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307399 01/20/17
�w..S..�y J"" t� CITY OF CARMEL, INDIANA VENDOR: 294850 ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $ y y, 33.05 r° CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 307399 +*?oN CHICAGO IL 60673-1278 CHECK DATE: 01/20/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 X30206644601 33.05 REPAIR PARTS 0 o ? \\ \ « k § ) 2 z 0 / / / c > n \ ° \ / / m x O E $ X CO O§_\ /o Eq/ a k ® Io § q/ / / e > k ¢ qCD / / 0 m T t r / q / / / § E n 2 C) ® CL ° � 2 a 3 ® 2 E > -n O CD O ( z | a u w _ / R - z > $ \ [ p « ? § CD & 2 / / I m 7 m � � & o m CLCD / 7 \ I ` \ $ ® CD 9 / / \ \ § 7 t % \ 0 / 7 c E ° k k 0 CD \ \ } \ E C _ m \ a) : k 3 w � { - k ƒ R ® 3 / C: , f %« © - o - ca CD/ § § ) \ CD ® - ; m # \ ( (D / D \ ' - ) \ # 0 \ z CD c < C) 03 [\ = z g Q § k 2 m 2 CR - 0 § } { # 7 / 0 z g % §.M- § F ) a % \ 0< - J \E - Q > 21§ f_0 m D/ K \ q D / f \ / , K M Dj \ \ G z ECT J \ � Q cr E E / } § k ^ o \ _� / k / ] § 0 ^ \ / { CL \ f \ / K CD » CD ® § ® \ INVOICE NO. X302066446:01 S*OOlm 4s INVOICE DATE 01/06/2017 P.O. NUMBER JIM jimligifff INIR-811A 19Y TRA ILEB SHIP VIA DELIVERY 111081®N Bf REFERENCE MW TRUCK COUNTRY-ANDERSON NI s c� IsarRltllGb'. R Is k t 6105 COLUMBUS AV E ANDERSON, IN46013 Phone: (800)515-2393 FAX: (765)683-4471 Bill To: Ship To: CITY OF CARMEL 183553 CITY OF CARMEL 183553 3400 WEST 131ST STREET 3400 WEST 131ST STREET CARMEL , IN 46074 CARMEL, IN 46074 Phone: (317)733-2001 Phone: (317)733-2001 INVOICE NO.X302066446:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN 1/6/2017 CHG S2095 QTY QTY UNIT EXT SHIP B/O ITEM DESCRIPTION BIN 1 PRICE PRICE 1 0 302F/MEK 154143307 CARRIER UO2B 33.05 33.05 ASSY-MIRROR,MAI N,HEATE SALES TAX EXEMPTION CERTIFICATE DISCLAIMER OF WARRANTIES I certify that this transaction is exempt from the Indiana Sales Tax because: ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE MADE Subtotal 33.05 Purchaser is a common contract carrier who will use items purchased or serviced BY MANUFACTURER,IF ANY.THE SELLER HEREBY EXPRESSLY exclusively AS such carder. DISCLAIMS ALL WARRANTIES EITHER EXPRESS OR IMPLIED INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A TAX Authority Number: PARTICULAR PURPOSE,AND TRUCK COUNTRY OF Indana TAX O,00 NEITHER Purchaser is engaged in the business of and items will be Used for resale. ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY WITH THE SALE F SAID WE ABILITY Resale Number HIC EREB IERTIIFY THATOSC THESE GOODS WERE PROD EDIIN COMPLIANCE TaxDes2 0.00 WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS e,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: 33.05 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 Date RATE OF EIGHTEEN PERCENT(18%), RECEIVED BY --PAYABLE IN US DOLLAR-- Please Remit Payment to: Delivered by: Date: STOOPS FREIGHTLINER 27825 NETWORK PLACE Customer Signature: CHICAGO,IL 60673-1278 SNINATUR!BY THE CUSTOMER ON CUSTOMER REPRESENTATIVE CONSTITUTES AGREEMENT TO FAY RA HIONA.LE LEGAL lXPENGES, INLCUUINO ATTORNEY AND COURT COSTS INCURRED BY TRUCK COUNTRY FOR PAYMENT OF THIS INVOICE. CUSTOMER EMAIL COPY Page 1 of 1