HomeMy WebLinkAbout215874 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC
CHECK AMOUNT: $211.36
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 215874
CHECK DATE: 12/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 16859 211 . 36 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
12/4/2012 12:09 PM page 1
Invoice# 16859
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2003 International 4300 LP (Low Profile) 7.6 Tag/State : 64533/ IN
VIN- : 3HTMNAALX3N585816 Color- - : Red
Fleet# : A45
Created: 11/13/2012 11:30:57 AM Odometer In 133171
Complete 11/13/2012 11:31:54 AM Odometer Out33171
Invoiced: 11/26/2012 8:55:21 AM
Contact : BOB (664-0958)
Qty Code/Tech*Reference Description ConditionUnit Price Price
RM* HEAVY DUTY TIREINSTALL $160.00
REPLACE FRONT TIRES UPON CUSTOMER REQUEST.
CUSTOMER PROVIDED THE TIRES NEEDED FOR THIS JOB.
2 RM* LARGE TIRE DISPOSAL $12.00 $24.00
2 RM* WHEEL BALANCER $10.00 $20.00
INSIDE BALANCER COMPOUND.
Labor ....................................................... $160.00
Parts ....................................................... $20.00
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $7.36
Charges ....................................................... $24.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $211.36
Tech Certification#
RM
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!
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V
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck &Auto, Inc.
IN SUM OF $
17134 Westfield Park Road
Westfield, IN 46074
$211.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 16859 I 43-510.00 I $211.36 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
rescribed by State Board of Accounts City Form No 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
✓hom, 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))
16859 A45 $211.36
I 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