248326 08/12/15 0%������ . CITY OF CARMEL, INDIANA VENDOR: 366510
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ONE CIVIC SQUARE FLEETPRIDE CHECK AMOUNT: $*******604.30*
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CARMEL, INDIANA 46032 P 0 BOX 281811 CHECK NUMBER: 248326
M«uN ATLANTA GA 30384-1811 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 70966867 604.30 REPAIR PARTS
FlectPride° REMIT IDE
INVOICE FLEETPRIDE
PO BOX 847118
TRUCK& TRAILER PARTS 70966867 DALLAS TX 75284-7118
(361) 883-4358 EXT 4000
WWW.FLEETPRIDE.COM INDIANAPOLIS IN 1140 S WEST ST (317) 632-4487
STORE NO. SHIP LOC. INVOICE TYPE QUOTE INVOICE DATE JINVOICE NUMBER
352 IND 11 CHARGE SALE 07/27/15 1 70966867
SOLD TO CARMEL STREET DEPT. SHIP TO CARMEL STREET DEPT.
3400 W 131ST ST
CARMEL IN 46074-8267 3400 W 131ST ST
(317)-733-2001
WESTFIELD IN 46074-8267
CHECK 90. SHIPPER NAME ORIG. INVOICE 110. FREIGHT BILL OF LADING TERMS
WILL CALL NET 30
PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY ACCOUNT SALESMAN
302461 353
UANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT
ORD. SHIPPED CODE
4 4 649 OTR-4715Q-RED 16 1/2 X 6 MERITOR Q PREM 23K 32.35 129.40
BRAKE SHOE (EA)
4 4 915 C4715Q CORE MERITOR 16.5X6 NO HUMP 32.00 128.00
(EA)
2 2 5 OTR4524QM MACK HARDWARE KIT W/OFFSET 11.92 23.84
SPRING (EA)
2 2 2700 85-123400-002 DRUM-CAST BALANCED (EA) 193.53 387.06
(2) (2) 915 C4715Q CORE MERITOR 16.5X6 NO HUMP 32.00 (64.00)
(EA)
INVOICE
TOTAL $ 604.30
Parts & Service Freight Taxes
$604.30 $.00 $.00
F1eetPride makes NO WARRANTY OF MERCHANTABILITY with respect to any goods sold. There are no warranties which
extend beyond the description of any goods sold on the invoice describing them. It is expressly agreed that
Applicant s sole remedy for breach of any warranty with respect to goods or work is limited to the money actually
received by FLEETPRIDE for the goods or work; the remedy of consequential damages is expressly excluded.
It is agreed that payment of the cash price is due within the terms stated above. A SERVICE CHARGE OF 1.5% per month (18% PER
ANNUM) shall be due upon the amount of any charge which has not been paid when due. PLEASE PAY FROM THIS INVOICE.
CORES MUST BE RETURNED WITHIN 60 DAYS TO BE ELIGIBLE FOR CREDIT.
348 IND IND_SAVE MBAUER 07/27/15 17.07.51 All Claims and returned goods MUST be accompanied by this bill.
Page 1 Of 1 RECEIVED BY
VOUCHER NO. WARRANT NO.
ALLOWED 20
FleetPride
IN SUM OF$
PO Box 28.1811
Atlanta, GA 30384-1811
$604.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 70966867 42-370.00 $604.30 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
w
Ua"
Thur4 5"Vol
I Rtrppt rnmmicciopp-r
Street Commissioner
i
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))
07/27/15 70966867 $604.30
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