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249252 09/09/15 11:Via,C�gMff CITY OF CARMEL, INDIANA VENDOR: 366510 ONE CIVIC SQUARE FLEETPRIDE CHECK AMOUNT: $ 1,074.94• ?� CARMEL, INDIANA 46032 P 0 BOX 847118 CHECK NUMBER: 249252 DALLASTX 75284-7118 CHECK DATE: 09/09/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 71829141 1,074.94 REPAIR PARTS FlootPride © REMIT TO: INVOICE FLEETPRIDE PO BOX 847118 TRUCK& TRAILER PARTS 71829141 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 INVOICE NUMBER 352 IND CHARGE SALE L 08/26/15 1 71829141 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 NO. SHIPPER NAME ORIG. INVOICE N0. FREIGHT BILL OF LADING J TERMS WILL CALL NET 30 PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY ACCOUNT SALESMAN TRUCK107 302461 353 QUANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICEF AMOUNT ORD. SHIPPED CODE 4 4 649 OTR-4715Q-BLU 16 1/2 X 6 MERITOR Q PREM 20K 23.72 94.88 BRAKE SHOE (EA) 4 4 915 C4715Q CORE MERITOR 16.5X6 NO HUMP 32.00 128.00 (EA) (6) (6) 915 C4715Q CORE MERITOR 16.5X6 NO HUMP 32.00 (192.00) (EA) 2 2 5 OTR4524QM MACK HARDWARE KIT W/OFFSET 11.92 23.84 SPRING (EA) 2 2 65 65179B BRAKE DRUM 16.50 X 6.0 BAL 370.65 741.30 (EA) 2 2 230 SC2400 TYPE 24 SERVICE CHAMBER (EA) 30.77 61.54 2 2 2700 R810019 ASA CLEVIS KIT (EA) 15.31 30.62 2 2 2700 R803110 AY-ASA 1.50-28 (EA) 93.38 186.76 INVOICE TOTAL $ 1,074.94 Parts & Service Freight Taxes $1,074.94 $.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 ANNUN) 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 08/26/15 16.35.30 All Claims and returned goods MUST be accompanied by this bill. Page 1 Of 1 RECEIVED BY 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)) 08/26/15 71829141 $1,074.94 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 FleetPride IN SUM OF $ PO Box 281811 Atlanta, GA 30384-1811 $1,074.94 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 71829141 I 42-370.00j $1,074.94 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 e Thursd Se r 3 015 VVV W A-1,W 6 SftebfM=i dusftiaer Title Cost distribution ledger classification if claim paid motor vehicle highway fund