212971 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC
) CHECK AMOUNT: $2,232.94
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 212971
CHECK DATE: 9/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 15893 136 . 69 AUTO REPAIR & MAINTEN
1120 4351000 16011 2, 096 . 25 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
9/4/2012 3:29 PM page 1
Invoice# 15893
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2003 INTERNATIONAL 4300 AMBULANCE Tag/State : 64533/ IN
VIN : 3HTMNAALX3N585816 Color : Red
Fleet# : A45
Created: 8/6/2012 3:52:59 PM Odometer In 130158
Complete8/8/2012 1:23:02 PM Odometer Out30158
Invoiced: 8/8/2012 1:23:02 PM
Contact : BOB (664-0958)
Qty Code/Tech`Reference Description ConditionUnit Price Price
CB` AC DIAGNOSIS, ELECTRICAL $40.00
BAD BINARY SWITCH NOT ALLOWING A/C COMPRESSOR OPERATION AT REAR UNIT.
REPLACED BINARY SWITCH.
1 CB` SWITCH, PRESS, BINARY 3/8-24MP New $6.50 $6.50
CB` EVACUATE,CHARGE&PERFORMANCE $80.00
PERFORMANCE RESULTS: 15/175 AT 83 DEGREES
1.8 CB' REFRIGERANT R134a, New $4.55 $8.19
Labor ....................................................... $120.00
Parts $62.10 less discount : $47.41 $14.69
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $2.00
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $136.69
Tech Certification#
CB
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!
VIII IIIIIIIII II
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
9/4/2012 3:30 PM page 1
Invoice # 16011
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
- Vehicle : 2003 American LaFrance LADDER
VIN : 4Z3HAAA843RK92637
Fleet# : E42
Created: 8/16/2012 8:29:26 AM Odometer In 66837
Complete8/30/2012 4:41:53 PM Odometer Ou16837
Invoiced: 8/30/2012 4:41:53 PM
Contact : BOB (664-0958)
Qty Code/Tech`Reference Description ConditionUnit Price Price
1 LC" SHIPPING New $200.00 $200.00
1 LC' TURBO New $1,676.25 $1,676.25
LC" GENERAL USE LABOR $200.00
BROUGHT TRUCK IN WITH BAD TURBO
REPLACED TURBO AND RAN TRUCK CHECKED FOR OIL LEAKS ON OIL SUPPLY AND RETURN
LINES OFF THE TURBO
Labor ....................................................... $200.00
Parts ......................................................$1,876.25
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $20.00
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $2,096.25
Tech Certification#
LC
Recommended Service
Service/Notes Due Interval
SERVICE REAR DIFFERENTIAL on 3/5/2012 (Every 100000 miles)
SERVICE DIFFERENTIAL
ROTATE TIRES on 3/5/2012 (Every 8000 miles)
ROTATE TIRES
FUEL SYSTEM SERVICE on 3/5/2012 (Every 30000 miles)
FUEL SYSTEM SERVICE
COMPLETE LUBE, OIL AND FILTER SERVICE on 3/5/2012 (Every 3000 miles)
ENGINE OIL SYSTEM CLEANING on 3/5/2012 (Every 60000 miles or 12 months)
FUEL FILTER SERVICE on 3/5/2012 (Every 30000 miles)
REMOVE OLD FUEL FILTER AND INSTALL NEW FUEL FILTER
TRANSMISSION FLUSH-AUTO on 3/5/2012 (Every 60000 miles)
COMPLETE TRANSMISSION SERVICE
ROTATE AND BALANCE TIRES on 3/5/2012 (Every 8000 miles)
ROTATE AND BALANCE TIRES
COOLANT FLUSH on 3/5/2012 (Every 60000 miles)
FLUSH COOLANT SYSTEM
IIII I III III II I II
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
9/4/2012 3:30 PM page 2
Invoice # 16011
Vehicle : 2003 American LaFrance LADDER
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_T_IME OF-REPAIRS UNLESS-OTHER-ARRANGEMENTS
HAVE BEEN MADE WITH MANAGEMENT.
THANK YOU FOR YOUR BUSINESS!
IIII I III III II I II
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck & Auto, Inc.
IN SUM OF $
17134 Westfield Park Road
Westfield, IN 46074
$2,232.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1120 16011 43-510.00 $2,096.25 1 hereby certify that the attached invoice(s), or
1120 15893 43-510.00 $136.69 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
SEP 2 4 2092
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 properiy 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))
16011 E42 $2,096.25
15893 A45 $136.69
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