253986 01/26/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 367930
ONE CIVIC SQUARE TEREX SERVICES CHECK AMOUNT: $*******335.00*
CARMEL, INDIANA 46032 62831 COLLECTIONS CENTER DR CHECK NUMBER: 253986
CHICAGO IL 60693 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350100 32575 90322441 335.00 INSPECTION
®TEREX
Invoice
Terex Services,-2650 Roosevelt Ave., Indianapolis, IN46216
Please reference in all correspondence
Bill to: 104156 Invoke No'' 90322441
Custiomer;;No 104:156..
CITY OF CARMEL
4156
3400 W. 131ST STREET Ship to
CARMEL IN 46074 CITY OF CARMEL
3400 W. 131ST STREET
CARMEL IN 46074
USA
Date Jan 14, 2016
Your order dated: Dec 10, 2015 Contact Ms. Nicole Clark
Your order no.: 32575 Phone 317-637-8299
Sales order no.: 2296134 Fax 317-637-8499
Tag order: E-mail Nicole.Clark@terex.com
We invoice you for the supply of goods/services subject to our general terms and conditions.
Remit payment: Terex Services, 62831 Collections Center Dr, Chicago, IL 60693
Payment Terms: Within 30 days Due net
Item Material Qty Unit Discount% Price Total USD
Description
10
Inspection-2016 Periodic 1 EA 335.00 335.00
2016 Annual Crane Inspection
Service order #5285772
Value of Goods: 335.00
Non-Taxable: 335.00
Invoice Value: 335.00
Incoterms: Free carrier Seller's premise
Ship via: Terex Services
BUYER ACKNOWLEDGES THAT BUYER RECEIVED, HAS HAD THE OPPORTUNITY TO REVIEW, AND AGREES TO THE TERMS AND
CONDITIONS SET FORTH ABOVE, AS WELL AS TERMS AND CONDITIONS OF SALE CONTAINED BELOW.
INVOICE
Page 1 of 1
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/14/16 90322441 $335.00
2201 201
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
TEREX SERVICES ALLOWED 20
62831 COLLECTIONS CENTER DR IN SUM OF$
CHICAGO, IL 60693
$335.00
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
32575 90322441 43-501.00 $335.00 1 hereby certify that the attached invoice(s), or
2201 Encumbered 201
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
Thursday, January 21, 2016
Cost distribution ledger classification if Street Commissioner
claim paid motor vehicle highway fund