308998 03/07/17 `•� CITY OF CARMEL, INDIANA VENDOR: 134000
t CHECK AMOUNT: S'"""450.00'
.�_ �'•• ONE CIVIC SQUARE HORNER ELECTRIC INC
: ?Q; CARMEL, INDIANA 46032 PO BOX 2906 CHECK NUMBER: 308998
+,N. INDIANAPOLIS IN 46206-2906 CHECK DATE: 03/07/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 873610 450.00 OTHER EXPENSES
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H. HORNERinvoice: 873610
_ ....__�..� .� � .,..,.,. Date: 2-14-2017
INDUSTRIAL GROUP
Powered by Service, Quality and Value •"REMIT-TO ADDRESS'*
1521 East Washington Street, Indianapolis IN 46201 Horner Industrial Services, Inc.
Phone 317-639-4261 Fax 317-639-4344 P.O.Box 2906
Indianapolis,IN 46206-2906
Bill To: Ship To:
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
ATTN ACCOUNTS PAYABLE 4915 EAST 106TH
3450 W 131 ST STREET CARMEL IN 46033
CARMEL IN 46074
F.O.B SHIPPING POINT
Fax: 317-733-10253
Cust.Acct. PO Number: Sales Order Freight Terms Ship Date: Ship Via: Terms:
1294 KR020917-A 112665 ALLOWED 2/10/2017 WILL CALL Net 30 Days
Quantity
Ln Shipped B/O Part No/Description/Customer Part Number Unit Price T/R Amount
1 Job Number: 0112665-1-1 $450.00 $450.00
Description: QTY(1) EA : FLANGE MT AC VERTICAL PUMP
W/TOP SPLASH
GUARD COVER.
Nameplate Data:
Manufacturer GE
Model 5KE445DTT6012A
Serial 43065632
HP/KW 200
RPM 1782
Frame L445TP20
UNIT WAS RETURNED NO REPAIR PER KEN HODES'
REQUEST. INSPECTION FEE ONLY.
Invoice Instructions and Notes: Sub Total $450.00
Credit Terms:A service charge of 2%per month,(24%per Annum)will be added to all past-due invoices.
Tax $0.00
Return Goods:a 20%restocking charge applies to all normal stock items.
Goods may not be returned without prior authorization. Less Deposits $0,00
Warranty:Please track all serial numbers for warranty purposes.
VENDEE agrees to pay all applicable sales and use taxes to proper authorities. Invoice Total $450,00
Customer has FIVE(5)working days to notify Horner Industrial Services of all shipping discrepancies. Please Pay This Amount
Page: 1 of 1
MHORNER Pack Slip: 122552
INDUSTRIAL GROUP Cust No.: 1294
Powered by Service,Quality and Value
1521 EAST WASHINGTON STREET,INDIANAPOLIS, IN 46201
(317)639-4261 /FAX(317)639-4342
hftp:/twww.hornerindustrial.com
Sold To: Ship To:
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
ATTN ACCOUNTS PAYABLE 4915 EAST 106TH
3450 W 131ST STREET CARMEL IN 46033
CARMEL IN 46074
112665 KR020917-A ALLOWED WILL CALL 2/10/2017
RETURN NO REPAIR UNASSEMBLED
1 1.00 1.00
ATTN:KEN RHODES
317-750-3564
kthodes@carmel.in.gov
UNIT WEIGHT:2300LBS.
Manufacturer GE
Mfg. Part/Cat STK#V3683
Model 5KE445DTT6012A
Serial 43065632
HP/KW 200
RPM 1782
Frame L445TP20
Enclosure WPI
Volts 460
Amps 232
Description QTY(1) EA : FLANGE MT AC
VERTICAL PUMP W/TOP SPLASH
GUARD COVER.
Re eiwed :
Da e :
P O # : 010117-14
AC T #:
U s : eV4L
017 mU-pr y � had ��. U5D
RETURNED GOODS: 20%RESTOCKING FEE applies to all NORMAL STOCK ITEMS.
GOODS MAY NOT be returned without PRIOR AUTHORIZATION.
WARRANTY: Please track ALL SERIAL NUMBERS for warranty purposes. CUSTOMER
AGREES to pay all applicable SALES AND USE TAX to the proper authorities. F.O.B.SHIPPING POINT
Signature Date Freight Charges Special Instructions
Page:1 of 1