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242369 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 365791 ® ONE CIVIC SQUARE PEARSON WHOLESALE PARTS CHECK AMOUNT: $*--202.98* f. ?4 CARMEL, INDIANA 46032 10650 N MICHIGAN ROAD CHECK NUMBER: 242369 +.yiroN�o, ZIONSVILLE IN 45077 CHECK DATE: 02/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 132401 167.50 OTHER EXPENSES 601 5023990 132452 35.48 OTHER EXPENSES III II 1111111111111111111111111111111111111111111 0 00 PEARSON PEARSON AUTOMOTIVE WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by the manufacturer. The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all 10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for aparticular purpose, and PEARSON WHOLESALE PARTS, LLC, neither assumes nor authorizes any Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items DATE ENTERED YOUR ORDER NO. DATE SHIPPEDINVOICE DATE INVOICE NUMBER 1324ni SACCOUNT NO. 6205 . H PAGE 1 OF 1 L CITY OF CARMEL WATER I T 3450 W 131ST ST T 0 ESTFIELD, IN 46074-8267 0 SHIP VIA SLSM. B/L NO. TERMS F.O.B. 1 0 AC3Z*3B396*A LINK AS 9 209. 38 167 . 50 167. 50 WEST2 NO RETURNS WITHOUT THIS INVOICE. NO RETURNS AFTER 10 DAYS. A 15% HANDLING CHARGE WILL BE ADDED. ****** THANKS FROM ALL OF US ****** NO RETURNS ON ******* AT PEARSON WHOLESALE ******* PARTS 167 . sn ELECTRICAL OR **** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER FREIGHT PARTS ALES TAX 0. 00 -O,2° ADI 1nc CUSTOMER COPY 1111111111111111111111111111111111111111111111111111111 III i�;1111 1111111111111111111111111111 10. _0 PEA T%,�OPEARSOim N r W AUTOMOTIVE WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by the manufacturer. The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all 10650 North Michigan Road Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for a particular purpose,and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items. DATE ENTERED YOUR ORDER NO. 7 DATE SHIPPED INVOICE DATE INVOICE FF.RNUMBER S ACCOUNT 'NO. 6205 H PAGE 1 OF 1 L CITY OF CARMEL WATER': I D 3450 W 131ST ST P WESTFIELD, IN 46074'-82670 SHIP VIA SLSM. B/l NO. TERMS F.O.B. nRn) SHIP RQ PART NUMBER DESCRIPTION -I I qT NFT AMOUNT 2 0 AC3Z*15175*A SEAL WEST1 2 29 . 57 17 . 74 35 .48 - NO RETURNS '- WITHOUT THIS INVOICE. NO RETURNS AFTER 10 DAYS. `�. A 15% HANDLING ^/ � r CHARGE WILL BE d' ADDED. ****** THANKS FROM ALL OF US ****** NO RETURNS ON ******* AT PEARSON WHOLESALE PARTS 3 ELECTRICAL OR **** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER FREIGHT 0 . 00 PARTS SALEa-TAX- 0 . 00 s8�/b .° ,gh'Z0MA CUSTOMER COPY 11111111 IINIII111III 1111111111111111111loll 111111111111 Prescribed by State Board of Accounts Form No.301(Rev.1995) ACCOUNTS PAYABLE VOUCHER TO ADDRESS Invoice Date Invoice Number Item Amount 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 Mo. Day Yr. Signature Title 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. Mo. Day Yr. Officer) Title Voucher No. Warrant No. 3(a5-Ig I ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA �e c�--t'sori 4oFavor l�s�c� Total Amount of Voucher $ Deductions 5-a- l3 � dl Go 50. t tv"i 5o Amount of Warrant $ o� Month of Yr VOUCHER RECORD Acct. No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General Operation-Maintenance Utility Plant in Service Constr.Work in Progress Materials and Supplies Customers Deposits Total Allowed Board of Control t Filed Official Title j BOYCE FORMS•SYSTEMS 1-800-382-8702 325 II