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314791 8/15/2017 9��''' CITY OF CARMEL, INDIANA VENDOR: 360305 e ONE CIVIC SQUARE CARRIER CORP CHECK AMOUNT: $**'**1,635.75* ,? +°, CARMEL, INDIANA 46032 PO BOX 93844 CHECK NUMBER: 314791 sy_ CHICAGO IL 60673-3844 CHECK DATE: 08/15/17 hpx DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350100 T001197206 1,635.75 BUILDING REPAIRS & MA ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 360305 Carrier Corporation Terms P.O. Box 93844 Chicago, IL 60673-3844 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 8/1/17 T001197206 HVAC Service Agreement Aug-Oct'17 41280 $ 1,635.75 Total $ 1,635.75 1 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 , 20_ Clerk-Treasurer CUSTOMER ORDER NO.-FINAL BILL INDICATOR DATE INVOICE NUMBER SIGNED AGREEMENT 08/01/17 T001197206 CUSTOMER CODE CUSTOMER SHIP T CUSTOMER'S RESALE OR EXPORT NUMBER WORK ORDER NO. BRANCH PRIORIT TRANSAC- SHIP PAGE TION METHOD Cl008001 R44001 010A10684 116044 1 116 044 CONTR. LIC. # PLEASE REMIT PAYMENT TO: SOLD CARMEL CLAY PARKS 8 RECREATION CARRIER CORPORATION Fy :VEDTO: ACCOUNTS PAYABLE P.O.BOX # 93844 7 2011 1411 E 116TH STREET CHICAGO, IL 60673-3844 CARMEL IN 46032-3455 INCLUDE YOUR CUSTOMER COD WHEN SUBMITTING PAYMENT ............•••• SHIP CARMEL CLAY PARKS - 1235 REGION SALESMAN TERMS JDAYSLOWEDWEDISCOUNT INSURANCE TO: 044 000 0.000 1235 CENTRAL PARK DR E BILL OF LADING NUMBER NT TDNETYPE CONTAINERS WEIGHT CARMEL I N SHIPPED VIA DESTINATION SHIPPED DATE CODE MARK O.P. CONTROL N0.JWHSEA�TP SALE PACKING LIST TAX CODE FOR: TR0 TX95-- UNITED CARRIER PARKWAY TECHNOLOGIES SYRACUSE,4NEW YORK USA 13221 CARRIER RESERVES THE RIGHT TOIZJ CARRIER DIVISION OF CARRIER CORPORATION ASSESS INTERESTS AT THE MAX- IMUM RATE ALLOWABLE BY LAW ON NOTES: AMOUNTS PAST DUE LINE QTY.SHIPPED PART NUMBER/NOTES DESCRIPTION U/M UNIT LIST PRICE MULTIPLIER UNIT NET PRICE EXTENDED AMOUNT SERVICE AGR EFFFECTIVE 02/01/17 FR 08/01/17-10/31/1 SUBTOTAL 1635.7 TOTAL 1635.75 IF Q ES IONS CON ACT: AIME BROW AT P ON : 317-82 .-3000 TO P Y lY M/C,VI ;A,AMEY CALL ZACK FI SEL @ 31 -432- 402 AMOUNT CARRIER CORPORATION, A DELAWARE CORP. �O DAYS NET 30 AYS DUE ON RECEIPT 1635.75 F.E.I.N. 06-0991716 ME HEREBY CERTIFY THAT THESE GOODS HERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIRENENTS OF SECTIONS L,7 B 12 OF THE THE FAIR LABOR STANDARDS ACT,AS ANENDED AND OF REGULATION ORDERS OF THE U.S.DEPT.OF LABOR ISSUED UNDER SEC. 15 THEREOF ...ANY DIFFERENCES BETWEEN QUANTITIES ORDERED AND QUANTITIES SNIPPED HAVE BEEN BACK ORDERED AND HILL RESHIPPED AS SOON AS RECEIVED.ANY CLAIN FOR SHORTAGE OR ADJUSTNENT NUST BE RADE WITHIN 30 DAYS. CUSTOMER Gana/zees �U J TO YC O ORIGINAL pI^IN^L over=Dezte