180472 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CARMEL, INDIANA 46032 170 CHERRY AVE CHECK AMOUNT: $166.39
WEST SAYVILLE NY 11796 -1221 CHECK NUMBER: 180472
CHECK DATE: 12/16/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 88740 166.39 OTHER CONT SERVICES
K� INVOICE 88740
ELECTRONICS CO., INC.
170 CHERRY AVENUE WEST SAYVILLE, NY 11796 -1221 USA, Page Date
TEIL: 631- 567 -0314, FAX: 631 567 -5826, www.kussmaul. com, sales@kussmaul.com 1 12/02/09
Sold to: Ship to:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
ACCOUNT NO CUSTOMERORDERNd, ......:.SALESPERSON, TERMS SALESbRDER
CAR033 R45 MICHAEL F GUZMAN NET 30 DAYS 253987
ORDER`:DATE. B. POINT SHIPPED YIA DATESHIPPED `NO. PACKAGES
12/02/09 W.SAYVILLE FEDEX GROUND RESID. 12/02/09 1
QTYORI7EREb PARTN:Ij4M68 SCRTP'1"ION SERIAL :NO UNIT :PRICE NPTPRICE,.: Atv10UNT;
1 REPAIR OF 091 -74 -12 .00 145.00 145.00
S /N:129, REPAIR #:AC 23445
SHIPPING TRACKING
023887510154116
PLEASE WRITE INVOICE NUMBER ON ALL PAYMENTS SUBTOTAL 145.00
NO RETURNS ON C.O.D. SHIPMENTS OR ANY SHIPMENTS UNDER $50.00 SHIPPING HANDLING 21.39
ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE TAX 00
ABSOLUTELY NO RETURNS AFTER 30 DAYS T
ALL PAYMENTS IN U.S. DOLLARS ORIGINAL 1NVOI!CE TOTA
®j A
$166.39
PLEASE PAY THIS AMOUNT-----
HOME OF THE A UTO CHARGE A UTO EJECT AIR EJECT A UTO PUMP
REPAIR uRFR
1
KUSSIMAUL ELECTRONICS i
170 CHERRY AVE. REPAIR ORDER AC 23445
WEST SAYVILLE, NEW YORK 11796 DATE 12/1/2009
631- 567 -0314 800 -346 -0857 EQUIPMENT AC -D2
CUSTOh1ER CARMEL FIRE DEPT. SERIAL 012
PROJECT# 091 -74
ADDRESS: SALES ORDER
CUST ACCT 33
Pros f
tviF /DATE 11/99
PHnNFtt
CUSTO CALLBAC Il AUTHORIZED BY RGA
CUSTOMER COMPLAINT REPAIR
PHYSICAL INSPECTION CUT LINE CORD
FIRST ELECTRICAL TEST NO OUTPUT
CAUSE OF FAILUR C1 -3
REPAIR ACTION MALE.
1 RFPI_ACED C1,2,3,12 AND 017
2. REPLACED LINE CORD
ALIGNMENT AND CALIBRATION IS PERFORMED ON ALL UNITS AFTER REPAIR IS COMPLETE
QTY EART# UNIT EXT TECHNICIAN PETER PARRILLO
3 220 OF CAP R/C HOURS
4 1 OF TAN CAP
1 LINE CORD MATERI COST
STANDARD REPAIR
COST
B TOTAL
S HIPPIN G
S ALES TAX
MATERIAL TOTAL ITOTAL COST SEE INVOICE
WARRANTY ALL MATERIALS AND LABOR ON THIS REPAIR ORDER ARE GUARANTEED FOR A PERIOD OF 90
DAYS AFTER RETURN OF EQUIPMENT TO CUSTOMER OR ORIGINAL WARRANTY DATE EXPIRES. THE EQUIPMENT IS
TESTED UPON THE COMPLETION OF ALL REPAIRS. KUSSMAUL ELECTRONICS COMPANY IS NOT LIABLE FOR THE
SUBSEQUENT FAILURE OF ANY PARTS NOT LISTED ON THIS ORDER OR FOR DAMAGE THAT MAY RESULT WHEN
THE EQUIPMENT IS INSTALLED.
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))
88740 $166.39
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
VOU,;C HER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF
170 Cherry Avenue
West Sayville, NY 11796
$166.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 88740 43- 509.00 $166.39 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
DEC 14 2004
i
f
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund