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HomeMy WebLinkAbout173282 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1 ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC CHECK AMOUNT: $324.05 s, �4 CARMEL,. INDIANA 46032 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 CHECK NUMBER: 173282 CHECK DATE: 6/10/2009 DEPARTMENT ACCOUNT PO N UMBER INV OICE NUMBER AMOUNT DESCRIPTION 1120 4351000 5922 324.05 AUTO REPAIR MAINTEN A CUSTOM TRUCK AND AUTO, INC 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 317- 896 -5956 6/2/2009 5:57 PM page 1 Invoice 5922 FIRE DEPARTMENT CARMEL 1 CIVIC SQUARE CARMEL IN 46032 -fold here Vehicle :2003 INTERNATIONAL 4300 LOW PROFILE DT466 VIN 3HTMNAAL13N585817 Color Red -White Fleet 0475 Created 4/29/2009 10:50:40 AM Odometer In 79253 Complete 5/15/2009 9:25:28 AM Odometer Out: 79253 Invoiced 5/15/2009 9:25:28 AM Contact BOB (664 -0958) Qty efTec Reference Description Condition Unit Price Price 1 SW* ACCUMALTOR FILTER $165.09 $165.09 CS* GENERAL USE LABOR $140.00 CHARGE A/C SYSTEM USED LEAK DETECTOR FOUND LEAK BEHIND MOUNTING STRAP ON ACCUMULATOR RECOVER SYSTEM REPLACE ACCUMULATOR EVACUATED FOR TWO HOURS CHARGE SYSTEM TO 1 POUND 13 OUNCES AND LEAK TEST 2 CS* FREON New $3.25 $6.50 Labor....................... I............. $140.00 Parts........................ $171.59 Sublet /Misc. $0.00 SHOP SUPPLIES $12.46 Charges........................ $0.00 Sales Tax Tax Exempt 0031201550020 $0.00 Total Due $324.05 T ech Certification CS Sw I I II I I I VIII VIII VIII VIII IIII IIII CUSTOM TRUCK AND AUTO, INC 17249 FOUNDATION PARKWAY WESTFIELD IN 46074 317 896 -5956 6 2/2 09 5:57 PM page 2 Invoice 5922 Vehicle :2003 INTERNATIONAL 4300 LOW PROFILE 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! IIIIIIIIIIIIVIIIIIIIIVIIIIIIIIIII 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)) 5922 Repair A44 $324.05 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. IN SUM OF 17249 Foundation Parkway Westfield, IN 46074 $324.05 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 5922 43- 510.00 $324.05 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 AV Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund