225335 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC CHECK AMOUNT: $202.75
CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 225335
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 20073 202 . 75 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
10/1/2013 3:13 PM page 1
/- I nvoice#20073
o
FIRE DEPARTMENT CARMEL
1 CIVIC SQUARE
CARMEL IN 46032
-fold here-
Vehicle : 2008 GMC Truck C4500 1 1/2 Ton Truck 6.6 L 403 CID V8
VIN : 1GDE4V1958F407045
Created : 9/4/2013 8:33:20 AM Odometer In : 0
Complete : 9/25/2013 1:21:59 PM Odometer Out : 77099
Invoiced : 9/25/2013 1:21:59 PM
Contact : BOB (664-0958)
Sry Writer: DM
Qty Code/Tech* Reference Description Condition Unit Price Price
1 EA* GLOW PLUG $34.95 $34.95
EA* GLOW PLUG-R&R M $80.00
Includes: R&I Fender Liner.
EA* TEST DRIVE DIAGNOSES $80.00
Note: M-Labor Database,Copyright, Mitchell International,All Rights Reserved
Labor ....................................................... $160.00
Parts ....................................................... $34.95
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $7.80
Charges ........................................I.............. $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $202.75
Tech Certification#
EA
VIII III II IIII II I II I VIII I II II
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck & Auto, Inc.
IN SUM OF $
17134 Westfield Park Road
Westfield, IN 46074
$202.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
1120 I 20073 I 43-510.00 I $202.75 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
0 C T-e
- � -
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))
20073 A46 $202.75
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