HomeMy WebLinkAbout222901 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC CHECK AMOUNT: $529.98
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 222901
CHECK DATE: 8113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 19284 421 . 82 AUTO REPAIR & MAINTEN
1120 4351000 19621 108 . 16 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
8/1/2013 12:42 PM page 1
Invoice#19284
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2003 KME FIRE ENGINE 45 FIRE TRUCK CUMMINS ISM
VIN : 1K9AF42883N058675
Fleet# : 45
Created : 6/27/2013 5:49:52 PM Odometer In : 64217
Complete : 7/16/2013 2:31:48 PM Odometer Out: 64217
Invoiced : 7/16/2013 2:31:48 PM
Contact : BOB (664-0958)
Sry Writer: DM
Qty Code/Tech* Reference Description Condition Unit Price Price
JUW* REFRIGERANT LEAK TEST $120.00
SYSTEM WAS EMPTY UPON ARRIVAL-VALVE CORES WERE BOTH LEAKING.-NO OTHER LEAKS WERE FOUND.
REPLACED DRIER DUE TO RESTRICTION.
JUW* R&R DRIER $80.00
JUW* EVACUATE, CHARGE&PERFORMANCE TEST $80.00
PERFORMANCE RESULTS: 175/10 @ 80 DEGREES
5 JUW* REFRIGERANT R134a, New $20.00 $100.00
1 JUW* A/C Filter Dryer $32.52 $32.52
Labor $285.00 less discount : $5.00 $280.00
Parts $143.54 less discount : $11.02 $132.52
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $9.30
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $421.82
Tech Certification#
JUW
III I II I I III I II I VIII)I I II II
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
8/1/2013 12:42 PM page 2
Invoice#19284
Vehicle : 2003 KME FIRE ENGINE 45 FIRE TRUCK CUMMINS ISM
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-MAIV'AvEMEti'-T------ - - -
THANK YOU FOR YOUR BUSINESS!
I IIII I I I III I II II I IIIIII I II II
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
8/1/2013 12:42 PM page 1
Invoice#19621
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2002 FIRE TRUCK ENGINE 41 KME CUMMINS ISM 380
VIN : 1 K9AF42822NO58489 Color : Red-White
Fleet# : 40
Created : 7/29/2013 3:09:51 PM Odometer In : 78293
Complete : 7/29/2013 5:19:02 PM Odometer Out: 78293
Invoiced : 7/31/2013 12:55:25 PM
Contact : BOB (664-0958)
Sry Writer: DM
Qty Code/Tech* Reference Description Condition Unit Price Price
EO* HEAVY DUTY TIREINSTALL $80.00
MOUNT AND BALANCE STEER TIRES BOTH SIDES TOURQUED TO 500 FT POUNDS USING TOURQUE WRENCH
2 EO* LARGE TIRE DISPOSAL $12.00 $24.00
Labor ....................................................... $80.00
Parts ....................................................... $0.00
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $4.16
Charges ....................................................... $24.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $108.16
Tech Certification#
EO
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 IIIIIIIIIIIIIIIIIII VIII IIII II
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck &Auto, Inc.
IN SUM OF $
17134 Westfield Park Road
Westfield, IN 46074
$529.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#frITLE AMOUNT Board Members
1120 19284 43-510.00 $421.82 1 hereby certify that the attached invoice(s), or
1120 19621 43-510.00 $108.16 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
AUG 12 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
19284 VIN 8675 $421.82
19621 VIN 8489 $108.16
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