HomeMy WebLinkAbout230051 03/12/14 1,�""A4f`
�� CITY OF CARMEL, INDIANA VENDOR: 353617
® ONE CIVIC SQUARE GARY MERRILL CHECK AMOUNT: $""""*"30.66*
CARMEL, INDIANA 46032 24880 SIX POINTS ROAD CHECK NUMBER: 230051
'M�roN.�.a SHERIDAN IN 46069 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 30.66 OTHER EXPENSES
tp- almerTrucks Kenworth of Indianapolis
Visit our Website at www.palmertrucks.com if
Kenworth of Indianapolis Kenworth of Cincinnati Kenworth of Dayton Kenworth of Fremont Evansville Truck Center
2929 S.Holt Road 11155 Mosteller Road 7740 Center Point 70 Blvd. 7267 North Baker,Ste A 8516 Baumgart Road
Indianapolis,IN 46241 Cincinnati,OH 45241 Dayton, OH 45424 Fremont,IN 46737 Evanvsville,IN 47725
Phone:(317)247.5501 Phone:(513)771-5858 Phone:(937)235-2589 Phone:(260)495-2617 Phone:(812)867-7413
Kenworth of Indy East Fort Wayne Truck Center Kenworth of Sidney Terre Haute Truck Center
2575 Tobey Drive 3535 Coliseum Blvd. 800 S.Vandemark Road 6425 E.State Road 42 REMIT TO:
Indianapolis,IN 46219 Fort Wayne,IN 46808 Sidney,OH 45365 Terre Haute, IN 47803 2929 South Holt Road
Phone:(317)899-3556 Phone:(260)471-4200 Phone:(937)492-4443 Phone:(812)232.0288 Indianapolis, IN 46241
Sold To: Ship To:
CASH SALE-INDPLS
P&S-TAXABLE CITY OF CARMEL
TAXABLE TAXABLE
In-Store-Purchase, IN In-Store-Purchase, IN
CUSTOMER
Customer Acct Number Phone Number Salesman Invoice # > 225642
00001 �dj
Customer Order Number Tax ID Number Date Ship Via Page 1
02-26-14 WILL CALL
LOC jPart# Description I 10rd Ship TO I Unit Price Extension
yr Thank YOU for Your Business !
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1" Please SIGN & PRINT Name on Invoice. . . . I
v17A 137-99--344 LATCH ASSY 11 11 301 30.
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09:33AM X dj 7A3 PARTS TAX CSH SL
Sub Total 30.66
Freight 0.00
Received By: X _ ___ __ _ Sales Tax .15
Please Pay 32.81
[ s h
check # _
[ ] Credit Card _ 225 SH SL
Paid on
ed
Disclaimer of Warranties:The seller hereby disclaims all warranties either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and seller neither assumes nor authorizes
any other person to assume for it any liability in connection with the sale of the parts.
Return Policy:Special order and electrical parts are not returnable.All claims and returned parts must be accompanied by this bill.Not responsible for labor on parts not installed by our shop.
VOUCHER # 137519 WARRANT # ALLOWED
T0711 IN SUM OF $
MERRILL,GARY
WASTEWATER PLANT
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
�TuL
MERRILL,GP 01-7-ZG2-06 $30.66
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Voucher Total $30.66
Cost distribution ledger classification if l
claim 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
T0711
MERRILL,GARY Purchase Order No.
WASTEWATER PLANT Terms
Due Date 3/4/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/4/2014 MERRILL, G) $30.66
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
3/7�i� �..ic•-t�C lel-�-c_e'i'�.c,.. - -
Date Officer