210322 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC
O 16389 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $183.34
CARMEL, INDIANA 46032
CHICAGO IL 60693 CHECK NUMBER: 210322
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 1814595 183.34 TRANSPORTATION EXPENS
Dickinson Fleet Services, LLC Invoice #1814595
16389 COLLECTIONS CENTER DRIVE Date 6/7/12
CHICAGO, IL 60693 Page 1
Phone: 317.872.4542 Fax: 317.872.7624
Center 1
INDIANAPOLIS, IN 317 -872 -4542 P.O.# :JEFF COOPER
Customer: CITY OF CARMEL WASTE WATER Vehicle 1992 VOLV VNL
Address 760 THIRD AVE SW Unit 10
City CARMEL, IN 46032- VIN 4V2JCBJF8NR816190
Phone 1 317) 716 -5882 Ext Engine Trans
Phone 2 317) Ext Mileage 214707
Op Tech Description Labor Parts Subtotal
Quan Part. Number par +..Das .riptic,a !?e scr; ;e:' Rrp!ac• meat Prir.e
023000 1411 CHECK CLUTCH OPERATION 178.00 178.00
PULLED UNIT IN AND CHECKED OUT CLUTCH ADJUSTMENT,FOUND 110 FREE PLAY AND
SLIPPING.TRY TI INTERNALLY ADJ.AND FOUND FROZE UP.REMOVE ADJUSTER AND SOAK
W /PEN.OIL.SHOCK CLUTCH AND FEW TIMES UNTIL ADJUSTER RING BROKE FREE.CLEANED
UP AND INSTALLED ADJUSTER AND SET TO 2 IN. FREE TRAVEL, 1/2 IN TO THROW CURT
TO BRAKE.LOCK DOWN AND RECHECKED OPERATION.CLUTCH SEEMS TO PULL GOOD AND
HAD NO SLIP.CALLED AND ADVISED CUSTOMER TO TAKE AND USE THEN ADVISE ON HOW IT
RUNS OUT.
OK—Cad Recorrtvnc ^actin:; —OK—Bad .,,,,,,..:n;, ndazUon— -01<—Cad
PAYMENT TERMS: NET30 REMIT: 16389 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693 Labor: $178.00
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE REPAIRS TO THE VEHICLE ON THIS Parts: $0.00
INVOICE AND THE REPAIRS MEET THE CUSTOMERS REQUIREMENTS AND EXPECTATIONS. Sublet: $0.00
CU3T0116R FUIiT.Ii£i`:'IiGRF:F, TO PAY' THE INNOICE IN FULL, AS SHOWN, WITHOUT Other Fees $0.00
DEDUCTION OR SET OFF. ANY WARRANTIES ON THE PARTS AND ACCESSORIES SOLD HEREBY Mis /Fuel /EPA $5.34
ARE MADE BY THE MANUFACTURER. DICKINSON FLEET SERVICES, LLC MAKES NO Subtotal: $183.34
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AND DISCLAIMS ALL WARRANTIES OF Sales Tax: $0.00
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, WITH REGARDS TO THE
SERVICE, PARTS, LABOR, AND /OR ACCESSORIES PURCHASED AND THAT IN NO EVENT SHALL Paid By Total 183.34
DICKINSON FLEET SERVICES, LLC BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL On Account
DAMAGES OR COMMERCIAL LOSS ARISING OUT OF SUCH PURCHASES. Pay Ref: Paid $0.00 Due: $183.34
X
VOUCHER 125172 WARRANT ALLOWED
350431 IN SUM OF
DICKINSON FLEET SERVICE, LLC
.4�treet /63�
C�� /C 4�0
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
1814595 01- 7502 -06 $183.34
Voucher Total $183.34
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350431
DICKINSON FLEET SERVICE, LLC Purchase Order No.
4709 West 96th Street Terms
Indianapolis, IN 46268 Due Date 6/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/21/2012 1814595 $183.34
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer