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Home My WebLink About258461 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 362226 s� ONE CIVIC SQUARE MATERIAL HANDLING EXCHANGE CHECK AMOUNT: $*******271.00* CARMEL, INDIANA 46032 1800 CHURCHMAN CHECK NUMBER: 258461 INDIANAPOLIS IN 46203 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 34057 271.00 OTHER EXPENSES VOUCHER # 165218 WARRANT # ALLOWED 362226 IN SUM OF $ MATERIAL HANDLING EXCHANGE 1800 CHURCHMAN AVENUE INDIANAPOLIS, IN 46203 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 34057 01-7202-05 $271.00 Voucher Total $271.00 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 362226 MATERIAL HANDLING EXCHANGE Purchase Order No. 1800 CHURCHMAN AVENUE Terms INDIANAPOLIS, IN 46203 Due Date 5/2/2016 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/2/2016 34057 $271.00 hereby certify that the attached invoice(s), or bill(s) is(are)true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer Invoice Invoice Number 34057 Invoice Date MATERIAL L Tl, Apr 23, 2016 1V 1 ATEAriPage: HANDLING EXCHANGE 1 1800 CHURCHMAN AVE.•INDIANAPOLIS,IN 46203 TELEPHONE(317)788-7225•FAx(317)788-7670 "BUY AND SELL NEW&USED EQUIPMENT OF ALL TYPES 7 Shi to SCITY OF CARMEL CITY OF CARMEL 9609 HAZEL DELL PKWY. 9609 HAZEL DELL PKWY. INDIANAPOLIS, IN 46280 INDIANAPOLIS, IN 46280 Customer ID Customer PO Shin Via Payment Terms CITY OF CARMEL 516001 COLLECT NET 30 Quantity Description Unit Price Extension 6 36" X 8'X 3" X 3" TEARDROP UPRIGHTS 41.00 246.00 1 HANDLING FEE 25.OD 25.00 Subtotal 271.0 �R Sales Tax Total Invoice Amoun 288.22 Payment/Credit Appliec TOTAL DUE 288.22 WHITE COPY Alternate Strait Bill Of Lading-Short Form-Original-Not Negotiab BILL OF LADING PINK COPY Alternate Strait Bill Of Lading-Short Form-Shipping Order Copy TRIPLICATE YELLOW COPY-Alternate Strait Bill Of Lading-Short Form-Memorandum Name of Carrier: Customer Pick Up Carrier's No. Date Shipper No. TO Consignee: City of Carmel FROM: (AWX Street Indianapolis, IN 46280 MATERIAL HANDLING EXCHANGE Destination IN • IndiaC RPORATEO Zip Code 1800 Churchman Ave. napolis,IN 46203 mergency Response Phone Nc Phone(317)788-7225 • Fax(317)788-7670 Route: Vehicle No. �o.sr ropiny „. -Units = HM iQnd of paq e;Dsseri 'en of Mkles; _ Charges, .. _ ...pack"e, .can ..Spedal Narks end F�i¢epBorts - _ �.[Wagfit(suDaoCorr.) - �` RATE - 6 36"x8'x3"x3"Teardrop Uprights 330 125 REMITC. C;O.D TO COD PFI�PAID 0.$. CHTAL ADDRESS r. e ANIT. COLLECT. ❑ ARGES. • If the shipment moves between NOTE:Where the rate is dependent on value, Subject to Section 7 of conditions,it this shipment two parts by a carrier by water,the shippers are required to state specifically in writing is to be delivered to the consignee without recourse FREIGHT CHARGES law requires that the bill of lading the agreed or declared value of the property. on the consignor,the consignor shall sign the follow- 4 g The agreed or declared value of the property ising statement: Check Appropriate BOX shall state whether it is"carrier's or hereby specifically stated by the shipper to be not The carrier shall not make delivery of this shipment shipper's weight". exceeding without"@(4j&t and all other charges_ El Freight prepaid- 6 Collec $ per (Signature of Consignor) RECEIVED,Subject to the classifications and lawfully filed tariffs in effect on the date of the issue of receipt by the carrier of the property.described in the Original Bill of Lading,the property described above in apparent go order,except as noted(contents and condition of contents of packages unknown),marked,consigned,and defined as indicated above,which said carrier(the word carver being understood throughout this contract as meami arty person or corporation in possession of the property under the contract)agrees to carry to its usual place of delivery at said destination,if on its route,otherwise to deliver to another carrier on the route to said destinatic Itis mutually agreed as to each carrier of all or any of,said property over all or any portion of said route to said destination_It is mutually agreed as to each carder of all or any of,said property over all or any portion of said rot. to destination and as to each party at anytime interested in all or any of said property,that every service to be performed hereunder shall be subject to all the terns and conditions of the Unilonn Domestic Straight Bill of Ladi set forth(1)in Uniform Freight Classifications in effect on the date hereof.If this is a rail or rail water shipment,or(2)in the applicable motor carrier classification or tariff if this is a motor caner shipment. Shipper hereby certifies that he is familiar with all the terms and conditions of the said bill of lading,set forth in the classification or tariff which governs the transportation of this shipment,and the sa terns and conditions are hereby agreed to by the shipper and acc pted for himself and his assigns. "This Is to certify that the above named materials are propel sified, ascribed,packaged,marked and labeled,and are in proper condition for transportation,according to the applicab regulations of the department of Transportation." 'r O J/^/jp //� er,per Agent,per Permanent post office address of shjppe +Mar Ith"X"to designate Hazardous Material as defined in Title 49 of Federal Regulations For further details on TRANSPORTING HAZARDOUS MATERIALS see Federal Regulations 49CFR,Part 172. LOAD&UNLOAD Check IN Driver Initials Check Out Driver Initials LOAD&UNLOAD Check IN Driver Initials Check Out Driver