221943 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD CHECK AMOUNT: $2,009.96
.�` WESTFIELD IN 46074 CHECK NUMBER: 221943
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 19079 793 . 84 AUTO REPAIR & MAINTEN
1120 4351000 19153 1, 216 . 12 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
7/1/2013 1:20 PM page 1
Invoice#19153
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 1996 FIRE TRUCK ENGINE 43 CUMMINS M11
VIN : 1K9AF4285VN058491 Color : Red-White
Fleet# 143
Created : 6/17/2013 1:46:08 PM Odometer In : 0
Complete 6/24/2013 11:11:15 AM Odometer Out : 0
Invoiced : 6/24/2013 11:11:15 AM
Contact : BOB (664-0958)
Sry Writer: DM
Qty Code/Tech* Reference Description Condition Unit Price Price
JUW* REFRIGERANT LEAK TEST $120.00
SYSTEM WAS LOW AND FOUND THE TOP COMPRESSOR TO BE LEAKING. NO OTHER LEAKS WERE FOUND
JUW* R&R TOP COMPRESSOR $80.00
1 JUW* TM-15HS EAR V ORG 2AG 1 COMPRESSOR New $287.20 $287.20
JUW* R&R DRIERS $160.00
2 JUW* DRIER 3838 moi w/male port New $28.46 $56.92
JUW* EVACUATE,CHARGE&PERFORMANCE TEST(FRONT $80.00
165/22@ 82 DEGREES
5 JUW* REFRIGERANT R134a, (FRONT) New $20.00 $100.00
JUW* EVACUATE, CHARGE&PERFORMANCE TEST(REAR). $80.00
162/25 @ 82 DEGREES
6.6 JUW* REFRIGERANT R1 34a, (REAR) New $20.00 $132.00
JUW' AC DIAGNOSIS, ELECTRICAL $80.00
REAR EVAPORATOR BLOWER WAS TURNING OFF INTERMINTENTLY. FOUND REAR EVAPORATOR TO BE WIRED
INCORRECTLY FROM ORIGINAL INSTALLATION. REWIRED AND WORKED PROPERLY.
1 JUW* THERMOSTAT,ADJ.,12"CAP New $20.00 $20.00
Labor $610.00 less discount : $10.00 $600.00
Parts $629.03 less discount : $32.91 $596.12
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $20.00
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $1,216.12
Tech Certification#
JUW
IIII I I I I III IIII IIII II II II II
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
7/1/2013 1,:20 PM page 2
Invoice#19153
Vehicle 1996 FIRE TRUCK ENGINE 43 CUMMINS M11
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!
I II III III I III I illlll III III
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
7/1/2013 1:20 PM page 1
Invoice#19079
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 1996 ENGINE 46 FIRETRUCK
VIN : 1 K9AF4287VN058492 Color : Red
Fleet# : 46
Created : 6/10/2013 1:16:58 PM Odometer In : 101910
Complete : 6/27/2013 11:24:25 AM Odometer Out : 1910
Invoiced : 6/27/2013 4:07:20 PM
Contact : BOB (664-0958)
Sry Writer: DM
Qty Code/Tech" Reference Description Condition Unit Price Price
TZ` GENERAL USE LABOR $360.00
R&R LIFT CYLINDERS FOR THE CAB
3 TZ` CASTROL HEAVY DUTY MP ATF D/M III $4.58 $13.74
1 TZ' SUBLET REPAIR $400.10 $400.10
Labor ....................................................... $360.00
Parts .................................I..................... $13.74
Sublet/Misc. ....................................................... $400.10
SHOP SUPPLIES ....................................................... $20.00
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $793.84
Tech Certification#
TZ
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!
I II III III I I I I II III IIII III
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))
19079 E46 $793.84
19153 E43 $1,216.12
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
$2,009.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1120 19079 43-510.00 j $793.84 1 hereby certify that the attached invoice(s), or
1120 19153 43-510.00 1 $1,216.12 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
II II 112913
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund