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Home My WebLink About256541 03/15/16 i o�-C�qM CITY OF CARMEL, INDIANA VENDOR: 294850 ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $*******157.63* r4� �_� CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 256541 �,,��oN�. CHICAGO IL 60673-1278 CHECK DATE: 03/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 X30111872601 157.63 REPAIR PARTS INVOICE NO. X301118726:01 S�O�pS INVOICE DATE 03/04/2016 J-9 FREIGHTLINER-IMA11TY TRAILER P.O. NUMBER SHIP VIA UPS/FEDEX DIVISION I f IREFERENCE °•°"°°mB1 C1°°� TRUCK COUNTRY-INDIANAPOLIS 1851 W THOMPSON ROAD >` ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS INVOICE.NO RETURNS ON INDIANAPOLIS, IN 46217 ELECTRICAL OR SPECIAL ORDER PARTS.NO RETURNS WITHOUT THIS INVOICE.NO RETURNS AFTER 30 DAYS.-THERE WILL BE AN UP TO 25%RESTOCKING FEE PLUS FREIGHT CHARGES ON Phone:(800)899-1533 FAX: (317)781-4370 ALL RETURNED PARTS.NO RETURNS ON ANY PARTS WITH A VALUE LESS THAN$50. Bill To: Ship To: CITY OF CARMEL 183553 CITY OF CARMEL 183553 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL , IN 46074 CARMEL, IN 46074 Phone:(317)733-2001 Phone: (317)733-2001 INVOICE NO.X301118726:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN 3/4/2016 CHG S2022 QTY QTY UNIT EXT SHIP B/O ITEM DESCRIPTION BIN 1 PRICE PRICE 1 0 301 F/F5TZ 17618 AB RESERVOIR-WTR U0304E 137.68 137.68 1 0 FRT FREIGHT OUT 19.95 19.95 SALES TAX EXEMPTION CERTIFICATE _ DISCLAIMER OF WARRANTIES I certify thatthis transaction is eaemptfromthe Indiana Sales Tax because: ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE MADE Subtotal 157.63 Purchaseris a Common Contract carder who will use items purchased or serviced BY MANUFACTURER,IF ANY.THE SELLER HEREBY EXPRESSLY DISCLAIMS exclusively as such carder. ALL WARRANTIES EITHER EXPRESS OR IMPLIED INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR TAX0,00 Authority Number. PURPOSE,AND TRUCK COUNTRY OF Indiana NEITHER ASSUMES NOR Purchaser is engaged in the business of and items will be used for resale. AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE OF SAID PRODUCTS.WE HEREBY CERTIFY Resale Number. THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6.7 AND 12 OF THE FAIR LABOR I am authorized to execute this Certificate and daim this exception. STANDARDS ACT OF 1838,AS AMENDED AND OF REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR DIVISION ISSUED Total: 157.63 UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES EXPRESS A 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%%)PER MONTH IS APPLIED TO ALL ACCOUNTS 30 DAYS PAST DUE THIS EQUALS AN ANNUAL PERCENTAGE Business Address Date RATE OF EIGHTEEN PERCENT(1 B%). RECEIVED BY: Please Remit Payment to: Delivered by: Date: STOOPS FREIGHTLINER Customer Signature: 27825 NETWORK PLACE CHICAGO,IL 60673-1278 SIGNATURE BY THE CUSTOMER OR CUSTOMER RCRRRSENTATIVE CONSTITUTES ACRElMlNT TO FAY RRASONARLE LRCAL WINCES, INLCUOINC ATTORNEY ANO COURT COSTS INCURRED MY TRUCK COUNTRY FOR RATHENT OF THIS INVOICE CUSTOMER EMAIL COPY 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)) 03/04/16 X301118726:01 $157.63 2201 201 I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ' 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 STOOPS FREIGHTLINER 27825 NETWORK PLACE IN SUM OF$ CHICAGO, IL 60673-1278 $157.63 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member X301118726:01 I 42-370.00 I $157.63 1 hereby certify that the attached invoice(s), or 2201 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 uay, March 08' 2,6 1 V/11 VAI W f`f L/ Cost distribution ledger classification if claim paid motor vehicle highway fund