HomeMy WebLinkAbout259193 05/31/16 v'%c�f` CITY OF CARMEL, INDIANA VENDOR: 294850
ONE CIVIC SQUARE STOOPS FREIGHTLINER
s CHECK AMOUNT: $*`*****186.41`
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�_� CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 259193
M,iTON�. CHICAGO IL 60673-1278 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 X301130655 186.41 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
STOOPS FREIGHTLINER
27825 NETWORK PLACE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CHICAGO, IL 60673-1278 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$186.41 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
X301130655:01 42-370.00 $186.41 1 hereby certify that the attached invoice(s),or 4/25/16 X301130655:01 $186.41
2201 201 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
uesday ry 1/7P16
r`
mat C®fflPC ISS10fiof
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE NO. X301130655:01
INV � INVOICE DATE 04/25/2016
P.O. NUMBER
J-4if-MIGHIIIHM-QHALITYpTHAIM REPRINT SHIP VIA PICKUP
DIVISION OF lR�li Lr UNIBY, REFERENCE
TRUCK COUNTRY-INDIANAPOLIS
l'ALLOLAIMSAND'RETURNED GOODS MUSTFBEACCOMPANIED'BYTHIS INVOICE.NO RETURNS ON 1551 W THOMPSON ROAD
i ELECTRICAL OR SPECIAL ORDER PARTS.NORETURNS WITHOUT THIS INVOICE.NORETURNS INDIANAPOLIS, IN 46217
•) AFTER 30,_DAYS. THERE WILL BEAN UP TO'25%RESTOCKING FEE PLUS FREIGHT CHARGES ON Phone: (800)899-1533 FAX: (317)781-4370
ALL RETURNED PARTS:NO RETURNS ON ANKPARTS WITH`A VALUE LESS THAN$5Q.
Bill To: Ship To:
CITY OF CARMEL 183553 CITY OF CARMEL 183553
3400 WEST 131 ST STREET 3400 WEST 131ST STREET
CARMEL , IN 46074 CARMEL, IN 46074
Phone: (317)733-2001 Phone: (317)733-2001
INVOICE NO.X301130655:01
DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN
4/25/2016 CHG S1633
QTY QTY __ t`= UNIT EXT
SHIP B/O ITEM ,DESCRIPTION BIN 1 PRICE PRICE
1 .0 301F/A17-19819-003 FENDER-QUARTER,108/114SD68A -., BSBULK 247.76 247.76
EX
1 0 301 F/17-19313-001 r .s
�,.- ,�,-- SHIELD-SPLASH,HD "-,NQBIN,-q 61.35 -61.35
MOUNTED,108SD *z
d '^:'6 1 ,�I a."I ,,,—.� 'm ••�.`T
ALES TAX EXEMPTION CERTIFICATE DISCLAIMER OF WARRANTIES .='f.+'�
I Gen;y that lois transaction is Exempt from the Indiana Sales Tax because: - `' ANY WARRANTIES ON THE PRODUCTSSOLD HEREBY ARE7HOSE MADE 1.
- rur�aserlsammmonwnUaUmrtlerwhowilluseitemspumhasedorseiYlrntl - eY'MANUFACTURER IFANY.THE SELIERHEREBY EKPRES�LY Subtotal 186.41
ezclusivey as such wrtier. ' 918GLAIMS ALL WARRANTIES EITHER EXPRESS,OR'IMPLIED-INCLUDING
ANYJMPLIED'WARRANTY OF MERCHANTABILITY OR'FITNESS FORA TAX 0.00
Authority Number. PARTICULAR PURPOSE.AND TRUCK COUNTRY OF Indiana NEITHER T/11
,
Purchaser Is engaged in the business of and items will be used for resale. ASSUMES NOR AUTHORIZES AN,Y,OTHER PERSON TO ASSUME FOR IT ANY
LIABILITY IN CONNECTION WITH THE:SALE OF SAID PRODUCTS.WE
Resale Number. HEREBY CERTIFY THAT TIIESE-GOODS WERE PRODUCED IN COMPLIANCE TaxDes2 0.00
WITH ALLAPPLICABLE REQUIREMENTS OF SECTIONS 6,7 AND 12 OF THE
I am authorized to execute this Certificate and claim this exception. FAIR LABOR STANDARDS ACT OF 1938,AS AMENDED AND OF
REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR Total: 186.41
_ DIVISION ISSUED UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES
EXPRESS ALIMITED NDN-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 AFINANCE CHARGE OF
_ ONE AND ONE-HALF PERCENT(i K%)PER MONTH IS APPLIED TO ALL
ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE -
BusinessAddress Date RATE OF EIGHTEEN PERCENT(18%). '
RECEIVED
BY:
Please Remit Payment to:
Delivered by: Date: STOOPS FREIGHTLINER
Customer Signature: 27825 NETWORK PLACE
CHICAGO,IL 60673-1278
SIGNATURE BY THE CUSTONER OR CUSTOMER REPRESENTATIVE CONSTITUTES AGREEMENT TO PAY REASONABLE LEGAL-NCE., "
INLCUUINO ATTORNEYANO COURT COSTS INCURRED OY TRUCK COUNTRY FOR PAYMENTOF THIS INVOICE.
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