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Home My WebLink About239803 12/03/14 Q CITY OF CARMEL, INDIANA VENDOR: 294850 ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECKAMOUNT: $********57.11* CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 239803 CHICAGO IL 60673-1278 CHECK DATE: 12/03/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 X301006677 57.11 REPAIR PARTS I INVOICE NO. X301006677:01 . . .. ..... INVOICE DATE 11/26/2014 P.O. NUMBER E40 SHIP VIA PICKUP IREFERENCE TRUCK COUNTRY-INDIANAPOLIS 1851 W THOMPSON ROAD .............................. INDIANAPOLIS, IN 46217 0 J, .......................................... . ....... . ...... R 'A .A. X. ..................... ............... ...... .................. :.....::::>:<:: . ................ Phone: (800)899-1533 T. PN. .............. .... . ........*. . . . E .......... .......... Bill To: Ship To: CARMEL FIRE DEPARTMENT 160874 CARMEL FIRE DEPARTMENT 160874 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL , IN 46032 CARMEL, IN 46032 Phone: (317)571-2600 Phone: (317)571-2600 INVOICE NO.X301006677:01 DATE SHIPPED TERMS SALESPER=SON WRITER SHIP VIA UNIT ID VIN 11/25/2014 CHG S1617 QTY QTY ....... UNIT EXT % SHIP B/O ITEM oesckl PT 10-k BIN 1 PRICE PRICE 1 0 301 FIBOS 6222207 001 ::VALVE D09 57.11 57.11 ............... .... . .... ..... :X. ............ .......... ............... ............... ..... ..................... ... ............... ...... ... . . . .... ... .. ......... X- X www: ..... ...... .......... . .. ....... ............. ...... ..... ....... X.: ... ...... .. ........... ....... ... ....... ... .......X-1. .......... X" ............ ...... ...... .. ..... .............. ........... XXX ......... ........... ............ SALES TAX EXEMPTION CERTIFICATE DISCLAIMER OF WARRANTIES 0 I certify that this I.—Clion is exempt from the Indiana Sales Tax because: ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE Purchase Common Contract carrier who will use Items purchased or-Iced .8Y MANUFACTURER,IF ANY.THE SELLER HEREBY EXPRESSLY.-DISCLAIMS Subtotal 57.11 exclusively as such carrier, ........ ALLWARRANTIES EITHER EXPRESS OR IMPLIED INCLUDIK. -AW IMPLIED WARRAN11Y...0F MERCHANTABILITY OR FITNESS'I'OR.A.FlAWICULAR TAX 0.00 Authority Number. PLIRPi:)Sr;,AND.TRUCK COUNTRY OF IRqiBrij NFATJHER'ASSUMES NOR Purchaser is engaged in the business of and items will be used for resale. AUTHOkJZ9.§.ANY*bT4ER PERSON.TO*AqSqW4�bR ITANY LIABILITY IN CONNECTIOgftti.T.H't�SALE,Of?'SA(l�.PRt)DUCTS.WE HEREBY CERTIFY Resale Number: THAT THESE GoOD$WI;gE.FRppWtb IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENT5111'SECTIONS 6,7 AND 12 OF THE FAIR LABOR I am authorized to execute this Ce0cate and claim this exception. STANDARDS ACT OF 1938,AS AMENDED AND OF REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR DIVISION ISSUED Total: 57.11 UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES EXPRESS A LIMITED NON-TRANSFERRABLE WARRANTY,TO THE ORIGINAL Business Name Authorized Signature PURCHASER,ON TECHNICIAN WORKMANSHIP ISSUES FOR 30 DAYS FROM THE COMPLETION DATE OF THIS REPAIR ORDER A FINANCE CHARGE OF ONE AND ONE-HALF PERCENT(1 A%)PER MONTH IS APPLIED TO ALL ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE Business Address Date RATE OF EIGHTEEN PERCENT(18%). RECEIVED By Please Remit Payment to: Delivered by: Date: STOOPS FREIGHTLINER 27825 NETWORK PLACE Customer Signature: CHICAGO,IL 60673-1278 SIGNATURE BY THE CUSTOMER OR CUSTOMER REPRESENTATIVE CONSTITUTE!..--..T TO-Y REASONABLE LEGAL ENPENCES, INLCUD:NGATTORNEY AND COURT COSTS INCURRED BY TRUCK COUNTRY P0R PAYMENT OP THIS INVOICE CUSTOMER Page 1 of 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Stoops Freightliner IN SUM OF $ $57.11 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department II PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 X301006677 42-370.00 $57.11 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 P II DEC 26% � I Fire Chief 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 I Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) X301006677 E40 $57.11 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