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Home My WebLink About227983 1/14/2014 9,f CITY OF CARMEL, INDIANA VENDOR: 362147 Page 1 of 1 ONE CIVIC SQUARE CUSTOM TRUCK&AUTO INC CHECK AMOUNT: $449.25 CARMEL, INDIANA 46032 17134 WESTFIELD PARK ROAD +M; o WESTFIELD IN 46074 CHECK NUMBER: 227983 CHECK DATE: 111412014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 21084 339 . 23 AUTO REPAIR & MAINTEN 1120 4237000 21161 110 . 02 REPAIR PARTS CUSTOM TRUCK AND AUTO, INC 17134 WESTFIELD PARK ROAD WESTFIELD IN 46074 317-896-5956 1/2/2014 1:03 PM page 1 Invoice#21161 FIRE DEPARTMENT CARMEL 1 CIVIC SQUARE CARMEL IN 46032 -fold here- Vehicle : 0 PARTS ONLY PARTS VIN : PARTS Created : 12/16/2013 7:05:19 PM Odometer In : 0 Complete : 12/16/2013 7:06:15 PM Odometer Out: 0 Invoiced : 12/16/2013 7:06:15 PM Contact : BOB (664-0958) Sry Writer: EA Qty Code/Tech* Reference Description Condition Unit Price Price 1 EA* WESTERN REPAIR HARNESS 12 PIN/TRK New $105.79 $105.79 Labor ....................................................... $0.00 Parts ..........................................I............ $105.79 Sublet/Misc. ....................................................... $0.00 SHOPSUPPLIES ....................................................... $4.23 Charges ....................................................... $0.00 Sales Tax Tax Exempt#0031201550020 $0.00 Total Due $110.02 Tech Certification# EA 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! III I II III I II II!I I I it I I II CUSTOM TRUCK AND AUTO, INC 17134 WESTFIELD PARK ROAD WESTFIELD IN 46074 317-896-5956 1/2/2014 1:03 PM page 1 Invoice#21084 FIRE DEPARTMENT CARMEL 1 CIVIC SQUARE CARMEL IN 46032 -fold here- Vehicle : 1996 ENGINE 46 FIRETRUCK VIN : 1 K9AF4287VN058492 Color : Red Fleet# : 46 Created : 12/9/2013 3:00:25 PM Odometer In : 104487 Complete : 12/19/2013 7:38:50 AM Odometer Out: 104487 Invoiced : 12/19/2013 7:38:50 AM Contact : BOB (664-0958) Sry Writer: DM Qty Code/Tech' Reference Description Condition Unit Price Price EA* BUILD NEW EXHAUST $120.00 2 EA* EXHAUST ELBOW New $93.57 $187.14 1 EA' EXHAUST HANGER New $15.21 $15.21 1 EA" Exhaust Pipe Straight Tubing-Universal $3.83 $3.83 Labor ....................................................... $120.00 Parts ...................................I................... $206.18 Sublet/Misc. ....................................................... $0.00 SHOP SUPPLIES ....................................................... $13.05 Charges ....................................................... $0.00 Sales Tax Tax Exempt#0031201550020 $0.00 Total Due $339.23 Tech Certification# EA I II II VIII I II II II I I II CUSTOM TRUCK AND AUTO, INC 17134 WESTFIELD PARK ROAD WESTFIELD IN 46074 317-896-5956 1/2/2014 1:03 PM page 2 Invoice#21084 Vehicle : 1996 ENGINE 46 FIRETRUCK 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! IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIII VOUCHER NO. WARRANT NO. ALLOWED 20 Custom Truck &Auto, Inc. IN SUM OF $ 17134 Westfield Park Road Westfield, IN 46074 $449.25 N ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 21161 42-370.00 $110.02 1 hereby certify that the attached invoice(s), or 1120 21084 43-510.00 $339.23 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 JAN 3 p F o �, 1 - v 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)) 21161 Plow Parts $110.02 21084 VIN 8492 $339.23 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