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239250 11/19/14 ® jCITY OF CARMEL, INDIANA VENDOR: 366510 ONE CIVIC SQUARE FLEETPRIDE CHECK AMOUNT: $*********9.00* CARMEL, INDIANA 46032 PO BOX 281811 CHECK NUMBER: 239250 ATLANTA GA 30384-1811 CHECK DATE: 11/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 64848405 9.00 REPAIR PARTS INVOICE FlectPrids® INVOICE FLEETPRIDE PAYABLE AT: TRUCK& TRAILER PARTS 64848405 P.O. Box 281811 ATLANTA GA 30384-1811 WWW.FLEETPRIDE.COM INDIANAPOLIS IN 1140 S WEST ST (317) 632-4487 STORE NO. SHIP LOC. INVOICE TYPE QUOTE INVOICE DATE INVOICE NUMBER 352 IND CHARGE SALE 11/06/14 64848405 SOLD TO CARMEL STREET DEPT. SHIP TO CARMEL STREET DEPT. 3400 W 131ST ST CARMEL IN 46074-8267 3400 W 131ST ST (317)-733-2001 WESTFIELD IN 46074-8267 CHECK 110. SHIPPER NAME ORIG. INVOICE NO. FREIGHT BILL OF LADING TERMS DELIVERED NET 30 PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY CUST.NO. SALESMAN 202 - 302461 352 UANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT ORD. SHIPPED CODE *NOTE* AUTO BO TICKET 1 1 175 F49-10-8 FLARED MALE 90 ELBOW 5/8 X 1/2 9.00 9.00 (EA) Parts & Service: $********9.00 Freight: $*********.00 Taxes: $*********.00 Invoice Total: $********9.00 LL FLEETPRIDE Phone: 361-883-4358 INVOICE TOTAL $********9.00 P.O. BOX 9156 CORPUS CHRISTI TX 78469 Fax: 361-883-3323 FleetPride makes NO WARRANTY OF MERCHANTABILITY with respect to any goods sold. There are no warranties which extend beyond the description of any goods sold on the invoice describing them. It is expressly agreed that Applicant s sole remedy for breach of any warranty with respect to goods or work is limited to the money actually received by FLEETPRIDE for the goods or work; the remedy of consequential damages is expressly excluded. It is agreed that payment of the cash price is due within the terms stated above. A SERVICE CHARGE OF 1.5% per month (18% PER ANNUM) shall be due upon the amount of any charge which has not been paid when due. PLEASE PAY FROM THIS INVOICE. CORES MUST BE RETURNED WITHIN 60 DAYS TO BE ELIGIBLE FOR CREDIT. 348 IND IND SAVE MBAUER 11/10/14 16.21.08 All Claims and returned goods MUST be accompanied by this bill. Page 1 Of 1 RECEIVED BY VOUCHER NO. WARRANT NO. ALLOWED 20 FleetPride IN SUM OF $ PO Box 281811 Atlanta, GA 30384-1811 $9.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 64848405 I 42-370.001 $9.00 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 LA21 14 Street Commissionerr Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 11/06/14 64848405 $9.00 " 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