HomeMy WebLinkAbout260168 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 370683 CHECK AMOUNT: $*******550.00*
ONE CIVIC SQUARE FRANKLIN EQUIPMENT, LLC.
4� ?� CARMEL, INDIANA 46032 4141 HAMILTON SQUARE BLVD CHECK NUMBER: 260168
9y�TON�° GROVEPORT OH 43125 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5003612 550.00 OTHER EXPENSES
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
370683
FRANKLIN EQUIPMENT Purchase Order No.
4141 HAMILTON SQUARE Terms
GROVEPORT, OH 43125 Due Date 6/16/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/2016 5003612 $550.00
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
3-7
9
„ Franklin Equipment - Indianapolis INVOICE # 5003612
1921 S. Kentucky Ave. RESERVATION 5201815
a' INDIANAPOLIS, IN 46221
317 686;-0996 ® Mike Stanto
Processed On 05-24-16 Entered by CB on 05-18-16
CLOSED CONTRACT - INVOICE - CHARGE ACCOUNT
05-18-16
° 8482 ° 516112
06:59am
CUSTOMER:. CITY OF CARMEL UTILITIES 317 571-2634 - -
9609 HAZEL DELL PARKWAY317 571-2629 .. . 06:59am
05-24-16
INDIANAPOLIS, IN 46280 ' DRIVER'S 3175712634 IN
LICENSE#
t SAME
L.Mi.-1:9 'j Paul Arnone
. .
Meter Hour Minimum Day Week 4 Weeks Extended
. . Out/In
5520-0160 79.4 SERIAL # 315000160 _
_1- --Stump Grinder-- Wa---k-Track 26hp - 86.2-- -175.0-0- 175.00 175.00 500.00 1800.00 500.00
Make: TORO Model: STX-26 Year: 2015
9501-5296 SERIAL # FE065296
1 Trailer Single Axle
Make: CORN PRO Model: UT-12 Year: 2015
PLEASE REMIT PAYMENT TO:
4141 HAMILTON SQUARE BLVD.
GROVEPORT, OH 43�125
Dealer agrees to waive certain damages and loss claims against Customer,which are provided for on the reverse
side of this contract,in consideration of the following: SUB TOTAL 500.00
A. Customer shall pay a fee of %of gross rental charges or$ per day,.or0-00—
_ B.-A_valid-certificate of insurance-is-provided-Dealer prior to the hire of equipment,,whereby Dealer is named an additional
insured on an insurance policy,covering the risk of loss by damage,death or otherwise,of the subject equipment and said
insurance being the primary coverage as against any other insurance which may be provided by Dealer. TAX
DAMAGE WAIVER DECLINED: INIT. GRAND TOTAL
I HAVE READ AND I AGREETOTHE CONTRACTTERMS ONTHE BACK OFTHIS DOCUMENT.THOSETERMS CONSIST OF OUR
ENTIRE AGREEMENT,NO ONE HAS ANY ORAL OR OTHER WRITTEN REPRESENTATIONS OR PROMISES NOT INCLUDED IN THIS
CONTRACT. ITHEREBY ACKNOWLEDGE RECEIPT OF A COPY OFTHIS CONTRACT.
STOMER SIGN TUBE INTED NAME REQUIRED SSO.Ce
BALANCE DU'E
� . AU� 0 kilo) 0. Net 30 / 1.5o Service Charge
REMIT PAYMENT TO:
4141 HAMILTON SQUARE
GROVEPORT, OH 43125
HOURS:
MON-FRI 7:30 - 5:00
SAT 8:00 - 12:00
** MISSING KEY FEE $6. GO PAPERLESS,CONTACT US TODAY! ** PAGE 1 OF 1