173282 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