223560 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 367139 Page 1 of 1
ONE CIVIC SQUARE M&K QUALITY TRUCK SALES
CARMEL, INDIANA 46032 PO Box 268
CHECK AMOUNT: $388.38
o�ao BYRON CENTER MI 49315 CHECK NUMBER: 223560
CHECK DATE: 8/2712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 31560INS 388 . 38 OTHER EXPENSES
• � i
CUSTOMER #: 502183 31560INS
UNIT#F 00004
INVOICE r
CITY OF CARMEL ( 1401 HARDING CT
1 CIVIC SQUARE ti INDIANAPOLIS,IN 46217
CARMEL, IN 46032 PAGE ].
PHONE(317)784-3740 FAX(317)788.3800
ROME: CONT:317-5 71-24 5 8 ReMIr To aoDRESs
P.O.BOX 266•BYRON CENTER,MI 4331 S
BUS: 317-571-2458 CELL: SERVICE ADVISOR; 9552 MIKE JONES
COLOR YEAR MAKE(MODEL. . VIN . . LICENSE MILEAGE IN/OUT TAG
09 GMC TRUCK 7000 1GBT8C4B.19F90000 00004 18094 1809 28
DEL DATE PROD,DATE WARR.EXP.r PROMISED ;PO NO: RATE PAYMENT INV.DATE
08JAN08 D 23 :00 21JUN13 E 0.00 CHG 24 n7NI_3
R,O.OPENED R(_ADY OPTIONS: DLR:51811)
18:05 19JUN13 11: 01 24JUN13
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A ENGINE HAS DERATED TO 10MPH, AND SHUT DOWN
- REPAIR
859 CT2
9578 CT2
1 FG-CC36077 COOLANT OAT 50 50 GALLON 346. 50 314.50
SUBL TOWING
/ 18.24 14.15 14.16
WMA, (NIC)
PARTS: 14.16 LABOR: 346. 50 OTHER: 0. 00 TOTAL LINE A: 360.66
18094 INSTALL DRIVE SHAFT FROM TOW SCAN NO CODES CHECK OUT FOR
DERATE LOW ON COOLANT PAST SHUT DOWN RUN PRESS TEST NO LEAKS FOUND TEST
DRIVE OK AT THIS TIME 859. TEST DRIVE UNIT RAN SMOOTH NO HESITATION OR
ENGINE SHUT DOWN 6/20/2013 9579_
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MISC SUPPLIES
27 .72
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ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE STATEMENT OF DISCLAIMER :•DESCRIPTION TOTALS
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory werrantycanstltuleaall LABORAMOUNT
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO of the warmntle; with respect to 346.50
OWNeR,THERE WAS NO INDICATION FROM THE APPEARANCE OF THE the Gale of this A milteree. The PARTS AMOUNT 14.16
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED Boger hereby exPressly tllselalme all
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY warmntlee either express or GAS,OIL,LUKE 0 .00
WAY WITH ANY impll InclUClnq any Irpllec SUBLET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. R @CORDS SUPPORTING THIS warran of merohanlabill or 0.00
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT Mass for a parvower pumme. MISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY Seller neither assumoa not 27.72
MANUFACTURER'S REPRESENTATIVE. authorizog any other poroon to TOTAL CHARGES 3 8 B . 8
eeGllme for I• any hemor In
connection with tha sale of thin LESS INSURANCE
ItemAg,me. 0.00
SALES TAX 0.00
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PER&ON (DATE) CUSTOMER SIGNATURE
PLEASE PAY
-cERrlr:lcnrl h-
THIS AMOUNT 388 .38
ALL REPAIRS ANC PARTS LISTED WERE FURNISHED IN COMPLIANGe wfiH ALL PARTS NEW UNLESS
XIChgOAN AUTCI REPAIR ACT(P.A 9Q0J. SPECIFIED OTHERWISE,
CUSTOMER COPY
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367139
M & K QUALITY TRUCK SALES Purchase Order No.
PO BOX 268 Terms
BYRON CENTER, MI 49315 Due Date 8/22/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/22/2013 31560INS $388.38
I 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
Date Officer
VOUCHER # 136233 WARRANT # ALLOWED
367139 IN SUM OF $
M & K QUALITY TRUCK SALES
PO BOX 268
BYRON CENTER, MI 49315
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
31560INS 01-7500-02 $388.38
Voucher Total $388.38
Cost distribution ledger classification if
claim paid under vehicle highway fund