243250 3 /18/2015 Gig ���� CITY OF CARMEL, INDIANA VENDOR: 369204
® 1 ONE CIVIC SQUARE INTERSTATE BILLING SERVICE INC CHECK AMOUNT: $********46.93*
s. �, CARMEL, INDIANA 46032 PD Box 2208 CHECK NUMBER: 243250
9MiTON�� DECATUR AL 35609-2208 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 96998521 46.93 REPAIR PARTS
RUSH TRUCK CENTER, INDY INVOICE DATE
1325 W. THOMPSON RD 03/04/2015 08:10:24 AM
INDIANAPOLIS IN US 46217-9267 INVOICE NUMBER
317-787-0200 96998521
IxrEQNATIaxAI CUSTOMER NO. BRANCH
329471 2901
*** www.ruehtruckcenters.com *** PAGE:1 of 1
Parts Invoice
SOLD TO:
CITY OF CARMEL STREET DEPT CITY OF CARMEL STREET DEPT
3400 W 131ST ST 3400 W 131ST ST
CARMEL IN 46074-0000 CARMEL IN 46074-0000
*Picked Up By Customer**
ANY WARRANTIES ON THE PRODUCT BOLD HEREBY ARE THOSE MADE BY THE MANUFACTURER. THS SELLER HEREBY EXPRESSLY DISCLAIMS ALL NARAAACIES,EITHER EXPRESS OR IMPLIED,INCLUDIND ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A
PARTICULAR FOR OSE,AND SELLER NEITHER ASSUMES NOR A-.RIZEB ANY OTHER REASON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION OF THE SALE OP SAID PRODUCTS. ALL CLAIMS AND RETURNED GOODS MOST BE ACCOMPANIED BY TNI.BILL. NO
REFONNG AFTER 30 DAYS. ELECTRICAL PARTS ARE BUT METORUABLE. ALL SUMS OWING BY THE CUSTOMER ARE DOE AND PAYABLE AT TME STREET ADDRESS SET FORTH ABOYS. I REPRESENT THAT I AM TME CUSTOMER OR AM ACTINO AS A DUET AUTHORIZED AGENT
OF AND HAVE AUTHORITY TO BIND THE CUSTOMER. CUBTOMER PROMISES TO PAY THE AMOUNT 9NOWN NER¢ON.TOGETHER WITH OTHER CHARGES DOE.IF ANY, IN ACCORDANCE WITH TNS CUSTOMER'S CHARGE AGREEMENT WITH YOU.
CUSTOMER-PO REFERENCE MAIN-NUMBER CUSTOMER-ADVISOR
TRUCK 206 5085711 317-733-2001 673.76/
SO - SALES PART NUMBER DESCRIPTION CORE SPCL ORD/ UNIT UOM EXTENSION BIN LOC
" ITEM# QTY BACKORD- - RATE - -
20 1 2597075C91:IH KT HOLDR 46.93 EA 46.93 107H
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
Interstate Billing Svc #: R646640
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
REMIT TO:
INTERSTATE BILLING SERVICE, INC
P.O. BOX 2208
DECATUR AL 35609-2208
SUBTOTAL 46.93
SALES TAX
O DOWNPAYMENT
BALANCE DUE 46.93
Authorization;Charges.I represent that I am the purchaser,or am acting as a duly authorized agent of and have authority to bind the purchasing("customer").Quotations on parts and labor are current and subject to change.I
understand that you will have a lien on the purchased part and on the Vehicle to which it is attached in the event I fail to pay the parts charges when due.I understand that all charges are due and payable by me at the Rush truck
center location indicated above.
Disclaimer of Warranties;Returns/Refunds.ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE MADE BY THE MANUFACTURER.THE RUSH TRUCK CENTER OR RUSH TRUCK
LEASING FACILITY LISTED ABOVE("DEALER")HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESS OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MECHANICABILITY
OR FITNESS FOR A PARTICULAR PURPOSE IN CONNECTION WITH THE PRODUCTS OR SERVICES SOLD HEREBY.DEALER NEITHER ASSUMES FOR IT ANY LIABILITY IN CONNECTION WITH THE
SALE OF SAID PRODUCT OR SERVICES.ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS DOCUMENT.NO REFUNDS AFTER 30 DAYS.ELECTRICAL PARTS ARE NOT
RETURNABLE.
Miscellaneous.Replaced parts will not be returned to CUSTOMER unless requested in writing by CUSTOMER at the time of repair.I agree that you are not responsible for loss or damage to(i)my Vehicle,(ii)articles left in
the Vehicle or(iii)trailers(and cargo contained in trailers),whether such trailers are attached to or detached from the Vehicle,in case of fire,theft or any other cause beyond your control.I agree you are not responsible for any
delays in repairs or any downtime,including without limitation delays or downtime caused by the unavailability of parts or delays in parts shipments by the supplier or transporter.Should there be a need for you to move or test
drive my vehicle I hereby grant you and/or your employees permission to operate the Vehicle on streets,highways or elsewhere for the purpose of testing,inspection and/or delivery.
SUBTOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
46.93 EXEMPT/IN 46.93
PAYMENTS ARE DUE ON OR BEFORE THE TERMS
10TH OF THE MONTH.ACCOUNTS WILL BE
CONSIDERED PAST DUE BY THE 25TH OF
EACH MONTH. NO ORDERS WILL BE
Customer or Customer's Agent X PROCESSED IF PAYMENT IS NOT RECEIVED Net 10 days
BY THE 25TH.
VOUCHER NO. WARRANT NO.
ALLOWED 20
fS
/ 46J IN SUM OF$
U ,
P.O. Box 2208
Decatur, AL 35609-2208
$46.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 96998521 42-370.00 $46.93 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
4 /
!Y:�r tl , March 13, 2015
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if i
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))
03/04/15 96998521 $46.93
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