246608 06/18/15 CITY OF CARMEL, INDIANA VENDOR: 00351502
ONE CIVIC SQUARE MACALLISTER MACHINERY CO INC CHECK AMOUNT: $-"""'559.26*
CARMEL, INDIANA 46032 DEPT 78731 CHECK NUMBER: 246608
s�`TON. PO BOX 78000 CHECK DATE: 06/18/15
DETROIT MI 48278-0731
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 R64139799001 559.26 REPAIR PARTS
13460 BRITTON PARK ROAD T H E
MacAllister M
FlSHEF2S, IN 48038
317-598-9700 Rental
STHHE.
MacAllister Rental, LLC Contract No. Invoice No. Date
Please Remit Your Payment to: 1397990 R64139799001 15MAY2015 Page 1
MacAllister Rental, LLC
Dept. 78731
P.O. Box 78000 12:34 PM
Detroit, MI 48278-0731 SALES INVOICE
Date out Date Tn
1174600
_ -
1174600
CITY OF CARMEL Job Number Purchase Order
STREET DEPT
3400 W 131ST ST KUBOTA PARTS VERBAL
CARMEL, IN 46074 Job Location • '- '
Phone: 317-733-2001 SHOP VERBAL
Fax: 317-733-2005 WYNAARON I 00095
Qty B/O Item Number Bin Loc Unit Price Amount
1.0 ALTERNATOR,ASSY(DENS0101211-8771 KUBM013 EA 437.90 437.90
KUBK7561-61910
1.0 FILTER,OIL KUBH008 EA 10.40 10.40
KUBHH150-32430
1.0 FILTER,FUEL KUBB002 EA 8.12 B.13
KUB12581-43012
1.0 CARTRIDGE,FILTER OIL(ORANGE)HST KUBI009 EA 20.78 20..78
KUBHHK72-14080
1.0 FILTER,CARTRIDGE-OIL(TRAN AXLE) KUBI009 EA 23.21 23.22
KUBHHK70-14070
1.0 FILTER,AIR-OUTER RTV900 KUBJ01O EA 20.76 20.77
KUBK1211-82320
1.0 FILTER,AIR-INNER(NAP2845)RTV900 KUBM013 EA 38.06 38.06
KUBK7561-82360
Sub-total 559.26
Total 559.26
IMPORTANTI Please note and acknowledge safety instruction by initialing here:
DECLARE DAMAGE WAIVER (Damage waiver is not available on crane rentals). Initial here:
If declined current insurance certificate must be on file with MacAllister Rental. By his/her Initial Customer will provide guard railing, planking,out riggers,and other
safety accessories as required,per safety instructions.Initial here:
Purchaser/Lessee upon failure to pay balance when due shall be liable for all expenses incurred in collection of said balance including but not limited to attorney's
fees and court costs. It is agreed by the parties hereto that reasonable attorney's fees shall be one-third(1/3)of any amount owned by Purchaser/Lessee.
Net 10 days unless otherwise specified.A service charge will be applied to all past due accounts.This agreement shall include the above terms and conditions as
well as those set forth on the reverse hereof.
ACCEPTED BY CUSTOMER
RMPSLS (ISN-2014)
VOUCHER NO. WARRANT NO.
ALLOWED 20
MacAllister Machinery Co, Inc.
Dept. 78731 IN SUM OF$
P.O. Box 78000
Detroit, MI 48278-0731
$559.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#IrITLE._ AMOUNT
Board Members
2201 R64139799001 42-370.00 $559.26 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
0
T /rsd , une 11, 2015
Title
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))
05/15/15 R64139799001 $559.26
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