224578 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 367139 Page 1 of 1
ONE CIVIC SQUARE M&K QUALITY TRUCK SALES CHECK AMOUNT: $270.83
CARMEL, INDIANA 46032 PO Box 268
roN co BYRON CENTER MI 49315 CHECK NUMBER: 224578
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 32135IN 270 . 83 OTHER EXPENSES
— H~
CUSTOMER # : 502183 32135IN --
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UNIT# 00004 Geeaai� y"�raac�c Salmss
INVOICE 1401 HARDING CT
CITY OF CARMEL INDIANAPOLIS, IN 46217
1 CIVIC SQUARE PHONE (317) 784-3740 FAX (317) 788-3800
CARMEL, IN 46032 PAGE 1 REMIT TO ADDRESS
HOME : CONT: 317-5 71-2 4 5 8 P.O. BOX 268 • BYRON CENTER, MI 49315
BUS : 317-571-2458 CELL: SERVICE ADVISOR: 9566 Kristen Hampton
COLOR' YEAR MAKE/MODEL VIN 10ENSE MFLE 1GE IN/;OUT TAG
09 GMC TRUCK 7000 1GBT8C4B19F900004 00004 18340 18340 T28
DEL DATE' PROD?DATE .WARR, EXP.-- PROMISED PO NO. RATE PAYMENT - ---INV.DATE—`"'"°`-
08JAN08 D 23 : 00 05AUG13 00004 0 . 00 CHG 2
R.0'..OPENED:: READY OPTIONS: DLR: 5181D
14 : 31 31JUL13 19 : 20 29AUG13
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A QUICK CHECK
40 QUICK CHECK
9578 IID (N/C)
PARTS : 0 . 00 LABOR: 0 . 00 OTHER: 0 . 00 TOTAL LINE A: 0 . 00
****************************************************
B LOSES COOLANT ALL THE TIME/ ALMOST A GALLON AN HOUR--ALL HISTORY IS
IN PACKET, NEVER HAS REALLY BEEN FIXED
- REPAIR
105 CT3
859 CT3
9578 CT3
218 . 00 218 . 00
PARTS : 0 . 00 LABOR: 218 . 00 OTHER: 0 . 00 TOTAL LINE B: 218 . 00
18340 PRESS TEST SYS NO LEAKS DID NOT GET ANY FALL OFF ON GAUGE
859 . TEST DROVE TRUCK SEEMS TO BE GOOD TO GO 8/01/2013 9578 . TEST DROVE
TRUCK AGAIN FOUND NO LEAKS NOR DID THE COOLANT LEVEL DROP 105 . NEED TO
TAKE OIL SAMPLE
****************************************************
C** OIL SAMPLE
- REPAIR
9550 CT1 20 . 00 20 . 00
1 3772*51* OIL KIT 22 . 35 13 . 79 13 . 79
PARTS : 13 . 79 LABOR: 20 . 00 OTHER: 0 . 00 TOTAL LINE C: 33 . 79
18340 8/5 PULLED SAMPLE 9550--TEST RESULTS CAME BACK OK. LEVEL ONE.
POTASSIUM LEVEL AT 298 PPM. CONTINUE TO MONITOR AND SAMPLE. NOT
INDICATIONS OF COOLANT LEVELS PRESENT IN OIL AT THIS TIME
****************************************************
MISC SUPPLIES 19 . 04
�':_ **********�*FACILIT•Y NUMBER*******************
**************rF137566
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE STATEMENT OF DISCLAIMER ,.DESCRIPTION TOTALS
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty constitutes all LABOR AMOUNT 238 . 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO of the warranties with respect to
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE the sale of this item\items. The PARTS AMOUNT 13 . 79
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED Seller hereby expressly disclaims all 0 O 0
warranties either express or GAS, OIL, LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY implied, including any implied
__ A:CC!DENT;NEGLIGENCE-._OR—MISUSE,.-RECORDS—SUPPORTING—THIS_ _warranty;ofimeLchantability_o*— SUBLET AMOUNT 0 0.0
CCAiM ARE AVAI�ABCE FOR {1) YEAR FROM THE DATE OF PAYMENT fitness for a particular purpose. MISC. CHARGES 19 04.
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY Seller neither assumes nor
MANUFACTURER'S REPRESENTATIVE. authorizes any other person to TOTAL CHARGES 270 . 83
assume for it any liability in
connection with the sale of this LESS INSURANCE 0 , 00
item/items.
SALES TAX 0 , 00
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 2 7 0 8 3
CERTIFICATION- ALL PARTS NEW UNLESS
ALL REPAIRS AND PARTS LISTED WERE FURNISHED IN COMPLIANCE WITH
MICHIGAN AUTO REPAIR ACT(P.A.300). SPECIFIED OTHERWISE.
x CUSTOMER COPY
CUCHER 3, X33 1NP,RR!\NT # 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
321351N 01-7500-02 $270.83
Voucher Total $270.83
Cost distribution ledger classification if
clainl paid under 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 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 9/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/18/2013 32135IN $270.83
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 5-1.1-10-1.6
7/Lu13
Date Officer