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315271 8/29/2017 w.44� CITY OF CARMEL, INDIANA VENDOR: 368010 �e ® ONE CIVIC SQUARE MACALLISTER MACHINERY CO INC CHECK AMOUNT: $.......221.57* CARMEL, INDIANA 46032 DEPT 78731 CHECK NUMBER: 315271 PO BOX 78000 CHECK DATE: 08/29/17 ETON-°° DETROIT MI 48278-0731 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 R64227951601 221.57 REPAIR PARTS 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. 368010 MacAllister Rental, LLC Terms Dept. 78731 P.O. Box 78000 Detroit, MI 48278-0731 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 8/16/17 R64227951601 Kubota Tractor&Caterpillar Repair Parts xx5736 $ 221.57 Total $ 221.57 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with le 5-11-10-1.6 , 20 Clerk-Treasurer 13450 BRITTON PARK ROAD 1 H f MacAllister / FISHERS, 46038 317-598-8-9700 Rental Si � flE_. MacAllister Rentals Contract No. Invoice No. Date 2279516 R64227951601 16AUf #17 m Please Remit Your Payment to: T MacAllister Rentals Dept. 78731 2017 P.O. Box 78000 f Page 1 Detroit, MI 48278-0731 SALES INVOI $ 11:57 AM Date out Date In 1174560 _ - 1174560 CARMEL CLAY PARKS & REC ADMIN OFFICE 1411 E 116TH ST ;XX-573;6 #CARMEL, IN 46032 Phone: 317-571-2695 CPU Fax: 317-571-4136 TRAVISB 00140 Qty B/O Item Number Bin Loc Unit Price Amount 1.0 GASKET EA 1.60 1.60 *15521.43672 1.0 PLATE, THRUST EA 2.16 2.16 1A001-43540 1.0 0-RING EA 1.20 1.20 04811-10290 1.0 0-RING EA 3.48 3.48 04811.50650 1.0 ORING (CREEP SPEED KIT COMPONENT EA .93 .93 04816-00160 1.0 SKIRT,FRONT EA 36. 16 36. 16 TA040.41062 1.0 NET, FRONT SKIRT EA 34.32 34.32 TA040.41070 1.0 NUT EA .49 .49 55611-44190 1.0 LAMP GP-BASI EA 121.23 121.23 3091325 1.0 UPS/FEDEX/CCX EA 20.00 20.00 FREIGHT Sub-total 221.57 Total 221.57 IMPORTANT! Please note and acknowledge safety instruction by initialing here: DECLARE RENTAL EQUIPMENT PROTECTION PLAN:Rental Equipment Protection Plan is not available on crane rentals. Initial here: *If declined current insurance certificate must be on file with MacAllister Rental. By his/her Initial Customer will provide guard railing, planking, out riggers,and other safety accessories as required, per safety instructions.Initial here: Purchaser/Lessee upon failure to pay balance whan due s II a liable for al a enses incurred in collection of said balance including but not limited to attorney's fees and court costs. It is agreed by the parties tereto r asonable r y's fees shall be one-third (1/3) of any amount owned by Purchaser/Lessee. Net 30 days unless otherwise specified.A service c e I be ap d all pas a accounts.This agreement shall include the above terms and conditions as well as those set forth on the reverse hereof. ACCEPTED BY CLISTO RMPSLS 113-2017I