HomeMy WebLinkAbout206200 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK AUTO INC
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK AMOUNT: $911.06
'r WESTFIELD IN 46074
CHECK NUMBER: 206200
CHECK DATE: 2/1412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 14087 911.06 AUTO REPAIR MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317 896 -5956
2/2/2012 12:26 PM page 1
Invoice 14087
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle 2003 INTERNATIONAL 4300 AMBULANCE Tag /State 64533 IN
VIN 3HTMNAALX3N585816 Color Red
Fleet R45
Created: 1/18/2012 11:53:49 AM Odometer In 0
Complete 1 /23/2012 11:50:13 AM Odometer Out
Invoiced: 1/23/2012 11:50:13 AM
Contact BOB (664 -0958)
Qty Code /Tech Reference Description ConditionUnit Price Price
SW' REPLACE RING GEAR ON FLY WHEEL $496.00
4.75 SW` SYN TRANS FLUID $54.55 S259.11
1 SW' RING GEAR $131.39 $131.39
1 SW' SEAL S4.56 S4.56
Labor........................ $496.00
Parts........................ $395.06
Sublet/Misc. $0.00
SHOP SUPPLIES $20.00
Charges........................ $0.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $911.06
Tech Certification
SW IQ7GR9TN7SEDW1
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!
I
II I III I I I I II I IIII II II
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))
14087 R45 $911.06
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck Auto, Inc.
IN SUM OF
17134 Westfield Park Road
Westfield, IN 46074
$911.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
1120 I 14087 I 43- 510.00 I $911.06 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
FEB 13 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund