170363 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK 1£ AUTO INC
CARMEL, INDIANA 46032 17249 FOUNDATION PARKWAY CHECK AMOUNT: $62.40
WESTFIELD IN 46074
CHECK NUMBER: 170363
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE N UMBE R AMOUNT DESCRIPTION
~:1120 4351000 5671 62.40 AUTO REPAIR MAINTEN
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CUSTOM TRUCK AND AUTO, INC
17249 FOUNDATION PARKWAY
WESTFIELD IN 46074
317- 896 -5956
3/24/2009 11:39 AM page 1
I nvoice 5671
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle :2002 FIRE TRUCK ENGINE 41 KME CUMMINS ISM 380
VIN 1K9AF42822NO58489 Color Red -White
Fleet :0474
Created 3/23/2009 10:37:29 AM Odometer In 50545
Complete 3/24/2009 11:39:26 AM Odometer Out: 50545
Invoiced :3/24/2009 11:39:26 AM
Contact BOB (664 -0958)
Qty Code/Tech` Reference Description Condition Unit Price Price
DM' GENERAL USE LABOR $60.00
WASH ENGINE CO MPARTMENT AND UNDER SIDE OF TRUCK
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
Tech Certification
DM JS91R2PE9MOFFI
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!
II II II I I III III II III
escribed 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))
5671 Clean E41 $62.40
1 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
VOU CHER NO, WARRA NO.
ALLOWED 20
Cusfom 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 5671 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
LIAR 3 0 2005
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund