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251935 12/02/15 CITY OF CARMEL, INDIANA VENDOR: 360305 ® i ONE CIVIC SQUARE CARRIER CORP CHECK AMOUNT: $*****1,411.33* i4 CARMEL, INDIANA 46032 PO Box 93844 CHECK NUMBER: 251935 CHICAGO IL 60673-3844 CHECK DATE: 12/02/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 T001172342 1,411.33 BUILDING REPAIRS & MA SERVICE G INVOICE CUSTOMER ORDER NO.—FINAL BILL INDICATOR DATE INVOICE NUMBER SIGNED SA `' 11/01/15 T001172342 CUSTOMER CODE CUSTOMER SHIP T CUSTOMER'S RESALE OR EXPORT NUMBER WORK ORDER NO. JBRANCH JPRIORIT]TRANSAC— SHIP PAGE TION METHOD C1008001 R44001 544A70018 116044 1 116 044 CONTR. LIC. # • PLEASE REMIT PAYMENT T0: SOLD CARMEL CLAY PARKS $ RECREATION CARRIER CORPORATION PCS TO: ACCOUNTS PAYABLE p�-A'CFj _ P.O.BOX # 93844 1411 E 116TH STREET CHICAGO, IL 60673-3844 CARMEL IN 46032-3455 NOV 0 9 2015 INCLUDE YOUR CUSTOMER CODE WHEN SUBMITTING PAYMENT SHIP CARMEL CLAY PARKS — 12REGION SALESMAN TERMS, ALLOWED DISCOUNT INSURANCE TO: 044 1 000 0.000 1235 CENTRAL PARK DR E BILL OF LADING NUMBER WEIGHTPMENT TYPE CNO. OF ONTAINERS CARMEL I N SHIPPED VIA DESTINATION SHIPPED DATE CODE MARK O.P. CONTROL N0. WHSE TP SALE PACKING LIST TAX CODE FOR: TR O1T TX95-7 UNITED CARRIER PARKWAY TECHNOLOGIES SKRACUSE,4NEW YORK USA 13221 CARRIER RESERVES THE RIGHT TO CARRIER DIVISION OF CARRIER CORPORATION ASSESS INTERESTS AT THE MAX- IMUM RATE ALLOWABLE BY LAW ON NOTES: AMOUNTS PAST DUE LINE OTY.SHIPPED PART NUMBER/NOTES DESCRIPTION U/M UNIT LIST PRICE MULTIPLIER UNIT NET PRICE EXTENDED AMOUNT 001 SERVICE GREEM 1411.SS EFFECTIVE 03/01/15 FR 11/01/15-11/30/1 SUBTOTAL 1411 .33 TOTAL 1411 .33 IF Q ES IONS CON ACT: AIME BROW AT P ON : 317-821-3000 TO P Y BY M/C,VISA,AMEN CALL KRIS A ELLIZZAR 315- 32-6241 CARRIER CORPORATION, A DELAWARE ��YS AMOUNT F.E.I.N. 06-0991716 NET 30 +YS DUE ON RECEIPT 1411 .33 ME HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE KITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6.7 6 12 OF THE THE FAIR LABOR STANDARDS ACT, AS AMENDED AND OF REGULATION ORDERS OF THE U.S. DEPT. OF LABOR ISSUED UNDER SEC. 16 THEREOF ...ANY DIFFERENCES BETWEEN QUANTITIES ORDERED AND QUANTITIES SHIPPED HAVE BEEN BACK ORDERED AND WILL BE SHIPPED AS SOON AS RECEIVED.ANY CLAIM FOR SHORTAGE OR ADJUSTMENT MUST BE MADE WITHIN 30 DAYS. CUSTOMER ORIGINAL 08/18/t005 nw.�_nn.ee ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 360305 Carrier Corporation P.O. Box 93844 Chicago, IL 60673-3844 Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) PO# 38153 $ 1,411.33 1111115 7001172342 HVAC Service Agreement Nov'15 Total $ EEE1,411.33 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. 360305 Carrier Corporation Allowed 20 P.O. Box 93844 Chicago, IL 60673-3844 In Sum of$ $ 1,411.33 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or Board Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1093 T001172342 4350100 $ 1,411.33 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 November 23, 2015 Signature $ 1,411.33 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund