170808 04/16/2009 a CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC
CHECK AMOUNT: $62.40
CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY
WESTFIELD IN 46074 CHECK NUMBER: 170808
CHECK DATE: 4/16/2009
�4EP ARTMENT A CCOUNT' PO NU MBER INVO NUMBER AMO UNT DESCRIPTION
1120 4351000 5625 62.40 AUTO REPAIR MAINTEN
CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317- 896 -5956
4/1/2009 5:00 PM page 1
Invoice 5625
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
fold here
Vehicle :1996 ENGINE 46 FIRETRUCK
VIN 1 K9AF4287VN058492 Color Red
Fleet 0477
Created 3/16/2009 9:18:32 AM Odometer In 78535
Complete 3/20/2009 4:08:27 PM Odometer Out: 78535
Invoiced 3/20/2009 4:08:27 PM
Contact BOB (664 -0958)
ty oderrech Reference Description Condition Unit Price Price
PRESSURE WASH ENGINE $60.00
DEGREASE AND PRESSURE WASH ENGINE
Labor........................ $60.00
Parts........................ $0.00
Sublet/Misc. $0.00
SHOP SUPPLIES $2.40
Charges $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $62.40
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 of merchantability or fitness for a particular 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!
IIIIIIIIIII III II IIIII NIII II�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 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))
5625 Clean E46 $62.40
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.
IN SUM OF
17249 Foundation Parkway
Westfield, IN 46074
$62.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 5625 43- 510.00 $62.40 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
APR 13 X009
j
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund