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HomeMy WebLinkAbout238336 10/21/14 " CITY OF CARMEL, INDIANA VENDOR: 363018 V.: ONE CIVIC SQUARE CAMPBELL SALES & SERVICE CHECK AMOUNT: $*-'217.00* *217.00' CARMEL, INDIANA 46032 1332 S 8TH STREET CHECK NUMBER: 238336 NOBLESVILLE IN 46060 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 2302815 217.00 REPAIR PARTS CAMPSELLS SALES•88-.SERVICE a__ S E R'N C O R D E R BRIGGS&STRATI'D 1332'S-.8TH-ST. NOBLESVILLE,IN 46060 No. A 2 3 0 2 315 GENUINE DEALERS 317-7734727 USE GENUINE PARTS DATE I0 DATE PROMISED NAME -ENGINE MODEL NO. EOUIPME NCTURER ADDRESS TYPE OR SPEC N0. TYPE F Q IPMENT r CIN/STATE/ZIP SERIAUCODE NO. EQUI04 so 0 DEALER TO PICKUPIDELIVER PHONE D /( PHONE-EVENING EQUIP TI CUST.NOTIFIED ❑ DATE EMAIL AD RES (/ DATE/TIME DATE 0 PURCHASE SERVICE CHECKLIST AIR FILTER: PRESENT? CONDITION: CLEAN O DIRTY O DAMAGED O OVERALL MACHINE CONDITION: BLADE CONDITION: I OIL LEVEL: CONDITION: FRESH O USED O DARK O BURNT O FUEL CONDITION: FRESH O STALED RANCIDO AGE: I COOLING FINS CONDITION: CLEANO DIRTYO CLOGGEDO REPAIR AS NEEDED ❑ TUNE-UP: MINOR ❑ MAJOR ❑ CHECK COMPRESSION ❑ ❑ AG NOSE&CALL WITH ESTIMATE F1 CHANGEENGINEOIL ❑ CHECK CARBURETION El ElElWRRANTYINSPECTION SHARPEN BLADE El SAFETY INTERLOCK ❑ ❑ REPAIR STARTER ❑ CHECK IGNITION ❑ ❑ ❑ r i H4c'0" PARTS O ' AMOUNT LABOR ' (� PICKUP/DEUVERY SHOP SUPPLIES/ ENVIRON.FEES GAS&OIL FREIGHT SUBTOTAL TAX / Oma'4"l iG�c•!� ' ILL ' TOTAL IMPORTANT While the manufacturer may warrant the goods sold to the customer,we make no warranties,express or implied,includ- ing any implied warranties of merchantability or fitness,with respect to such goods. Not responsible for loss or damage in case of fire,theft or any other cause beyond our control. TOTAL I hereby authorize the above repair work to be done along with the necessary material and hereby grant you and/or you,employees permission to operate the unit as necessary for the purpose of testing I FULLY UNDERSTAND THE PURPOSES OF THE SAFETY DEVICES ON THIS EQUIPMENT AND SPECIFICALLY REQUEST THAT THEY and/or inspection.An express mechanic's lien is hereby acknowl- NOT BE PAIRED OR REPLACED,AND I ASSUM ESPONSIBILITY FOR AND HOLD YOU HARMLESS FROM ANY INJURY TO edged on above unit to secure the amount of repairs thereto. ANYON T MAY RESULT EFROM. LLn- X X AUTHORIZED SIGNATURE AUTHORIZED SIGNATURE PRINTM IN U.S.A. ©COPYRIGHT 2003 BRIGGS&STRATTON CORPORATION PART NO.273180-4/11 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)) 10/01/14 2302815 $217.00 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 Campbells Sales & Service IN SUM OF $ 1332 S. 8th Street Noblesville, IN 46060 $217.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 2302815 1 42-370.001 $217.00 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 hursd y Oc - r 16, 014 'f St ammm' l�{ier Title Cost distribution ledger classification if claim paid motor vehicle highway fund