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311492 5/23/2017 �� '''�• CITY OF CARMEL, INDIANA VENDOR: 360305 CARRIER CORP CHECK AMOUNT: $*`***2,971.27* ONE CIVIC SQUARE CHECK NUMBER: 311492 CH CARMEL, INDIANA 46032 BOX 93844 CHICAGO IL 60673-3844 CHECK DATE: 05/23/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCEQUIPMENT RIPTIONREPAIRS & M 1093 4350000 B002567925 2,971.27 « o � % 0 2 � 2 O / CD / CA) * 0 2 a 2 E 0 0 • 0 I 0 40 0 -00 $ k 0 o c 0 - % § J q q © 0 0 CD . x 0 \ � 0 e CA 0 7 w= / CL 0 2 k k k F n a s T w J 0 j / 0 \ / 0 C) --12 -42 k # f \ CL > 0 § 2 q §0 � 4 % 3 R \ n 7 m = m e o £ e f § % < _ - E $ 0 E < a CD 0) 0)° k Q (a - @ ;I > -0 - m - 0 3 2 k @ J \ / } » / k m G -4 3 k 2 3 iq, \ o & \ & m w m » m E CL 0 CD m ± & 2 0 M _ < CD q q \\ $ o =3 = ° | 0 o _ INVOICE CUSTOMER ORDEfMO:FIK4ColLL VIIACATOR_ DATE INVOICE NUMBER 41284 ♦ N 04/27/17 B002567925 USTOMER CODE USTOMER SHIP TO CUSTOMER'S RESALE OR EXPORT NUMBER WORK ORDER N0. BRANCH PRIORITY JTRANSAC- SHIP PAGE TION METHOD C1008001 X08078 005B18909 600440 1 116 044 CONTR. LIC. # PLEASE REMIT PAYMENT TO: SOLDCARMEL CLAY PARKS & RECREATION CARRIER CORPORATION TO: ACCOUNTS PAYABLE P.O.BOX # 93844 1411 E 116TH STREET CHICAGO, IL 60673-3844 CARMEL IN 46032-3455 INCLUDE YOUR CUSTOMER CODE WHEN SUBMITTING PAYMENT SHIP CARMEL CLAY PARKS + RECREATION-1235 REGION SALESMAN RMS DAYSALL'D I DISCOUNT INSURANCE T0: 044 012 0 . 000 N 1235 CENTRAL PARK D _ BILL OF LADING NUMBER SHIPMENT WEIGHT CONTAINER I NO OF CARMEL +o IV Fd TYPE CONTAINERS IN ^O 1 SHIPPED VIA DESTINATION SHIPPED DATE MAY O ( �y I n4/27117 CODE MARK k O.P. CONTROL NO. WHSE TYPE SALEJ PACKING LIST TAX CODE FOR: BY:� �.� a. -- -e CARRIER PARKWAY P.O.BOX 4808 Carrief SYRACUSE,NEW YORK USA 13221 CARRIER RESERVES THE RIGHT TO ALIrwIedTcbnoiWmCart"m DIVISION OF CARRIER CORPORATION ASSESS INTERESTS AT THE MAX- IMUM RATE ALLOWABLE BY LAW ON AMOUNTS PAST DUE NOTES: LINE QTY.SHIPPED PART NUMBER/NOTES DESCRIPTION U/M UNIT LIST PRICE MULTIPLIER UNIT NET PRICE EXTENDED AMOUNT 01 1 QUOTED PRICE QUOT-PR EA 2971 .27 2971 . 27 QUOTE #: 345540 PER YOUR APPROVED QUOTATION FOR OIL CHANG7E ON 3 CHILLER CIRCUITS . PARTIAL EILLING FOR MATERIAL PURCHASED TO DATE. S BTOTAL 2971 .27 TOTAL 2971 .27 IF UE TIONS CON ACT: JAIME BROWN AT PHONE: 317-821-3000 TO PAY BY M/C,VI A,AME CALL ZAC F NSEL @ 315-432- 402 CF.E.I.N.06.099ARRIER CORPORATION,A 1716 DELAWARE CORP. NET 30 DAYS DUE 05/27/17 NET 2971 . 27 WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7,S 12 OF THE FAIR LABOR STANDARDS ACT,AS AMENDED AND OF REGULATION ORDERS OF THE U.S.DEPT.OF LABOR ISSUED UNDER SEC.14 THEREOF ANY DIFFERENCES BETWEEN QUANTITIES ORDERED AND QUANTITIES SHIPPED HAVE BEEN BACK ORDERED AND WILL BE SHIPPED AS SOON AS RECEIVED.ANY CLAIM FOR SHORTAGE OR ADJUSTMENT MUST BE MADE WITHIN 30 DAYS.CONFIRMATORY ORDER AND INVOICE SEE REVERSE SIDE. CUSTOMER ORIGINAL