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HomeMy WebLinkAbout217071 02/13/2013 a CITY OF CARMEL, INDIANA VENDOR: 363018 Page 1 of 1 ONE CIVIC SQUARE CAMPBELL SALES&SERVICE CARMEL, INDIANA 46032 1332 S 8TH STREET CHECK AMOUNT: $65.00 NOBLESVILLE IN 46060 CHECK NUMBER: 217071 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 9924247 65 . 00 OTHER CONT SERVICES SERVICE ORDER BRIGG56sTRA1T09 CAMPBELLS SALES.&SIRVIC� 1332'S.8TH ST. NO. A 9924247 GENUINE DEALERS NOBLES.VILLF {N 48(180 USE GENUINE PARTS 317 773-6727 DATE IN DATE PROMISED NAME ;,J ENGINE MODEL NO. EQ P NT MA ACTURER ADDRESS TYPE OR SPEC NO. qEIPMZENTMODEL CITY/STATE/ZIP SERIAUCODE NO. NO DEALER TO PICKUP/DELIVER P PHONE-EVENING E I CUST NOTIFIED n DATE EMA L ADDRE DATE(rIME DATE OF PURCHASE SERVICE CHECKLIST AIR FILTER: PRESENT? CONDITION: CLEAN O DIRTY O DAMAGED O OVERALL MACHINE CONDITION: BLADE CONDITION: OIL LEVEL CONDITION: FRESH O USED O DARK O BURNT O rDIAGNOSE ELCONDITION: FRESH O STALED RANCIDO AGE: COOUNG FINS CONDITION: CLEAN C) DIRTYO CLOGGEDO PAIR AS NEEDED ❑ TUNE-UP: MINOR ❑ MAJOR ❑ CHECK COMPRESSION ❑ Ell_ &CALL WITH ESTIMATE ❑ CHANGE ENGINE OIL ❑ CHECK CARBURETION RRANTY INSPECTION ❑ SHARPEN-BLADE ❑ -SAFETY INTERLOCK ❑ • ❑ REPAIR STARTER ❑ CHECK IGNITION ❑, ❑ ❑ I Jill J. y Car 0"A^ -A V,- e.wt L U-v-I ip Q7 a W o. O ­t yA&- 1 G 0 ` - PARTS DESCRIPTION;' LABOR PICKUP/DELIVERY SHOP SUPPLIES/ ENVIRON.FEES GAS&OIL VV \ FREIGHT SUBTOTAL ' TAX TOTAL While the manufacturer may warrant the goods sold to the customer,we make no warranties,express or implied,includ- ing any Implied warranties of merchantability or fitness,with respect to such goods. Not responsible for loss or damage in case of fire,theft or any other cause beyond our control. I hereby authorize the above repair work to be done along with the TOTAL necessary material and hereby grant you and/or your employees permission to operate the unit as necessary for the purpose of testing .l FULLY UNDERSTAND THE PURPOSES OFT SAFETY DEVICES ON THIS EQUIPMENT AND SPECIFICALLY REQUEST THAT THEY and/or inspection.An express mechanic's lien is hereby acknowl- NOT BE REPAIR R RE CED,A UME RESPONSIBILITY FOR AND HOLD YOU HARMLESS FROM ANY INJURY TO edged on above unit to secure the amount of repairs thereto. ANYONE T RESULT OM. X X AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE PRINTED IN U.S.A. ©COPYRIGHT 2003 BRIGGS&STRATTON CORPORATION PART NO.273180-4/11 'rescribed by State Board of Accounts City Form No.201 (Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL %n 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)) 9924247 Repair Sta. 46 Chainsaw $65.00 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 Campbells Sales and Service IN SUM OF $ 1332 South 8th Street Noblesville, IN 46060 $65.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1120 I 9924247 I 43-509.00 I $65.00 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 FEB 1 1 2013 W44X-1111 1-.1/1017 11'17' Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund