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314811 08/15/2017
CITY OF CARMEL, INDIANA VENDOR: 358637 CHECK AMOUNT: $*******333.09" g ONE CIVIC SQUARE CUMMINS CROSSPOINT CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 314811 CHICAGO IL 60675-1701 CHECK DATE: 08/15/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 80518 333.09 REPAIR PARTS 0 Q n -4 n $ « } § § 0 k 9 ? C) #> 2 3 ° n \ q 0 o f m \ / 0 0 / 0 % § 0 ® % O ? n OD m , E _ k e O 0 ) 0 $ m § -n > 3 O w D o ma CL ° 2 m 3 § � © OL \ > -n O < _ � O | 2 \ j � � a # z Lu. 0 g3 LT c 0 % i $ ( / 7 0 k ƒ CD . ) 7 R - E CL ) \ / £ E § § J C / m - CCD I k k % \ § \ @ o % k { (n » E - k § k ƒ E ¢ / -4 , ; a k R a * $ - E E « f a o / k� /_ § § i \ 7 CD / 0 \ j m \ c , _ & ) K � � D \ .« ) � § k » -n < @40 00 0 0 Q g }} k / § k ƒ \ C o m f 20 f ƒ /0> 2 =r CD § \ & | 0< 0 > \/ CD \ \ 0 D �E \ § k m 2. X 0 f n / / 0 E \ \ r O CD j % E $ C ® \ E § 2 0 § CD m z q CD 2 M \ k § CD / 2 } CD k § » \ \ CL 699 k § \ k < ° d � k Payment terms are 30 days from invoice date unless otherwise Sales and agreed upon in writing. Sel'VI�`i@ Remit To:Cummins Crosspoint 75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 INDIANAPOLIS BRANCH • • 3621 W MORRIS STREET REPRINT INDIANAPOLIS, IN 46242-0917 001-80518 (317)244-7251 Remit To:75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 SOLD TO SHIP TO CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE PAGE 1 OF 1 CARMEL, IN 46032 CARMEL, IN 46032 CONTACT SCOTT OSBORNE ON ACCOUNT CHARGE... HT DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 25-JUL-2017 ENGINE 44 CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 CUSTOMER PICK UP C REF.NO. SALESPERSON PARTS DISP. MILEAGEIHOURS PUMP CODE UNIT NO. OE-100-632883 87183 PRODUCTOUANTITY BACK OUANT I TY PART DESCRIPTION 1 1 OUTSIDE POS EXHAUST HEAT BLANKET NONSTOCK 333.09 333.09 THANK YOU VERY MUCH FOR YOUR BUSINESS. A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON PARTS ACCEPTED FOR RETURN. NO RETURNS ALLOWED ON OPEN ELECTRONIC COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NON- RETURNABLE TO THE VENDOR.RGA NUMBER MUST BE OBTAINED BEFORE RETURN IS MADE. TRACKING# SUB TOTAL: 333.09 Billing Inquiries?Call(877)480-6970 or email CBSCrossPointReceivables@cummins.com THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT: US$ 333.09 DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE