HomeMy WebLinkAbout208256 04/25/2012 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: $1,721.89
WESTFIELD IN 46074 CHECK NUMBER: 208256
CHECK DATE: 4/2512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 14639 1,721.89 AUTO REPAIR MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317- 896 -5956
4/2/2012 8:10 PM page 1
Invoice 14639
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here
Vehicle 2003 KME FIRE ENGINE 45 FIRE TRUCK
VIN 1 K9AF42883N058675
Fleet 45
Created: 3/23/2012 10:15:27 AM Odometer In 0
Complete3 /30/2012 5:19:46 PM Odometer Out
Invoiced: 3/30/2012 5:19:46 PM
Contact BOB (664 -0958)
Qty Code /Tech Reference Description ConditionUnit Price Price
1 EA' GALVENIZED 2" PLUG New $4.29 $4.29
1 EA' FUEL TANK New $1,110.00 $1,110.00
2 EA' FUEL TANK STRAPS New $98.80 $197.60
1 EA' FREIGHT $125.00 $125.00
1 EA' PAINT SUPPLIES $25.00 $25.00
EA' RUBBER COAT AND PAINT FUEL TANK $80.00
EA' R R FUEL TANK $160.00
Labor........................ $240.00
Parts. ......................$1,436.89
Sublet/Misc. $0.00
SHOPSUPPLIES I......................... $20.00
Charges........................ $25.00
Sales Tax Tax Exempt 0031201550020 $0.00
Total Due $1,721.89
Tech Certification
EA
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
IIII I IIII II I 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))
14639 E45 $1,721.89
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
$1,721.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 14639 I 43- 510.00 I $1,721.89 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund