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243958 04/08/15 Q CITY OF CARMEL, INDIANA VENDOR: 355674 CHECK AMOUNT: $********42.94* ONE CIVIC SQUARE GLOBAL EQUIPMENT COCARMEL, INDIANA 46032 PO BOX 905713 CHECK NUMBER: 243958 CHARLOTTE NC 28290 CHECK DATE: 04/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350000 107863012 42.94 EQUIPMENT REPAIRS & M ---------------------------------------------------------------------------------------------------------------------------------- ------------------------------ INVOICE NO:= INVOICE;DATE �L0BA ® ORIGINAL INVOICE EQUIPMENT COMPANY,INC. PO BOX 905713 107863012 03/19/15 globallndustrial.cam CHARLOTTE NC 28290-5713 PLEASE REFER TO ABOVE INVOICE NO.WHEN (770) 822-5600 FED-TAX-ID: 11-3584699 REMITTING AND WHEN YOU ARE MAKING ANY INQUIRIES REGARDING THIS ORDER o DAWN KOEPPER Attn: PO #XX-1857 'T rrp DAWN KOEPPER Attn: PO #XX-1857 JIM L CARMEL CLAY PARKS & REC CARMEL CLAY PARKS & REC D 1411 EAST 116TH ST MAR 3 D 2015 P , 1235 CENTRAL PARK DR EAST CARMEL IN 46032 D CARMEL IN 46032 T o L L o L XX 1857 DM 'KOEP.PER 1 OF 1 SHIPPED VIA RO.B.SHIPPING POINT '`" FREIGHT CHARGESI TERRITORY ''DATE'SHIPPED, TERMS . -°U&ted:Pardei Sery CARLSTADT`NJ PREPAID 03%"19/15 NET"30 QUANTITY STOCK NO. DESCRIPTION UNIT PRICE AMOUNT 2 B600140 Velcro® White Hook & 15.50 31.0 Loop With Rubber Adh SHIPPING 11.9 TAX 0.0 TOTAL 42 . 9 THANK YOU FOR YOUR BUSINESS Please allow 5 - 1 days for delivery **PLEASE NOTE THE qEW REMIT TO ADDRESS** PO BOX 905113 CHARLOTTE bC 28290-571 To InquirB on your delivery, please use Trackinj # 1ZO597730369955886 Please visit www. Ilobalindustrial.com for the largest selection of ind strial pro ucts on the web at the best prices. If you are locatel in Oklahoma, Vermont, South Dakota, Colorado or Kentucky, please go to http ://www.globalindustrial.com/content/te=sConditions to see important sales aid use tax information regarding the tax jou may owe directly to the s ate of your residence. NO STATEMENT ISSUED- PLEASE PAY ON INVOICE UNLESS OTHERWISE INDICATED THIS INVOICE BECOMES PAST DUE 30 DAYS FROM DATE OF INVOICE ANDA FINANCE CHARGE WILL BE DUE ON THE UNPAID BALANCE A THE RATE OF 1 112%PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%.THIS CHARGE WILL BE COMPUTED BY APPLYING THE DAILY RATE OF.0493%TO THE DAILY PAST DUE BALANCE FOR THE NUMBER OF DAYS PAST DUE FROM THE INVOICE PAYMENT DATE.NO FINANCE CHARGE WILL BE INCURRED IF PAYMENT IS RECEIVED PRIOR TO DUE DATE.'IN THE EVEN OF A DEFAULT WITH RESPECT TO THE PAYMENT OF THE PURCHASE PRICE. OR ANY PART THEREOF FOR A PERIOD OF 30 DAYS FROM THE DUE DATE THEREOF,WE SHALL BE ENTITLED TO RECEIVE FROM THE PURCHASER ALL REASONABLE ATTORNEYS FEES INCURRED IN THE COLLECTION OF SUCH PURCHASE PRICE.' WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7 AND 12 OF THE FAIR LABOR STANDARDS ACT,AS AMENDED,AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR ISSUED UNDER SECTION 14 THEREOF. IF YOU HAVE A STATE SALES TAX YOU MUST PAY IT DIRECT,AS SAME HAS NOT BEEN CHARGED ON THIS INVOICE. PERSUANT TO SECTION I LIN OF THE N.Y.S.GENERAL OBLIGATIONS LAW,A DRAWER NEGOTIATING A CHECK WHO KNOWS OR SHOULD KNOW THAT PAYMENT OF SUCH CHECK WILL BE REFUSED BY THE DRAWEE BANK EITHER BECAUSE THE DRAWER HAS NO ACCOUNT WITH SUCH BANK OR THE DRAWER HAS INSUFFICIENT FUNDS ON DEPOSIT WITH SUCH BANK SHALL BE LIABLE TO THE PAYEE WHO HAS PRESENTED SUCH CHECK FOR PAYMENT.NOT ONLY FOR THE FACE AMOUNT OF THE CHECK BUT ALSO FOR ADDITIONAL,LIQUIDATED DAMAGES,AS FOLLOWS:IF YOU HAD NO ACCOUNTWITH THE BANK UPON WHICH THE CHECK WAS DRAWN,AN ADDITIONAL SUM WHICH MAY BE EQUIVALENT TO SERVICE THE FACE AMOUNT OF THE CHECK OR SEVEN HUNDRED FIFTY DOLLARS,WHICHEVER IS LESS:OR IF YOU HAD INSUFFICIENT FUNDS ON DEPOSIT WITH THE BANK UPON WHICH THE CHECK WAS DRAWN.AN ADDITIONAL SUM WHICH MAY BE EQUIVALEM TO TWICE THE FACE AMOUNT OF THE CHECK OR FOUR HUNDRED DOLLARS,WHICHEVER IS LESS.CRIMINAL PENALTIES MAY ALSO APPLY. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 355674 Global Equipment Company Terms P.O. Box 905713 Charlotte, NC 28290-5713 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 3/19/15 107863012 Waterpark repair supplies xx1857 $ 42.94 Total, $ 42.94 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 5-11-10-1.6 120 Clerk-Treasurer Voucher No. Warrant No. I , 355674 Global Equipment Company I Allowed 20 P.O. Box 905713 Charlotte, NC 28290-5713 In Sum_of 42.94__ ' ON ACCOUNT OF APPROPRIATION FOR . ._ 109"Monon Center Y, PO#or INVOICE NO. CCT#TT ITL AMOUNT i. Bo M embers Dept# 1.:.. 1093 . _ 107863012 435000.0„ $ . 42.94 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 April-2, 2015. • Ip Signature Accounts_Payable Coordinator Cost distribution ledger classification if i Title claim paid motor vehicle highway fund