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241973 02/10/15 ' 4�pt. CITY OF CARMEL, INDIANA VENDOR: 00350055 ® ONE CIVIC SQUARE FRAKES HEAVY EQUIPMENT PARTS CHECK AMOUNT: $.......102.19• s.. _� CARMEL, INDIANA 46032 17111 WESTFIELD PARK ROAD CHECK NUMBER: 241973 +,y, /� WESTFIELD IN 46074 CHECK DATE: 02/10/15 lTOel� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 S24234 102.19 REPAIR PARTS Frakes Heavy Equipment Parts / Frakes Industrial 524234 17111 Westfield Park Rd.Westfield, IN 46074 317-867-3214 Fax: 317-867-3217 Invoice Bill To: Ship To: 6319 CARMEL STREET DEPT. CARMEL STREET DEPT. 3400 W 131 ST ST 3400 W 131ST ST CARMEL IN, 46074 CARMEL IN, 46074 Phone: 317-733-2001 Phone: 317-733-2001 Date Terms Invoiced By ShipVia Shipping# PO Number 1/29/15 Net 30 JEFF Ord Shp Unit Code Part#- Description Core Net Price List Price Extended 1 1 BPA DAT146294 DOOR SHOCK $63.22 $63.22 $63.22 2 2 BPA TY16304 FRONT WIPER $12.99 $12.99 ,. _$25.98 I" " 1 1 BPA TY27313 REAR WIPER � ,.a $12.99 $12.99 $12.99 a i ALL RETURNS ARE SUBJECT TO A 15%RESTOCKING FEE RETURNS NOT ACCEPTED AFTER 30 DAYS Sub-Total $102.19 ALL PARTS ARE SOLD AS UNLESS OTHERWISE STATED THERE WILL BE A 2%LATE FEE PER MONTH FOR ANYTHING OVER 30 DAYS Tax $0.00. Signature Total $102.19 Paid By: On Account = $102.19 Page 1 of 1 VOUCHER NO. WARRANT NO. Frakes Heavy Equipment Parts ALLOWED 20 IN SUM OF$ 17111 Westfield Park Rd. Westfield, IN 46074 $102.19 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 S24234 42-370.00 $102.19 I 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 AA y ebruary 06, 2015 Street Commissioner Street Commissioner y Title q . 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)) 01/29/15 S24234 $102.19 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