226276 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1
` ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC CHECK AMOUNT: $452.29
,• io CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD
roM`o WESTFIELD IN 46074 CHECK NUMBER: 226276
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 20521 452 . 29 AUTO REPAIR & MAINTEN
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
11/1/2013 2:06 PM page 1
Invoice#20521
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 : 10/15/2013 4:38:26 PM Odometer In : 78684
Complete : 10/18/2013 4:41:03 PM Odometer Out : 78684
Invoiced : 10/21/2013 5:33:40 PM
Contact : BOB (664-0958)
Qty Code(Tech* Reference Description Condition Unit Price Price
TZ* AC DIAGNOSIS MECHANICAL $40.00
WHEN CHECKING THE FRONT A/C UNIT THE SYSTEM WASN'T MAKING ANY PRESSURE. RECOVERED ALL THE
REFRIGERANT, OPEN THE LINE TO CHECK TO SEE IF THE ORIFFICE TUBE WAS CLOGED. FOUND A BUNCH OF METAL
FLAKES ON THE ORIFFICE TUBE.THE COMPRESSOR WAS NO GOOD.
TZ* $80.00
FLUSHED THE A/C UNIT OUT WITH A GALLON OF A/C FLUSH SOLVENT,TO CLEAN OUT THE SYSTEM BEFORE THE
ACCUMULATOR AND THE COMPRESSOR WERE PUT ON.
TZ* GENERAL USE LABOR $80.00
REPLACE THE ACCUMULATOR AND THE COMPRESSOR.
1 TZ* A/C Flush Solvent $136.00 $136.00
TZ* EVACUATE,CHARGE&PERFORMANCE TEST $40.00
2.125 TZ* REFRIGERANT R134a, New $10.00 $21.25
TZ* LEAKTEST $40.00
FOUND NO LEAKS AFTER INSTALLING THE COMPRESSOR AND ACCUMULATOR
Labor $282.50 less discount : $2.50 $280.00
Parts $259.61 less discount : $102.36 $157.25
Sublet/Misc. ....................................................... $0.00
SHOP SUPPLIES ....................................................... $15.04
Charges ....................................................... $0.00
Sales Tax Tax Exempt#0031201550020 $0.00
Total Due $452.29
Tech Certification#
TZ
I II I II III�II II I I II IIII I(III
CUSTOM TRUCK AND AUTO, INC
17134 WESTFIELD PARK ROAD
WESTFIELD IN 46074
317-896-5956
11/1/2013 2:06 PM page 2
Invoice#20521
Vehicle : 2008 GMC Truck C4500 1 1/2 Ton Truck 6.6 L 403 CID V8
Recommended Service
Service/Notes Due Interval
SERVICE REAR DIFFERENTIAL on 9/4/2013 (Every 100000 miles)
SERVICE DIFFERENTIAL
ROTATE TIRES on 9/4/2013 (Every 8000 miles)
ROTATE TIRES
___FUEL-,SYSTEM SERVICE—,_ ---- on 9/4!2013 (Every 30000:riles)
FUEL SYSTEM SERVICE
COMPLETE LUBE,OIL AND FILTER SERVICE on 9/4/2013 (Every 3000 miles)
ENGINE OIL SYSTEM CLEANING on 9/4/2013 (Every 60000 miles or 12 months)
FUEL FILTER SERVICE on 9/4/2013 (Every 30000 miles)
REMOVE OLD FUEL FILTER AND INSTALL NEW FUEL FILTER
TRANSMISSION FLUSH-AUTO on 9/4/2013 (Every 60000 miles)
COMPLETE TRANSMISSION SERVICE
ROTATE AND BALANCE TIRES on 9/4/2013 (Every 8000 miles)
ROTATE AND BALANCE TIRES
COOLANT FLUSH on 9/4/2013 (Every 60000 miles)
FLUSH COOLANT SYSTEM
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 IIIIIIIIIIIIIIII IIIIIIII III IIII
,rescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
1n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
20521 VIN 7045 $452.29
i
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Custom Truck & Auto, Inc.
IN SUM OF $
17134 Westfield Park Road
Westfield, IN 46074
$452.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 20521 I 43-510.00 I $452.29 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�19\lTg?n?13
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund