257109 04/05/16 04gMf� CITY OF CARMEL, INDIANA VENDOR: 367001
® ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $*******188.72*
�� �'� CARMEL, INDIANA 46032 PO Box 5219 CHECK NUMBER: 257109
9y�*ox�a CAROL STREAM IL 60197-5219 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 700373110007 188.72 7003731100072984
INVO.LCE__
CUSTOMER ORDER N0:wNAL BILL INDICATOR ,DATE 1 ,INV ICE NUMBER
MICHAEL KILPATRICK Y �0-3-211 1V B.00250550'T
USTOMER CODE USTOMER SHIP TO I CUSTOMER'S RESALE OR EXPORT NUMBER WORK ORDER NO. BRANCHPRIORITY TRAN5AG SHIPMETHOD PAGE
CTION 1008001 R44001 644U70075 600440 1
116 044 CONTR. ' LIQ. # PLEASE REMIT PAYMENT TO:
SOLD CARMEL CLAY PARKS & RECREATION CARRIERCORPORAT.ION,,.,
TO: ACCOUNTS PAYABLE P.0.-
,BOX`##
1411 E, 116TH STREET - ClICAGO IL 60673-3844
CARMEL IN 46032-3455 "`
d�n�" INCLUDE YOUR CUSTOMER CODE
MAR 2 8 2016 WHEN SUBMITTING PAYMENT
SHIP CARMEL CLAY PARKS - 1235 By• R GION SALESMAN ERMS DAYSALL'D DISCOUNT INSURANCE
T0: �=�-- _ 044 012 0 . 0 0 0 N
1235 CENTRAL PARK DR E BILL OF LADING NUMBER SHIPMENT WEIGHT CONTAINER NO.OF
TYPE CONTAINERS
CARMEL
IN SHIPPED VIA DESTINATION SHIPPED DATE
CODE
/16
O.P. CONTROL N0._ WHSE_ TYPE SALE PACKING LIST TAX CODE
MARK - - -FOR: 44 rBSj
_- -- - - - - CARRIER PARKWAY -
P.O.BOX 4808
Carrier SYRACUSE,NEW YORK USA 13221
CARRIER RESERVES THE .RIGHT TODIVISION OF CARRIER CORPORATION
ASSESS INTERESTS AT THE MAX-
IMUM RATE ALLOWABLE BY LAW ON
AMOUNTS PAST DUE NOTES:
LINE OTY.SHIPPED PART NUMBER/NOTES DESCRIPTION U/M UNIT LIST PRICE MULTIPLIER UNIT NET PRICE EXTENDED AMOUNT
01 4 . 5 LABOR -STRAIGHT TIM HRS-1 . 0 EA 140 . 00 630 . 00
02 1 PARTS - OTHER PTS-ZZZ EA 740 . 55 740 . 55*
D64044252- -1298535
03 1 TRUCK CHARGE TRK-CHG EA 75 . 00 75 . 00
UNIT IN ALARM A200 FLOW ISSUE 3/10/16 : ATTAC ED TO
REPLACED FLOW SWITC , FOUND THAT NEW FLOq SWIT H ALSO
REQUIRES NEW CABLE. ORDERED NEW CABLE, REMOVED OLD FLOW
SWITCH AND CLEANED CFF BUT STILL WOULD N T READ FLOW.
3/11/16 : REMOVED OLE FLOW S IT H AND CAB E AND INSTALLED NEW
THEN VERIFIED REPAIR . PLEASE RIFER TO YOJR REFERENCE NUMBER
8228 . AUTHORIZED -BY MICHAEL =PATRICK. rHANK YOU FOR
CALLING CARRIER.
COMPLETED 0-3-/11-/1-6
S BTOTAL 1445 . 55- -
TOTAL 1445 . 55
IF UE TIONS CON ACT: JAIME BROW
AT PHONE: 317-821-30-00
TO PAY BY M/C,VI-nA,AMEK CALL
KRI TA PELLIZZAR 315-132-6241
CARRIER CORPORATION,A DELAWARE CORP. (�
F.E.I.N.06.0991716 NET 30 DAYS DUE 04/20/16 NET �.�14�.5 5 5i.
WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7,&12 OF 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 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.CONFIRMATORY ORDER AND INVOICE SEE REVERSE SIDE.
CUSTOMER ORIGINAL
CONFIRMATORY ORDER AND INVOICE
Carrier Corporation, Seller, confirms receipt of Buyer's order for the goods and services on the front of this invoice.-Thin cbntirrrititory order is accepted
subject to the following terms and conditions.No.changes thereto shall be binding on the Seller.
TERMS AND CONDITIONS OF SALE
1. Prices: The prices set forth on the face hereof constitu)ed an irrevocable SUBSTITUTION FOR,AND BUYER HEREBY WAIVES ALL OTHER WARRANTIES,
offer by Buyer to pay such price at the time of Buyer's oral order. GUARANTEES, OBLIGATIONS, LIABILITIES, RIGHTS. AND REMEDIES,
EXPRESS OR IMPLIED, ARISING BY LAW OR OTHERWISE INCLUDING BUT
2. Payment: Buyer shall make immediate payment upon receipt of this invoice. NOT LIMITED TO THE IMPLIED WARRANTY OF MERCHANTABILITY, ANY
Payment shall not be deemed to have'been made, until Seller.actually receives IMPLIED WARRANTY ARISING FROM COURSE OF PERFORMANCE,COURSE
such payment. Payment by check is conditional upon honor of such check when OF DEALING OR USAGE OF TRADE ANY IMPLIED WARRANTY OF FITNESS,
only presented to the Payor Bank. Each delivery shall be considered a separate OR FOR LOSS OF USE,REVENUE Oh PROFIT,OR FOR INCIDENTAL OR CON-
contracting requiring payment. SEQUENTIAL DAMAGES;AND SHALL NOT BE MODIFIED EXCEPT BY A WRIT-
TEN AGREEMENT SIGNED ON BEHALF OF BUYER AND SELLER BY THEIR
3. Taxes: Prices set forth in the invoice do not include any taxes,or increase in RESPECTIVE AUTHORIZED REPRESENTATIVES.
such taxes,or additional taxes applicable to the goods and all such taxes shall be
in addition to the purchase price for the goods. 9. Buver shall not defer delivery beyond specified dates nor cancel this order
except on terms which fully compensate carrier for work done and commitments -
4. Shipment: This is a shipment contract.The goods are sold F.O.B.place of made.
shipment.�e er will arrange for transportation of the goods to the place _ 10_The_prices_stated herein wilLbe subject to adjustment to_prices_in effect-at___
requested
uyyer as consignee.The bill ofriad ngiwpPbe sen to Butyers addrress.11 lBuyner-of-lading-naming furg time of shipment. Any price increase that may become effective hereunder will
nish to Carrier Traffic Department- a copy of ail claims for loss, damage or not exceed the lawful ceiling prices established by applicable Government price
injury to the material and proceeds of such claim will be retained by the Buyer, regulations.
5. Excusable Delay: Seller shall not be deemed to be in default on account of 11. Rights and Liabilities in Case of Patent Infringement: If notified promptly in
writing ot any action brought against the Buyer based on a claim that the goods
delays in the delivery of the goods or in the performance of any other act to be per- infringe a United States patent, Seller will defend such action at its expense and
formed by Seller under this order due to any cause to the extent it is beyond Seller's will pay the costs and damages awarded in any such action,provided that Seiler,
control and not occasioned by Seller's fault or negligence. In case, of shall have the sole control of the defense of any such action,and all negotiations
such delays, deliveries shall be resumed when the delays have ceased to exist, for the settlement or compromise thereof. In the event that, under any cir-cum-
unless, Buyer,after such delays have existed for at least thirty(30)days from the stances in which Seller shall have a liability to the Buyer based upon breach
date of Buyer's order;elects to terminate the order, of warrantyy of freedom from,infrin ement-,Of a United States patent,a final injuric-
6. Risk of Loss Title Acceptance: Title and risk of loss to an of the goods tion shall be obtained against theBuyers"use"of the.goods or-any part thereof by
y 9 reason of infririgetiieiit bf United Sfates patent.Seller shall (or if in Seller's o i-
shali pass to Buyer upon shipment o the goods at the point of shipment and if nion the goods are likely to become the subject of a claim infringement ofpa
Buyer fails to reject any goods in writing,within five(5)days of its delivery,Buyer United States patent,Seller may,)at its sole option and at its expense either pro-
shall be irrevocably deemed to have inspected and accepted the goods. cure for the Buyer the right to continue using the goods, replace or modify the
7. D liver and Shi menta Deliver of all goods shall be made to the location same so that they become noninfringing or remove them and refund the total pur-
sppecified by Buyer. Unless otherwise agreed, in writin between Seller and chase price therefor.Seller shall not have any liability to the Buyer under any pro-
Bu er, Seller shall not unload,otherwise
install, attach, hoogg u or affix an of the vision of.this paragraph if any patent infringement, or claim thereof, is based
Y k P Y upon the use of the goods in the combination with other goods,parts,components,
goods in any respect. Seller shall not be responsible for freight, transportation, equipment, devices, use of the.goods in operation of any process, or which
insurance,'shipping,storage,handling,demurrage or similar charges. results from acts of Seller necessary to comply with drawings or specifications fur-
8. Warrant s fur-
nished by Buyer.The indemnity provided in this paragraph 90 and the obliga-tions
(a) For a-,period of twelve(12)months from the date of shipment,Seller of Seller hereunder,are exclusive and in substitution for,and Buyer hereby waives,
represents and warrants that the goods delivered under this order shall, at the all other indemnities, warranties, obligations and liabilities on the part of Seller
time of delivery thereof to Buyer shall be free from defects in material and work- express or implied, arising by law or otherwise with respect to any actual
manship. or alleged patent infringement or the like by the goods or any part thereof or by their
(b)The extent of Seller's liability,hereunder as to defective goods is limit-
operation,or use or sale thereof.
ed to the repair or replacement of the same with a similar item free from 12. GoverniLaw: This order shall be interpreted,construed and governed in
defect. accor ance with,and the rights and obligations of the parties hereto shall be deter-
(c) The defectiveoods shall be returned by.Buyer with all shipping and mined by the United Commercial Code adopted in the State of New York to the
insurance charges pprepaidg as promptly to Seller. All corrections, repair and exclusion of the laws(including"conflict of laws"or choice of laws")of any other
replacements shall be made by Seller at its expense. Return to.Buyer of the forum,foreign or domestic.
repaired, replaced or corrected goods shall be at Seller's expense. Disassembly
of the goods to correct the defect, removal of the defective goods, crating and 13. Entire A r ment: This order contains the entire agreement and under-
reassembly of the goods shall be at Buyer's expense. standing by and between Seller and Buyer with respect to the subject
(d)Title to any goods returnedtoSeller pursuant to this paragraph 8 shall. matter of this order; and no representations, promises, agreements, or under-
at all times remain with Buyer,except Seller shall take title to all returned goods, 'standings not contained herein shall be of any force and effect, unless it is
replaced with substitute goods.Seller shall have such responsibility for such goods in writing and signed by the parties herein. No waiver of any provisions of this
-as is-chargeable to-Seilerby-laW-by-reason-of-its-position-ara-bailee-for-hire,-bat--Order shall-shallunless_it�s_i�riting_and_sigried tZy th arty against whom_
shall not be chargeable for loss of use. the waiver is sought to be enforced.No valid waiver of-any provisions of this�r'
(e) THE WARRANTIES PROVIDED IN THIS PARAGRAPH 8;THE OBLI- at any time shall be deemed a waiver of any other provision of this order at such
GATIONS AND LIABILITIES OF SELLER HEREUNDER AND THE RIGHTS AND time or any other time.
REMEDIES OF BUYER HEREUNDER ARE EXCLUSIVE AND IN
. I
Voucher No. Warrant No.
(Costco)
367001 Capital One Commercial Allowed 20
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
i
$ 188.72
ON ACCOUNT OF APPROPRIATION FOR
I
109 Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-60 7003731100072984 4239039 $ 188.72 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
April 1, 2016
Signature
$ 188.72 Accounts Payable Coordinator
Cost distribution ledger classification if ; Title
claim paid motor vehicle highway fund
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
(Costco) Purchase Order No.
367001 Capital One Commercial Terms
P.O. Box 5219 Date Due
Carol Stream, IL 60197-5219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
3/26/16 7003731100072964 General Program Supplies $ 188.72
Total Is 188.72
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
it
�-�'06 `--�--'� COSTCO
Please Direct Inquires To: 1-800-220-8594
�- =.�
Account"NumberNeinr.:Balance Payment Due Amount:Past Due Due Date
3-711-.ODS 2984 ., $�18�.Z2 .-$.00 $.00 04/20/2016
N
Billing Date Credit Lme
R Available Credit'
a�i0326%20,1�6` $5 000 $4.,811:28
Manage your account onime au.hrscommerciai.com
N
STATEMENT OF YOUR ACCOUNT
FINANCE CHARGE SUMMARY. x. .
o Credit Credit Average Daily Corres- FINANCE ANNUAL New Minimum Promo
Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
o Description Number Balance Rate APR Periodic Rate RATE Due
Reg 00014 $13.02 0.00000% 00.00% $.00 00.00% $188.72 $.00 04/26/2016
ACCOUNT DETAIL
Transaction Transaction. Invoice, ' User' P.O.. Transaction
Date;, . Description Number ID °°:
'Number Amount
03/10/2016 COSTCO WHOLESALE-346 043143 0016 $188.72
0016 SUBTOTAL: $188.72
RECEIVED
APR - 1 2016
BY:
Important Notice: Promptly review this statement and notify Capital One Commercial in writing of any
errors or unauthorized purchases. If you do not notify Capital One Commercial within 60 days of errors
---- - -- or unauthorized-purchases,-this statement-will-be.presumed-to be correct. - - - -- - -- - — - ---
Write to Capital One-Commercial-at-P-O--Box-4160,-Carol-Stream,-IL-60197-4160-- - - — --You may telephone Capital One Commercial at 1-800-210-8115, but it will not preserve your rights.
Notify Capital One Commercial in-writing of the cancellation of a credit card or authorized user.
SB008
COSM01 COSTCO
WHOLESALE
ACCOUNT SUMMARY BALANCE SUMMARY
Outstanding
CURRENT 1-29 DAYS PAST'DUE 30-59 DAYS-PAST DUE Transaction $0.00
+New
$.00 $,00 $.00 Purchase(s)/Debit(s) $188.72
+New Fees $.00
DAYS PAST DUE 90=119.DAYS'PAST,DUE .120=149 DAYS"PAST.DUE +Finance charges $.00
`o
0
$.00 $.00 $.00 Payment(s) $.00
0
aCredit(s) $.00
150-179 DAYS PAST DUE ,180+DAYS PAST DUE
-4 =New Balance $188.72
s $.00 $.00
0
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PAGE: 2 of 2
uUNIALE
C`rstleton #3'4
61.1,.0 East 86th st.
India�aPo, lis, IN 46250
6U Member 11 16719041 _.
RESALE?ON
E 1026583 KINNYPOP 28., `1?,99
E;,` 1026583 KINNYPOP 28 12.99.
E 1026583. INNYPOP 28 1.2:99
E 99887, ; KS.WATER** , 6:69
E 4347 O--ES-60CT. *,, 15.99
68,449 RY'LRASE . 12.49 _
E 21724 ICE KRISPIE 10.99--
E.00001J94. CPN/KELLOGG 3.00
CHINET LUNCH 15.69
E .372 �CHOC CHUNK' 6.99
E - 372 CHOC CHUNK., 6.99
848 9 ZIPLOC SAND 8.99
00001395 CPN/84839 2.00-
E 506 3 FRUIT TRAY 7 9.99
E 506 FRUIT TRAM ` 9.99-
E- 506 FRUIT TRAM 9:99
E 5068 FRUIT TRAY,aii6e . 9.99
E-'-' ',2959 -VEG -TRAY
E 2959 VEG TRAY 9.99
E 29598 VEG TRAY 9.99
RESALE TOTAL 188.72
NON RESALE-TOTAL 0-.,00-
SUBTOTAL `1,88.72
TAX.. . 0:00
TOTAL. tm ti
XXXXXXXXXXXX2981 SWIPED!
Seg#: 12974 APO: 043143
Costco Wholesale Resp: AP,PROVED-
Tran ID4: 607000012974. .:.
Merchant ID: 99034611
APPROVED —Purchase
AMOUNT': 4188.72 '
03/10/2016 10:39. 346. 12 39 80.
Costco Wholesale 188.72
CHANGE ' 0.00
TOTAL NUMBER OF .ITEMS SOLD - ' 18
COUPONS TENDERED . $ 5.00_
10:39346 12 39 80
Executive members earn a 2% reward
annually up to $750.-00,: or
approximately $3,61 on this
purchase. They also `Set added benefit �f
&. larger discounts on Costco-Services, 1
like .Travel. See Membership for
exclusions and details,
OP#:`-80 Name: Terrence'B.
Thank 'You' !