174814 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC
0 CHECK AMOUNT: $1,258.13
CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY
WESTFIELD IN 46074 CHECK NUMBER: 174814
CHECK DATE: 7122/2009
,DEPARTMENT ACCOUNT PO NUMB INV OICE NUMB AMOUNT DESCRIPTION
1120 4351000 6133 238.40 AUTO REPAIR MAINTEN
1120 4351000 6258 1,019.73 AUTO REPAIR MAINTEN
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CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317 896 -5956
7/1/2009 1:4 page 1
Invoice 6133
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle :2003 INTERNATIONAL 4300 AMBULANCE DT466 Tag /State 64533 IN
VIN 3HTMNAALX3N585816 Color Red
Fleet 0492
Created 6/1/2009 2:35:33 PM Odometer In 87474
Complete 6/16/2009 8:29:28 AM Odometer Out: 87474
Invoiced 6/16/2009 8:29:28 AM
Contact BOB (664 -0958)
ty Code ec Reference Description Condition Unit Price Price
SW* LABOR $140.00
RECOVER ANY REFRIGERANT LEFT IN SYSTEM
CHARGED TO PROPER AMOUNT AND LEAK CHECKED
FOUND SYSTEM LEAKING UNDER THE HOLD DOWN BRACKET ON ACCUMULATOR
EVACUATED SYSTEM REPLACED ACCUMULATOR
RECHARGED TO 1.77 POUNDS OF REFRIGERANT AND LEAK TESTED
1.77 SW* FREON R 134 New $3.25 $5.75
1 SW* A CCU M 200 06, I N T ERNAT I O N AL TRK New $86.82 $86.8
Labor $150.00 less discount $10.00 $140.00
Parts........................ $92.57
Sublet/Misc. $0.00
SHOP SUPPLIES $5.83
Charges........................ $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $238.40
T ech Certification
SW
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CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317 896 -5956
7/1/2009 1:48 PM page 2
Invoice 6133
Vehicle :2003 INTERNATIONAL 4300 AMBULANCE DT466
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 UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE
WITH MANAGEMENT.
THANK YOU FOR YOUR BUSINESS!
IVIIIIIIIIIIIIIIVIIIVIIIIIIIIIII
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317 896 -5956
7/1/2009 1:42 PM page 1
Invoice 6258
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle :1996 KME FIRE TRUCK FIRE TRUCK
VIN 1K9AF4285VN058491 Color Red
Created 6/23/2009 9:45:19 AM Odometer In 71450
Complete 6/29/2009 6:45:05 PM Odometer Out: 71450
Invoiced 6/29/2009 6:45:05 PM
Contact BOB (664 -0958)
Qty o e ech* Reference Description Condition Unit Price Price
2 CS* #08 FOR 90 W /PORT $10.00 $20.00
1 CS* 10 X 12 FOR 90 W /PORT New $10.83 $10.83
1 CS* 10 X 12 MOR ST New $12.50 $12.50
23 CS* ATCO AIR O CRIMP HOSE New $5.40 $124.20
31 CS* ATCO AIR O CRIMP HOSE New $7.25 $224.75
PM* GENERAL USE LABOR $560.00
1. FOUND REAR UNIT NOT COOLING AT ALL
2. FRONT UNIT WAS NOT COOLING PROPERLY
3. CHARGED REAR UNIT FOUND HOSE LEAKING FROM AROUND FITTING AT COMPRESSOR ON DISCHARGE SIDE.
REMOVED CLAMPS TIE WRAPS FRONT GRILL SIDE GRILL AND ON PANEL TO ACCESS LINE AND FITTINGS FROM
DISCHARGE OF COMPRESSOR TO BULKHEAD FITTING FOR ROOF CONDENSER. FABRICATED NEW HOSE AND
INSTALLED. WHEN REPLACING HOSE FOUND SUCTION HOSE BADLY DETERIORATED AROUND ENGINE BREATHER TUBE.
REMOVED INTERIOR UNTIL WE COULD REMOVE HOSE AT EVAPORATOR. FABRICATED AND INSTALLED NEW LINE.
REINSTALL INTERIOR AND CLAMPED UP HOSES AND ELECTRICAL LINES UNDER TRUCK.
3. CLEANED OUT BOTH FRONT AND REAR EVAPORATORS WITH COIL CLEANER.
4. RECHARGED FRONT UNIT TO 3.5 POUNDS RECHARGED REAR UNIT TO 4.5 POUNDS OF R134 REFRIGERANT
5. LEAK TESTED UNITS
6. CHECKED OPERATION OF CONDENSER FANS MADE SURE SYSTEM OPERATED WITHIN CORRECT PRESSURE
READINGS, AND CHECKED TEMPERATURE DROP BETWEEN INLET AND OUTPUT ACROSS THE EVAPORATOR
3.5 CS* REFRIGERANT New $5.93 $20.76
FRONT UNIT
4.5 CS* REFRIGERANT New $5.93 $26.69
REAR UNIT
I VIII Ililll VIII VIII VIII IIII IIII
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317 896 -5956
7/1/200 1:42 PM page 2
Invoice 6258
Vehicle :1996 KME FIRE TRUCK FIRE TRUCK
Labor........................ $560.00
Parts........................ $439.73
Sublet/Misc. $0.00
SHOP SUPPLIES $20.00
Charges........................ $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $1,019.73
T ech ert ication
cs
PM IP0JX9QK5M00DY
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 UNLESS OTHER ARRANGEMENTS HAVE BEEN MADE
WITH MANAGEMENT.
THANK YOU FOR YOUR BUSINESS!
n
I VIII IIIIII VIII VIII VIII IIII IIII
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 iternized 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))
6258 E43 S1,019.73
6133 A45 $238.40
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
Custom Truck Auto, Inc.
-37" (y 7 IN SUM OF
17249 Foundation Parkway `T
Westfield, IN 46074
$1,258.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 6258 43- 510.00 S1,019.73 I hereby certify that the attached invoice(s), or
1120 6133 43- 510.00 $238.40 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
JUL
7 n
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund