251260 11/04/15 y w.4�NM
CITY OF CARMEL, INDIANA VENDOR: 294850
`� �'� CHECK AMOUNT. $********29.93*
r ONE CIVIC SQUARE STOOPS FREIGHTLINER
:` ?� CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 251260
•;��oN�` CHICAGO IL 60673-1278 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 X301083373 23.54 REPAIR PARTS
1120 4237000 X301087492 6.39 REPAIR PARTS
INVOICE NO. X301083373:01
i"1C INVOICE DATE
10/07/2015
P.O. NUMBER TSU345
fRfIGRTUMM-l80111pYpTHAMIR �`� �� � � � sHIP VIA PICKUP
DIVISION OfIR�UA UNIBY REFERENCE
LA
F<,u�.ewxL�er,�x laa9 TRUCK COUNTRY-INDIANAPOLIS
�� __ 1851 W THOMPSON ROAD
AILCLAIMSANDRETURNEDTOODSMUSTBEAGCOMWW1if6BYTHISINVOICE NO RETURNS=ON INDIANAPOLIS, IN 46217
.ELECTRICAL OR SPECIAL ORDER PARTS.:,," RETURNS WITHOUT,THIS INVOICE'NO RETURNS-
k AFTER 30 DAYS THELE WILL BEAN UP TO,25/RESTOCKING FEE PLUS FREIGHT CHARGES ON Phone: (800)899-1533 FAX:(317)781-4376
! ALL RETURNED PARTS.NO RETURNS'ON ANY PARTS WITH A VALUELESS THAN°$50
Bill To: Ship To:
CARMEL FIRE DEPARTMENT 160874 CARMEL FIRE DEPARTMENT 160874
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL , IN 46032 2 CARMEL, IN 46032
L)
J�
Phone: (317)571-2600 Phone: (317)571-2600
INVOICE NO.X301083373:01
DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN
10/6/2015 CHG S1617
QTY QTY UNIT EXT
SHIP B/O ITEM DESCRIPTION BIN 1 PRICE PRICE
1 0 301 F/SAA 85920037 ", SENDER MPH "� F08 23.54 23.54
is
SALES TAX EXEMPTION CERTIFICATEDISCLAIMER OF WARRANTIES >"
I certify that this transaction is exempt from the Indiana Sales Tax because.
chANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE-THORP MADE^. 23.54
m,M1S L,♦
Purchaser is a Common contract canter who will use Items purchased or sawiced d BY MANUFACTURER IF ANY.THE SELLER HEREBYEXPRESSLY r Subtotal
exclusively as such Cartier. DISCLAIMS ALL WARRANTIES EITHER EXPRESS,PR IM. EO-INCLUDING
ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FORA TAX 0.00
Authority Number. PARTICUL'ARPURPOSE,AND TRUCK COUNTRY OF Iritliana NEITHER
Purchaser is engaged in me business of and Items will be used for resale. ASSUMES NOR AUTHORIZES ANY.OTHERPERSON TO ASSUME FOR IT ANY
LIABILITY IN CONNECTION!WITHTHE SALE-OF SAID PRODUCTS.WE TaxDes2 0.00
Resale Number. HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE
WITH ALLAPPLICABLE REQUIREMENTS OF SECTIONS6,7 AND 12 OF THE
I em authorized to execute this Certificate and claim this exception. FAIR LABOR STANDARDS ACT OF 1938.AS AMENDED AND OF
REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR Total: 23.54
DIVISION ISSUED UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES
EXPRESS LIMITED NON-TRANSFERRABLE WARRANTY,TO THE ORIGINAL
Business Name Authorized Signature PURCHASER,ON TECHNICIAN WORKMANSHIP ISSUES FOR 30 DAYS FROM
THE COMPLETION DATE OF THIS REPAIR ORDER A FINANCE CHARGE OF
ONE AND ONE-HALF PERCENT(1 Y,%)PER MONTH IS APPLIED TO ALL
ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE
Business Address Data RATE OF EIGHTEEN PERCENT(18%).
RECEIVED
BY:
Please Remit Payment to:
Delivered by: Date: STOOPS FREIGHTLINER
27825 NETWORK PLACE
Customer Signature:
CHICAGO,IL 60673-1278
SIGNATURE 11—1 CUSTOMER O0.CUSTOMER REPRESENTATNE CONSTITUTES AGREEMENT TO PAY REASONABLE LEGAL EKPENCE9
INLCUDINO ATTORNEY AND COURT COSTS INCURRED BY TRUCK COUNTRY F00.PAYMENT OF THIS INVOICE.
CUSTOMER Page 1 of 1
r,
INVOICE NO. X301087492:01
INVUCE INVOICE DATE 10/22/2015
_ P.O. NUMBER BOB V
fRfiGNTLINER-QUALITY TRAILER m � SHIP VIA DELIVERY
DIVISION OF TRUCUNIBY REFERENCE Q301024481
TRUCK COUNTRY-INDIANAPOLIS
F...�FD.eLP=aRx,Pae
1851 W THOMPSON ROAD
( ALLCLAIMSANDRETURNED.GOODSMUSTBEACCOMPANIED'BYTHISINVOICE NORETURNSDN INDIANAPOLIS, IN 46217
1 LECTRICAL OR SPECIAL ORDER PARTS NO RETURNS WITHOUT THIS INVOICEN'O,RETURNS
( AFTER 30 DAYS. THERE WILL BEAN UP TO 2510-RESTOCKIN(. E PLUS,FREIGHT CHARGES ON� Phone: (800)899-1533 FAX:(317)781-4370
I ALL RETURNED PARTSS.No RETURNS ON ANY PARTS WITH A VALUE LESS THAN$50 V }C4
Bill To: Ship To:
CARMEL FIRE DEPARTMENT 160874 CARMEL FIRE DEPARTMENT 160874
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL , IN 46032 CARMEL, IN 46032
Phone: (317)571-2600 Phone: (317)571-2600
INVOICE NO.X301087492:01
DATE SHIPPED TERMS I SALESPERSON WRITER SHIP VIA UNIT ID VIN
10/22/2015 CHG S1617
QTY QTY UNIT EXT
SHIP B/O ITEM DESCRIPTION 4 BIN 1 PRICE PRICE
1 0 301F/22-44270-001 -,KNOB-CONTROL,REARPANEL `� PC72 6.39 6.39
J
e
z
y
j
SALES TAX EXEMPTION CERTIFICATE DISCLAIMER OF WARRANTIES -�`~- b
1 certify that this transaction is exempt from the Indiana Sales Tax because: ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE�THOSEMADE BY Sub
6.39
Purchaser is a common contract carrier who will use items purchased or serviced exclusively as subh,,' MANUFACTURER,IFANY.THE SELLER HEREBY EXP,RESSLY;DISCLAIMSALL
carder. WARRANTIES,EITHER EXPRESS OR IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE AND TRUCK TAX 0.00
Authority Number: COUNTRY OF.Indiana NEITHER ASSUMES NORAUTHORIZES ANY OTHER PERSON TO
Purchaser is engaged in the business of and Items will be used for resale. ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE OF SAID PRODUCTS TaXDeS2 0.00
WE HEREBY CERTIFYTHAfTHESE GOODS WERE PRODUCED IN COMPLIANCE WITH
Resale Number. ALLAPPLICABLE REQUIREMENTS OF SECTIONS(-7 AND 12 OF THE FAIR LABOR
STANDARDS ACT OF 1938,AS AMENDED AND OF REGULATIONS AND ORDERS OF THE
I am authorized to execute this Cenificete and claim this exception. ADMINISTRATOR OR WAGE AND HOUR DIVISION ISSUED UNDER SECTION 14 Total: 6.39
THEREOF.TRUCK COUNTRY DOES EXPRESS LIMITED NON-TRANSFERRABLE
WARRANTY,TO THE ORIGINAL PURCHASER ON TECHNICIAN WORKMANSHIP ISSUES
Business Name Authorized Signature FOR 30 DAYS FROM THE COMPLETION DATE OF THIS REPAIR ORDER AFINANCE
CHARGE OF ONE AND ONE-HALF PERCENT(1 A%)PER MONTH IS APPLIED TO ALL
ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE RATE OF
Business Address Data EIGHTEEN PERCENT(18%).
RECEIVED BY:
Please Remit Payment to:
Delivered by: Date: STOOPS FREIGHTLINER
27825 NETWORK PLACE
Customer Signature: CHICAGO,IL 60673-1278
SIGNATURE BY THE CUSTOMER OR CUSTOMER REPRESENTATIVE CONSTITUTES AGREEMENT TO PAY RPJ180NABLE LEGAL EKPENCES,
INLCUDING ATTORNEY AND COURT COSTS INCURRED BY TRUCK COUNTRY FOR PAYMENT OF THIS INVOICE.
CUSTOMER Page 1 of 1
VOUCHER NO. WARRANT NO.
� ALLOWED 20
Stoops Freightliner
i IN SUM OF$
I
27825 Network Place
Chicago, IL 60673-1278
$29.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 X301087492 42-370.00 $6.39 1 hereby certify that the attached invoice(s), or
1120 X301083373 42-370.00 $23.54 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
NOV - 2 2015
n - A
P-jv"v
1.
Fire Chief
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
IAn 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.
I
Payee
I
Purchase Order No.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
X301087492 $6.39
X301083373 TSU345 $23.54
I
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