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HomeMy WebLinkAbout259699 06/14/16 0%'�,q,��� CITY OF CARMEL, INDIANA VENDOR: 294850 l_ ® ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $*******1 19.05* ?q CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 259699 M��tON�°' CHICAGO IL 60673-1278 CHECK DATE: 06/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 X30113624501 119.05 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) STOOPS FREIGHTLINER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 27825 NETWORK PLACE IN SUM OF$ 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. $119.05 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 X301136245:01 42-370.00 $119.05 1 hereby certify that the attached invoice(s),or 6/1/16 X301136245:01 E342 $119.05 1120 101 1120 101 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 Wednesday,June 01,2016 David Haboush Fire Chief 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 2L INVOICE NO. X301136245:01 ��w� INVOICE DATE 05/18/2016 47 BUNKUM? REQ I { P.O. NUMBER SHIP VIA PIC PICKUP 4 D1U/Sl©N DF TAUCXr�'UNIRY, REFERENCE TRUCK COUNTRY-INDIANAPOLIS __,__ ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS INVOICE NO RETURNS ON 71 1851 W THOMPSON ROAD I '- ELECTRICAL OR SPECIAL ORDER PARTS.NO RETURNS WITHOUT THIS-INVOICE:NO RETURNS INDIANAPOLIS, IN 46217 y 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 RETURNEDRARTS NO RETURNS ON ANY PARTS WITH'A VALUE LESS THAN$50 Bill To: Ship To: CARMEL FIRE DEPARTMENT 160874 CARMEL FIRE DEPARTMENT 160874 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL , IN 46032 CARMEL, IN 46032 Phone: (317)571-2600 Phone: (317)571-2600 INVOICE NO.X301136245:01 DATE SHIPPED" TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN 5/18/2016 CHG S1520 QTY QTY UNIT EXT SHIP B/O ITEM -DESCRIPTION BIN 1 PRICE PRICE 1 0 301F/A18-42228-001 ;x HANDLE-DOOR,OUTER,RH'"-..., �_-.. CO2 119.05 119.05 .t SALES TAX EXEMPTION CERTIFICATE _ DISCLAIMER OF WARRANTIES L.♦ I certify that this transaction is exempt from the Indiana Sales Tax because: ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARETHOSE MADE Subtotal 119.05 Purchaser is a Common Contract Cartier who will use items Purchased or serviced _ BY MANUFACTURER IF ANY.THE SELLER HEREBY EXPRESSLY-,' exclusively as such Carrier. DISCLAIMS ALL WARRANTIES EITHER EXPRESS OR IMPLIED-INCLUDING ANYAMPLFITNESS FOR A Authority Number. PARTICULARIPUED RPOSE,AND TRUCK TY OF COUNTRYABILITY FIndiana NEITHER TAX 0.00 Purchaser Is engaged in the business of and items will be used for resale. ASSUMES NORAUTHORIZES ANY,OTHER PERSON TO ASSUME FOR IT ANY THE SALE OF SAID CTS WE Resale Number. HIER BY CERTIFY THATOTM SIE G60DS WERE PRODUCED IIN COMPLIANCE TaxDes2 0.00 WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6.7 AND 12 OF THE I am authorized to execute this Certificate and calm Ih1s exception. FAIR LABOR STANDARDS ACT OF 1938,AS AMENDED AND OF REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR Total: 119.05 DIVISION ISSUED 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 Data RATE OF EIGHTEEN PERCENT(18%). RECEIVED BY: Please Remit Payment to: Delivered by: Date: STOOPS FREIGHTLINER 27825 NETWORK PLACE Customer Signature: CHICAGO,IL 60673-1278 SIGNATURE BY THE CUSTOMER OR CUSTOMER REPRESENTATIVE CONSTITUTE$AGREEMENT TO PAY REASONABLE LEGAL EYPENCEe. INLCUDINU ATTORNEY ANO COURT COSTS INCURRED BY TRUCK COUNTRY FOR PAYMENT OF THIS INVOICE. CUSTOMER Page 1 of 1