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Home My WebLink About206588 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 009987 Page 1 of 1 f ONE CIVIC SQUARE ALTEC INDUSTRIES, INC CHECK AMOUNT: $1,775.42 CARMEL, INDIANA 46032 DRAWER 0414 PO BOX 11407 CHECK NUMBER: 206588 BIRMINGHAM AL 35246 -0414 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 4957137 1,775.42 AUTO REPAIR MAINTEN Page: 1 of 3 SERVICE INVOICE a Please Remit To: Invoice Number Invoice Date Altec Industries, Inc. Altec Industries, Inc. 4957137 21- FEB -12 5201 West 84th Street PO Box 11407 Indianapolis IN 46268 BIRMINGHAM AL 35246-0414 Request No. Request Date United States United States 1733600 13- FEB -12 Terms Sale Order No. (877) 462 -5832 NET 30 2204976 S CARMEL STREET S CARMEL STREET 0 3400 W 131 ST ST H ALTEC INDIANA SVC CTR L WESTFIELD IN 46074 1 5201 W 84TH ST T United States T INDIANAPOLIS IN 46268 O 0 United States Customer No. 11491 Site No. 230470 Site No. 250876 Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No. 027 2163219 400 JEFF STEWART 317 417 5053 In Service Date Device Serial No. Model Technician Odometer 26 FEB 04 0104CV2665 LRV58 Martin, Benjamin K. 38834 VIN Garage Lic. Plate No. Driver Eng. Meter Reading 1 HTMMAAN95H678103 3617 PTO Hours Credit /Fleet Card Information Crew No. VMS Note UP Note 751.7 Quantity UOM Part Number Description Price Extended Price Charge 1 EA 027203009- END FITTING;STRAIGHT; -8 FEMALE SWIV $8.63 8.63 8.63 1 EA 035330007- HYD. SPIN ON FILTER ELEMENT;RETURN $15.56 15.56 15.56 1 EA 035610001- FILLER BREATHER;;;;;;; 8.00 IN;;;; $56.10 56.10 56.10 1 EA 040050001- GREASE ZERK;STRAIGHT;.19 IN OD;;;;; $0.56 0.56 0.56 1 EA 067000454- PLACARD;N /A;INFORMATION;ALTEC LARGE $7.50 7.50 7.50 1 EA 067001123- PLACARD; ENGLISH;SAFETY;WARNING, NOT $3.90 3.90 3.90 1 EA 067040177- PLACARD; ENGLISH;SAFETY, DANGER;ELEC $2.25 2.25 2.25 1 EA 870060665- DECAL; ENGLISH;WARNING;HAZARD /ELECTR $4.69 4.69 4.69 2 GAL 878990745- HYDRAULIC OIL;FAMILY,MEGAFLOW AW HV $11.96 23.92 2.3.92 1 EA 705500137- HAZMAT -AIR OK;;;CLEANER;SPRAY CAN; $10.31 10.31 10.31 1 EA 705500144- LITHIUM GREASE;SPRAY CAN;;;;;;WHITE $12.00 12.00 12.00 1 EA 970100835- PLACARD; ENGLISH; INFORMATION; SERVICE $3.00 3.00 3.00 10.25 HRS 970024594- LABOR;SVC;SID;PLT $87.00 891.75 891.75 1 EA 970256469- PM INSPECTION; 1 YEAR INTERVAL;LARGE $450.00 450.00 450.00 1� EA 970256998- DIELECTRIC TEST; CAT B /C; BOOM LI $150.00 150.00 150.00 970000619- FREIGHT; 26.25 26.25 Sub Total $1,775.42 State Tax County Tax City Tax Total Tax $0.00 Total Invoice $1,775.42 r Page: 2 of 3 SERVICE INVOICE Please Remit To: Invoice Number Invoice Date Altec Industries, Inc. Altec Industries, Inc. 4957137 21- FEB -12_ 5201 West 84th Street PO Box 11407 Indianapolis IN 46268 BIRMINGHAM AL 35246-0414 Request No. Request Date United States United States 1733600 13- FEB -12 Terms Sale Order No. (877) 462 -5832 NET 30 2204976 S CARMEL STREET S CARMEL STREET 0 3400 W 131 ST ST H ALTEC INDIANA SVC CTR L WESTFIELD IN 46074 1 5201 W 84TH ST T United States T INDIANAPOLIS IN 46268 O 0 United States Customer No. 11491 Site No. 230470 Site No. 250876 Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No. 027 2163219 400 JEFF STEWART 317- 417 -5053 In Service Date Device Serial No. Model Technician Odometer 26 FEB 04 0104CV2665 LRV58 Martin, Benjamin K. 38834 VIN Garage Lic. Plate No. Driver Eng. Meter Reading 1 HTMMAAN95H678103 3617 PTO Hours Credit /Fleet Card Information Crew No. VMS Note UP Note 751.7 Quantity UOM Part Number Description Price Extended Price Charge 970032952- CHARGE;SVC;EDF /SHOP SUPPLIES 109.00 109.00 Call Reason: 1. PERFORM PM INSPECTION A. LIST ALL ITEMS NEEDING REPAIRED 2. PERFORM DIELECTRIC TEST 3. TEST ALL REPAIRS 4. PRESSURE WASH S. CHECK CSN'S AND PSM'S Cause: CUSTOMER REQUEST Correction: PM INSPECTION; I YEAR INTERVAL;LARGE AERIAL DIELECTRIC TEST; CAT B /C; BOOM LINER ISO GRIP (WHEN APPLICABLE) (PRICE DICOUNTED, DONE W /PM) TROUBLESHOOT LEAK AT LOWER CONTROLS (OPEN FOR CAUSE AND CORRECTION) REPAIR HOSE COVERING AT LOWER BOOM TO PEDESTAL REPAIR DAMAGED GELCOAT ON LOWER BOOM INSERT RESECURE HOSES IN LOWER BOOM Sub Total $1,775.42 State Tax County Tax City Tax Total Tax $0.00 Total Invoice $1,775.42 Page: 3 of 3 SERVICE INVOICE Please Remit TO: Invoice Number Invoice Date Altec Industries, Inc. Altec Industries, Inc. 4957137 21- FEB -12 5201 West 84th Street PO Box 11407 Indianapolis IN 46268 BIRMINGHAM AL 35246 -0414 Request No. Request Date United States United States 1733600 13- FEB -12 Terms Sale Order No. (877) 462 -5832 NET 30 2204976 S CARMEL STREET S CARMEL STREET 0 3400 W 131 ST ST H ALTEC INDIANA SVC CTR L WESTFIELD IN 46074 1 5201 W 84TH ST T T United States T INDIANAPOLIS IN 46268 0 United States Customer No. 11491 Site No. 230470 Site No. 250876 Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No. 027 2163219 400 JEFF STEWART 317 -417 -5053 In Service Date Device Serial No. Model Technician Odometer 26- FEB -04 0104CV2665 LRV58 Martin, Benjamin K. 38834 VIN Garage Lic. Plate No. Driver Eng. Meter Reading 1 HTMMAAN95H678103 3617 PTO Hours Credit /Fleet Card Information Crew No. VMS Note UP Note 751.7 Quantity UOM Part Number Description Price Extended Price Charge REPLACE MISSING GREASE FITTING ON LOWER HINGE NEAR TOOL BOX DOOR ON STREETSIDE OF UNIT TROUBLESHOOT LEAK AT UPPER CONTROLS (OPEN FOR CAUSE AND CORRECTION) REPLACE BLISTERED HOSES THROUGH UPPER AND LOWER BOOMS TO PLATFORM REMOVE DEBRIS FROM BOOM TIP AND CHAIN/SPROCKET_ TROUBLESHOOT LEAK AT UPPER BOOM TOP CYLINDER (OPEN FOR CAUSE AND CORRECTION) REPLACE ILLEGIBLE PLACARDS AT BOOM TIP AND OUTRIGGERS 13EPLACE MISSING DOOR BUMPER ON DUMP BEND CURBSIDE DOOR PERFORM CSN- LR -200A- Pedestal Weld Inspection (WARRANTY) PERFORM PSM 519A -LRV Lower Leveling Anchor (WARRANTY) PRESSURE WASHED TRUCK Sub Total $1,775.42 State Tax County Tax City Tax Total Tax $0.00 Total Invoice $1,775.42 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)) 02/21/12 4957137 $1,775.42 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 N WAR NO. ALLOWED 20 Altec Industries, Inc. IN SUM OF P. O. Box 11407 Birmingham, AL 35246 -0414 $1,7 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member; 2201 4957137 43- 510.00 $1,775.42 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 Thur day, F m�ary 23, 201 Street CommisstoAr Title Cost distribution ledger classification if claim paid motor vehicle highway fund