245439 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 360305
ONE CIVIC SQUARE CARRIER CORP CHECK AMOUNT: $*****1,41 1.33*
CARMEL, INDIANA 46032 PO BOX 93844 CHECK NUMBER: 245439
CHICAGO IL 60673-3844 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 T001164283 1,411.33 BUILDING REPAIRS & MA
INVOICE _
CUSTOMER ORDER NO.—FINAL BILL INDICATOR DATE INVOICE NUMBER
SIGNED SA 05/01/15 T001164283
CUSTOMER CODE CUSTOMER SHIP T CUSTOMER'S RESALE OR EXPOR'i NUMBER WORK ORDER NO. BRANCH PRIORIT TRANSAC— SHIP PAGE
TION METHOD
C1008001 R44001 544A70018 116044 1
116 044 CONTR. LIC. #
PLEASE REMIT PAYMENT T0:
SOLD CARMEL CLAY PARKS 8 RECREATION CARRIER CORPORATION � T r
TO: ACCOUNTS PAYABLE P.O.BOX # 93844
1411 E 116TH STREET CHICAGO, IL 60673-3844 ' MAY d 2015
CARMEL IN 46032-3455 INCLUDE YOUR CUSTOMER CODE
WHEN SUBMITTING PAYMENT ---
SHIP CARMEL CLAY PARKS - 1235 REGION SALESMAN TERMS ADAYS LLOWED DISCOUNT INSURANCE
To: 044 000 1 0.000
1235 CENTRAL PARK DR E BILL OF LADING NUMBER SHIPMENT CONTAINER NO. OF
WEIGHT TYPE CONTAINERS
CARMEL
I N SHIPPED VIA DESTINATION SHIPPED DATE
CODE
MARK O.P. CONTROL --]
N0. WHSE TP SALE PACKING LIST TAX CODE
FOR: TR 01T TX95--
UNITED CARRIER PARKWAY
BOX
808
®
P.O. 4TECHNOLOGIES SYRACUSE, NEW
RREUOORCARRIER RESERVES THE RIGHT TO CARRIER DVSNOAIRCRPATION
ASSESS INTERESTS AT THE MAX-
IMUM RATE ALLOWABLE BY LAW ON NOTES:
AMOUNTS PAST DUE
LINE QTY.SHIPPED PART NUMBER/NU/M NIT LIST PRIC MULTIPLIER UNIT NET PRICE EXTENDED AMOUNT
SERVICE OTES
NT 1411.33
EFFECTIVE 03/01/15
FR 05/01/15-05/31/1 DESCRIPTION
SUBTOTAL 1411:33
TOTAL 1411.33
IF Q ES IONS CON ACT: LAURIE ZIE EMER
AT P ON : 317-821-3000
WE G AD Y ACCEPT MASTER CARD,
VISA AN AMERICA EXPRESS.
AMOUNT
CARRIER CFRE IAN1006 0991716ARE CORP. 70lAYSF
DAYS NET 30 DUE ON RECEIPT 1411.33
WE HEREBY CERTIFY THAT THESE GOODS MERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECT IOXS 4, 7{ 12 OF iXE THE FAIR LABOR STANDARDS ACT,AS AMENDED AND OF REGULATION
- ORDERS OF THE U.S.DEPT.OF LABOR ISSUED UNDER SEC. 14 THEREOF ...ANY DIFFERENCES BE TMEEN QUANTITIES ORDERED.AND QUANTITIES SHIPPED HAVE BEEN BACK CROERED AND HILL BE SNIPPED A$SOON AS
RECEIVED. ANY CLAIM FOR SHORTAGE OR ADJUSTMENT MUST BE MADE WITHIN SO DAYS.
CUSTOMER ORIGINAL
nvie ienne OVLAY=00268
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.
360305 Carrier Corporation Terms
P.O. Box 93844
Chicago, IL 60673-3844
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/1/15 T001164283 HVAC Service Agreement May'15 38153 $ 1,411.33
Total $ 1,411.33
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
Voucher No. Warrant No.
360305 Carrier Corporation Allowed 20
P.O. Box 93844
Chicago, IL 60673-3844
In Sum of$
$ 1,411.33
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. CCT#/TI TLE AMOUNT Board Members
Dept#
1093 T001164283 4350100 $ 1,411.33 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
May 12, 2015
Signature
$ 1,411.33 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund