* HYD FITTINGS New $13.43 $13.43
PM` GENERAL USE LABOR $70.00
REMOVED FILLER VENT LINE TO CHECK WHY FUEL WAS LEAKING BACK OUT THROUGH FILLER NECK. INSTALLED A
LARGER VEN LINE AND REMOVED FROM STAND PIPE PORT AND PUT TO A VENT PORT
Labor........................ $70.00
Parts........................ $13.43
Sublet/Misc. $0.00
SHOP SUPPLIES $2.00
Charges........................ $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $85.43
Tech Ce
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 item /items.
PAYMENT IS DUE AT TIME OF REPAIRS UN
WITH MANAGEMENT. HELP US KEEP Y. +..,.a
OUR j
PAIR CO T8 LO
1-7 THANK YOU�FOR YOUR BUSINESS!
W BY'
PAYING YOUR BILL UPON
RECEIPT.
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))
6937 Repair E43 Fuel Leak $85.43
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
VOUCHE N,O. WAR RANT NO.
ALLOWED 20
Custom Truck Auto, Inc.
IN SUM OF
17249 Foundation Parkway
Westfield, IN 46074
$85.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 6937 43- 510.00 $85.43 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 2 2009
OCT w
I /9
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund