313056 6/28/2017 9;� CITY OF CARMEL, INDIANA VENDOR: 134000 CHECK AMOUNT: $ 425.00`
ONE CIVIC SQUARE HORNER INDUSTRIAL SERVICES, INC
x =q CARMEL, INDIANA 46032 PO BOX 2906 CHECK NUMBER: 313056
� INDIANAPOLIS IN 46206-2906 CHECK DATE: 06/28/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 877787 425.00 OTHER EXPENSES
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HHORNER Invoice: 877787
INDUSTRIAL GROUP Date: 5-24-2017
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. PD.Number: Sales Order: Freight Terms-, Ship Date; Ship 1tia:.. . .__ Terms:
1294 BT052317-H/Well 30 116832 ALLOWED 5/23/2017 HORNER TRUCK Net 30 Days
Quantity
Ln Shipped' 13/0 Part No/Description/Customer Part Number Unit Price-, T/R Amount;
1 Job Number: 0116832-1-1 $425.00 $425.00
Description: PDMA TESTING-MOTOR
Nameplate Data:
Serial 45111
Work Scope:
TRAVEL TO/FROM JOB SITE
LOCK OUT/TAG OUT
COLLECT DATA(ONLINE)
COLLECT DATA(OFFLINE)
ANALYZE PDMA DATA
PROVIDE TECHNICAL REPORT
dIc'& -eta " dFT
DELIVERED JUN 19101'1
Invoice Instructions and Notes: Sub Total $425.OQ'
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 $425.00
Customer has FIVE(5)working days to notify Horner Industrial Services of all shipping discrepancies. Please Pay This Amount
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