HomeMy WebLinkAbout216380 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
0 ` ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC CHECK AMOUNT: $1,497.68
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 216380
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 17113 1,497 . 68 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
1/4/2013 12:51 PM page 1
Invoice# 17113
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 1996 ENGINE 46 FIRETRUCK
VIN : 1 K9AF4287VN058492 Color : Red
Fleet# : 46
Created: 12/17/2012 8:31:32 AM Odometer In 99490
Complete12/18/2012 4:17:07 PM Odometer OuI9490
Invoiced: 12/18/2012 4:17:07 PM
Contact : BOB (664-0958)
Qty Code/Tech'Reference Description ConditionUnit Price Price
66 JUW' Hose-By-Pass $11.48 $757.68
JUW` R&R OF ALL HEATER HOSES $720.00
Labor ....................................................... $720.00
Parts $850.08 less discount : $92.40 $757.68
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $20.00
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $1 ,497.68
Tech Certification#
JUW
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!
II II I I III illlllllllllllllliililll
'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
vhom, 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))
17113 E46 Repair $1,497.68
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
$1,497.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1120 I 17113 I 43-510.00 I $1,497.68 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
IAN -0- A 7013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund