206588 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