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251960 1 2/02/1 5 9-�% CITY OF CARMEL, INDIANA VENDOR: 355650 ;, b s'r ONE CIVIC SQUARE DITCH WITCH MIDWEST CHECK AMOUNT: $ ....*208.79* CAROL CARMEL, INDIANA 46032 124 N SCHMALE RD CHECK NUMBER: 251960 ,, TON`o CAROL STREAM IL 60188 CHECK DATE: 12/02/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 PS00280441 208.79 OTHER EXPENSES #chWitch124 N.Schmale Road,Carol Stream,IL 60188 1550 West Northfield Drive,Brownsburg, IN 46112 GD4418 Merchant Road,Fort Wayne,IN 46818 2400 Tower Drive,Kaukauna,WI 54130 n�Q/�]p/t/esg 1305 Sentry Drive,Waukesha,WI 53186 (I GU lam/11 V 1� l4 CAROL r QUALITY SINCE 1970 ALL CLAIMS AND RETURNED GOODS MUST BE WITHIN 10 DAYS AND MUST BE ACCOMPANIED BY THIS BILL. DITCH WITCH MIDWEST INVOICE NO INVOICE DATE 1550 W NORTHFIELD CUSTOMER NO PAGE NO PS0028044-1 11/12/2015 BROWNSBURG IN 46112 BD0001173 1 PAYMENT TERMS CUSTOMER PO NET 30 DAYS PARTS INVOICE INVOICE TO: SHIP TO: CITY OF CARMEL CITY OF CARMEL 3450 W. 131ST STREET 3450 W. 131ST STREET WESTFIELD IN 46074-8267 WESTFIELD IN 46074-8267 Check Number SALESMAN: JOHN PARR ORDER NO: PS0028044 DELIVERY TERMS: SHIP VIA: CONTACT NAME: DITCH WITCH MODEL:TX-BSC-5W S/N:8345528 POS. SHIP B/O PART NUMBER / DESCRIPTION WRH PRICE CORE TOTAL Lot ID 1 1 0 270-6639 MFL RX, KEYPAD, NO D.E. W0800 20.40 0.00 20.40 800 1 0 FO INSURED FREIGHT 50.39 0.00 50.39 801 1 0 SRO-NT SUBSITE LABOR OUTSIDE 138.00 0.00 138.00 �L v PARTS 20.40 MISC CHARGES 188.39 SUBTOTAL 208.79 SALES TAX 0.00 INVOICE TOTAL 208.79 NON WARRANTY UTG-BASIC S/N 8345528 REPLACED SHORTED KEYPAD AND UPDATED SOFTWARE TO VERSION 12. RECALIBRATED UNIT AND SENT TO TEST FIELD FOR TESTING. ACCEPTANCE: Date: This invoice is subject to all the terms,provisions,conditions and limitations of the parts of sales agreement concerning the goods,services or equipment sold or leased as described therein. Examine this invoice carefully as it will be deemed correct unless errors are reported to Ditch Witch Midwest within 10 days of the date hereof. The purchaser or lessee shall pay a service charge of 1.5%(18%Annual Rate)on all amounts not paid within 15 days following the date of such sale or lease and all costs of collection or enforcement including reasonable attorney's fees RETURNED ITEMS ARE SUBJECT TOA SERVICE AND RESTOCKING CHARGE. www.ditchwitchmidwest.com • 800-243-1328 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 355650 DITCH WITCH MIDWEST Purchase Order No. 3173 E. MAIN STREET Terms DANVILLE, IN 46122 Due Date 11/20/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/20/201! PSO028044- $208.79 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 /2 5/s Date Officer VOUCHER # 153637 WARRANT # ALLOWED 355650 IN SUM OF $ DITCH WITCH MIDWEST 3173 E. MAIN STREET DANVILLE, IN 46122 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code PS0028044-1 01-6200-06 $20.40 PS0028044-1 01-6360-06 $188.39 Voucher Total $208.79 Cost distribution ledger classification if claim paid under vehicle highway fund