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253601 01/22/16
4y ur 4.Iq,Mf �;! �� CITY OF CARMEL, INDIANA VENDOR: 360305 ONE CIVIC SQUARE CARRIER CORP CHECK AMOUNT: $"""1,411.33• �� CARMEL, INDIANA 46032 PO BOX 93844 CHECK NUMBER: 253601 M,��oN�. CHICAGO IL 60673-3844 CHECK DATE: 01/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 T001174945 1,411.33 BUILDING REPAIRS & MA SERVICE G OIC CUSTOMER ORDER NO.'— AL BILL INDICATOR DATE .INVOICE NUMBER c SIGNED SA '' 01/0:1116{ T001�17>49450 CUSTOMER CODE CUSTOMER SHIP T CUSTOMER'S RESALE OR EXPORT NUMBER WORK ORDER NO. BRANCH %P.R-IORIT TRANSAC= SHIP—]SHIP PAGE---1-v TION METHOD 8001 C100R44001 5441 0018 116044 1 116 044 CONTR. LIC. # PLEASE REMIT PAYMENT TO: SOLD CARMEL CLAY PARKS & RECREATION CAR IER CORPORATIO TO: x.._ ACCOUNTS PAYABLE � P 0 BOX #93844 ^� 1411 E 116TH STREET "08 `'CHI 0, FTL 60673 -3844 CARMEL IN 46032-3455INCLUDE YOUR�CUSTOMER CODE WHEN` SUBMITTING PAYMENT SHIP CARMEL CLAY PARKS - 1ION SALESMAN TERMS JALLOWEDDISCOUNT INSURANCE TO: 044 1 000 0.000 1235 CENTRAL PARK DR E BILL OF LADING NUMBER SHIPMENT CONTAINER N0. OF WEIGHT TYPE CONTAINERS CARMEL IN SHIPPED VIA DESTINATION SHIPPED DATE CODE MARK O.P. CONTROL NO.JWHSEA�TP SALE PACKING LIST TAX CODE FOR: TR01T TX95-- UNITE© CARRIER PARKWAY TECHNOLOGIES P.O. sox 4808 CARRIER RESERVES THE RIGHT TO CARRIER DIVISIONAOFECARRIERUCORPORATION ASSESS INTERESTS AT THE MAX- IMUM RATE ALLOWABLE BY LAW ON NOTES: AMOUNTS PAST DUE LINE IQTY.SHIPPED 1 PART NUMBER/NOTES DESCRIPTION U/M UNIT LIST PRICE MULTIPLIER UNIT NET PRICE EXTENDED AMOUNT 001 SERVICE AGREEMENT 1411.33 EFFECTIVE 03/01/15 FR 01/01/16-01/31/1 SUBTOTAL 1411.33 TOTAL i— 411_3-3_ IF Q ES IONS CON ACT: AIME BROW AT P ON : 317-82L-3000 TO P Y BY M/C,VI A,AME CALL KRIS A DELLIZZARE 315-432-6241 AMOUNT CARRIER CORE IAN1ON DELAWARE CORP. XO DAYS NET 301716 AYS DUE ON RECEIPT 1411.33 HE HEREBY CERTIFY THAT THESE GOODS MERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS G.7 t 12 OF THE THE FAIR LABOR STANDARDS ACT,AS AMENDED AND OF REGULATION ORDERS OF THE U.S.DEPT.OF LABOR ISSUED UNDER SEC. 14 THEREOF ...ANY DIFFERENCES BETMEEN QUANTITIES ORDERED AND QUANTITIES SHIPPEDHAVE BEEN BACK ORDERED AND MILL BE SHIPPED AS SOON AS RECEIVED.ANY CLAIM FOR SHORTAGE OR ADJUSTMENT MUST BE MADE WITHIN 30 DAYS. C ISTOMFR ORIGINAL 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. 360305 Carrier Corporation Terms P.O. Box 93844 Chicago, IL. 60673-3844 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1/1/16 T001174945 HVAC Service Agreement Jan'16 38153 $ 1,411.33 Total $ 1,411.33 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 .•r 20_ Clerk-Treasurer Voucher No. Warrant No. 360305 Carrier Corporation Allowed 20 P.O. Box 93844 Chicago, IL 60673-3844 In Sum of$ l j $ 1,411.33 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center i f� PO#or INVOICE NO. ACCT#rrITLE AMOUNT ` Board Members Dept# 1093 T001174945 4350100 $ 1,411.33 1 1 hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and that the 1 I materials or services itemized thereon for which charge is made were ordered and I received except I January 14, 2016 i - f Signature $ 1,411.33 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i I I 1