HomeMy WebLinkAbout217538 02/26/2013 a CITY OF CARMEL, INDIANA VENDOR: 009987 Page 1 of 1
i ONE CIVIC SQUARE ALTEC INDUSTRIES,INC
CARMEL, INDIANA 46032 DRAWER 0414 CHECK AMOUNT: $1,028.02
.o� PO BOX 11407 CHECK NUMBER: 217538
BIRMINGHAM AL 35246-0414
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 5022331 1, 028 . 02 AUTO REPAIR & MAINTEN
Page 1 of 2
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Please Remit To: SERVICE.INVOICE
k, t
Altec Industries, Inc. Invoice Number Invoice Date
Altec Industries, Inc. PO Box 11407
5022331 08-FEB-13
5201 West 84th Street
BIRMINGHAM AL 35246-0414 Request No. Request Date
Indianapolis IN 46268
(877)462-5832 1851038 01-FEB-13
Terms Sale Order No.
NET 30 2512338
S S JEFF STEWART
O CARMEL STREET H CARMEL STREET
L 3400 W 131ST ST I ALTEC INDIANA SERVICE CENTER
D WESTFIELD IN 46074 p 5201 W 84TH ST
T T INDIANAPOLIS IN 46268
O O
Customer No. 11491 _ Site No. 2_30470 _-----[_Site No.250876__
Customer Order No. Assembly No. Customer Vehicle No Contact Name Contact Phone No.
027-2163219 400 JEFF STEWART 317-733-2001
In Service Date Device Serial No. Model Technician Odometer
26-FEB-04 0104CV2665 LRV58 Britt, Douglas W 44131
VIN Garage Lic. Plate No. Driver Eng. Meter Reading
1 HTMMAAN95H678103 65633 IN 4109
PTO Hours Credit/Fleet Card Information Crew No. VMS Note UP Note
878
Quantity UOM Part Number Description Price Extended Price Charge
1 EA 004130002- FILLER;;;GELCOAT KIT;;AEROSIL 200 $11.43 $11.43 S11.43
1 EA 035330007- HYD.SPIN ON FILTER ELEMENT;RETURN ELE $16.18 $16.18 $16.18
1 EA 035610001- FILLER BREATHER;;;;;;;8.00 IN;;;; $58.34 $58.34 $58.34
1 EA 009900018- "'HAZMAT-AIR OK"`LUBRICANT;12 OZ;;CHAIN $13.80 $13.80 $ 13.80
1 EA 009900025- CHASSIS GREASE;14 OZ;;MOLY;;;;MULTI-PURP $7.28 $7.28 $7.28
1 EA 004110006- "`HAZMAT-NO AIR"'RESIN;1 PT;;GELCOAT KI $24.43 $24.43 $24.43
1 EA 004120004- ""HAZMAT-NO AIR'''CATALYST;2 OZ;;GELCOA $10.85 $10.85 $10.85
1 EA 004150005- CUP DISPENSER;;;MEASURING $1.21 $1.21 S 1.21
1 EA 970100835- PLACARD;ENGLISH;INFORMATION;SERVICE T $3.00 $3.00 $3.00
2 EA 970237451- ABRASIVE POWER TOOL;3M 236U CLEAN SAN $2.25 $4.50 $4.50
-2- -EA "970237494• ABRASIVE POD^!ER T OOL;3M 2360 CLEAN SAN $2.25 $4.50 S 4-50
2.5 HRS 970024594- Labor;SVC;SID;PLT $89.00 $222.50 $222.50
1 EA 970256469- PM INSPECTION;1 YEAR INTERVAL;LARGE AE $475.00 $475.00 $475.00
1 EA 970256998- DIELECTRIC TEST;CAT B/C; BOOM&LINER&1 $150.00 $150.00 $150.00
970032952- Charge;SVC;EDF/SHOP SUPPLIES $25.00 $25.00
Call Reason:
1. PERFORM PM INSPECTON
A.LIST ALL ITEMS NEEDING REPAIRED
2. PERFORM DIELECTRIC TEST
Sub Total $1,028.02
State Tax 7.00% $0.00
County Tax .00% $.00
City Tax .00% $.00
Total Tax $0
Total Invoice $1,028.02
Pa e2of2
I
Please Remit To: �=-,:SERVICE INVOICE
Altec Industries, Inc. Invoice Number Invoice Date
Altec Industries, Inc. PO Box 11407 5022331 08-FEB-13
5201 West 84th Street BIRMINGHAM AL 35246-0414
Indianapolis IN 46268 Request No. Request Date
1851038 01-FEB-13
(877)462-5832
Terms Sale Order No.
NET 30 2512338
S S JEFF STEWART
O CARMEL STREET H CARMEL STREET
L 3400 W 131ST ST I ALTEC INDIANA SERVICE CENTER
D WESTFIELD IN 46074 p 5201 W 84TH ST
T T INDIANAPOLIS IN 46268
O O
Customer No. 11491 Site No. 230470 Site No.250876
Customer Order No. Assembly No. Customer Vehicle No. Contact Name Contact Phone No.
- 027-2163219 400 JEFF STEWART 317-733-2601
In Service Date Device Serial No. Model Technician Odometer
26-FEB-04 0104CV2665 LRV58 Britt, Douglas W 44131
VIN Garage Lic. Plate No. Driver Eng.Meter Reading
1 HTMMAAN95H678103 65633 IN 4109
PTO Hours Credit/Fleet Card Information Crew No. VMS Note UP Note
878
Quantity UOM Part Number Description Price Extended Price Charge
3. TEST ALL REPAIRS
4. PRESSURE WASH
Cause:
CUSTOMER REQUEST
Correction:
1 PERFORM PM INSECTION
2 PERFORM DIELECTRIC TEST
3 GEL COAT REPAIR ON PLATFORM DUE TO
DAMAGE
4 LEAK AT LOWER CONTROL VALVE, LOOKS
TO BE A LOOSE FITTING(OPEN FOR CAUSE
AND CORRECTION)
5 EDF/SHOP SUPPLIES
Sub Total $1,028.02
State Tax 7.00% $0.00
County Tax .00% $.00
City Tax .00% $.00
Total Tax $0
Total Invoice $1,028.02
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))
02/08/13 5022331 $1,028.02
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
Altec Industries, Inc.
IN SUM OF $
P. O. Box 11407
Birmingham, AL 35246-0414
$1,028.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 5022331 I 43-510.00 $1,028.02 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
Oct" T rsd , ebruary 21, 2013
Street Co sioner
Rtme
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund