213603 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00352025 Page 1 of 1
ONE CIVIC SQUARE P F M CAR&TRUCK CARE CENTER
' CARMEL, INDIANA 46032 4902 W 106TH ST CHECK AMOUNT: $523.45
ZIONSVILLE IN 46077 CHECK NUMBER: 213603
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 5005156 523 .45 AUTO REPAIR & MAINTEN
Carmel- 1441 S Guilford Rd,Carmel,IN 46032 317-571-8777
Car&Truck Care Center Castleton-9501 Corporation Dr,Indianapolis,IN 46256 317-577-7777
Truck&Car Care Center South-1402 W Hanna Ave, Indianapolis,IN 46217 317-784-7777
i � Mitsubishi Fuso Zionsville-4900 W 10611 St,Zionsville, IN 46077 317-733-7777
PFMAutomotive.com OnSite Services PLEASE REMIT TO: 4902 W 1061h St.Zionsville.IN 46077-317-733-3977
FAST FRIENDLY QUALITY SERVICE AT A FAIR PRICE
Customer: CARMEL CLAY FIRE DEPARTMENT Vehicle: 20 M0131 Command unit Invoice# 5005156
Address: 2 CIVIC SQUARE Unit#: 8519 I IIIIIIII III VIII VIII Iilll VIII VIII 11111 1111 IN
City: CARMEL,IN 46032- VIN: 4UZAASBVX4CM98519 Date:9/26/2012 Page 1 of 1
Phone 1 ( ) 571-2600 LicP: 70609 Engine: Orig Est#: Center: 1
Phone 2 : ( ) 664-0958 Trans: Mileage: 3774 PO#:COMMAND
Qty Part Description List Disc Price Net Reason for Replacement Price
Tech Job Description Labor Parts Subtotal
Service Requests:
SERVICE CALL
1. PERFORM PM SERVICE ON COMMAND UNIT
SEE BOB-664-0958
1000 SERVICE CALL 45.00 45.00
5005 PERFORMED PM SERVICE LUBED CHASSE, ALL U-JOINTS AND BRAKE CHAMBERS, TOPPED OFF 299.91 139.77 439.68
ALL FLUIDS AS NEEDED AND REMOVED AND
6.00 15W40 GAL 17.55 14.87 89.22
1.00 FUEL FILTER 40.44 34.27 34.27
1.00 OIL FILTER 15.52 13.15 13.15
1.00 GREASE 3.69 3.13 3.13
--------------------
Payments:
(On Account), $523.45, on 09/26/12
SCHLD SEVICES OK COOLING SYS OK ✓ LIGHTING OK
✓ MAINTENANCE OR ✓ CHARGING SYS OK ✓ STEERING OK
✓ A/C & HEATING OK ✓ DRIVE TRAIN OK ✓ SUSPENSION OK
✓ BATTERY OK ✓ EMISSIONS OK ✓ TIRES OK
✓ BELTS & HOSES OK ✓ EXHAUST OK ✓ TRANSMISSION OK
✓ BRAKES OK ✓ FLUIDS OK ✓ DOT OK
I hereby authorize the repair work to be done along with the necessary parts
Labor: $344.91
and materials and hereby grant you and/or your employees permission to operate
Parts: $139.77
the vehicle herein described on streets,highways or elsewhere,at your des- Sublet: $0.00
cretion,for the purpose of testing and/or inspection. An express mechanics
Other Fees: $0.00
lien is hereby acknowledged on the above vehicle to secure the amount of re-
supply Charges: $38.77
pairs thereto.I understand that dealer/owner is not responsible for delays
Subtotal: $523.45
consequences.Not responsible for damage or articles left in car in case of
Sales Tax: $0.00
fire,theft or any other cause beyond our control.A 2%service charge will be
added to the monthly account balance with a storage charge of$5.00 a day for
Total: $523.45
vehicles left beyond 21 days.Any warranty must be performed by us or with
our prior approval.Warranty is limited to the original invoice amount.
Paid: $0.00
Due: $523.45
Signature X
VOUCHER NO. WARRANT NO.
ALLOWED 20
PFM Automotive
1441 S. Guilford Road IN SUM OF $
Carmel, IN 46032
$523.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 5005156 I 43-510.00 I $523.45 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
Wednesday, October 03, 2012
Chief of Police
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 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))
09/26/12 5005156 service/Command vehicle $523.45
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