315319 08/29/17 ' ii.�✓..4�q,VF
s` CITY OF CARMEL, INDIANA VENDOR: 355155
Q ONE CIVIC SQUARE ENGINEERED AIR CHECK AMOUNT: $i"**'*599.59'
: rq CARMEL, INDIANA 46032 PO BOX 801618 CHECK NUMBER: 315319
-yiroN�. KANSAS CITY MO 64108-1618 CHECK DATE: 08/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 DS127816 599.59 OTHER EXPENSES
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INVOICE NUMBER
EnENGINEERED AIR
� O
DIVISION OF AIRTEX MANUFACTURING INC. INVOICE DATE PAGE
32050 WEST 83rd STREET,DESOTO,KANSAS 66018 07/26/2017 1
PHONE:(913)583-3181 FAX:(913)583-1406 EMAIL:accounting.desoto@engineeredair.com
REMIT TO: MFG#:
ENGINEERED AIR
c/o COMMERCE BANK
P.O. BOX 801618
KANSAS CITY, MO 64180-1618
S CITY OF CARMEL S CITY OF CARMEL
0 3450 W 131 ST ST H 4915 E 106TH ST
L WESTFIELD, IN 46074 P INDIANAPOLIS, IN 46280
T T
0 O
CUSTOMER: 102401 TERRITORY: 712 ShipperlD: S128905 salesperson: Richard Ramsburq
Returns are not accepted without prior authorization and subject to a 25%charge.
YOUR ORDER NUMBER I SHIP DATE I SHIP VIA F.O.B.
JM072617 07/26/2017 UPS GROUND
SHIP QTY DESCRIPTION AMOUNT
1 35X141P855H2 Motor 1 HP 3Ph 1140 230/460V 56YZ(FLA 3.4/1.7) 295.66
2 9001389 Blade Fan 26 37 deg CW 5/8 HUB(S3GL-2637 CW.63 HOI) 120.12
1 L-50161-SC Basket Cond. Fan 33 1/2(4238-5014) 67.28
1 202573 Condenser Fan Venturi-Old Style 116.53
SALES TOTAL BEFORE TAX 599.59
Sales Tax 0.00
INVOICE TOTAL $599.59
No Statement issued-Pay on Invoice
NET 10 DAYS
SERVICE CHARGE OF 1.5%PER MONTH(18%PER ANNUM)ON OVERDUE ACCOUNTS
PACKING SLIP
EngA ENGINEERED AIR ShipperID S128905
@ Customer ID 102401
DIVISION OFAIRTEX MANUFACTURING LLLP Order Date 07/26/2017
32050 WEST 83rd STREET, DESOTO,KANSAS 66018 Manufacturer No.
PHONE:(913)583-3181 FAX:(913)583-1406 EMAIL:
accounting.desoto@engineeredair.com
BILL TO: TO:
ACCOUNTS PAYABLE CITY OF CARMEL
CITY OF CARMEL 4915 E 106TH ST
3450 W 131ST ST INDIANAPOLIS, IN 46280
WESTFIELD, IN 46074 Attn: JOHN
Phone: (317)716-5398
PAGE 1
Returns are not accepted without prior authorization and subject to a 25%charge.
CUSTOMER • NO. SHIP VIA F.O.B.POINT SALES PERSON
JM072617 UPS GROUND Richard Ramsburg Due in 30 days
LINE __ -PART NUMBER UNITS CITY SHIPPED BIN LOCATIONCOMPLETE
00001 35X141P855H2 EA 1.000 MW 101
Motor 1 HP 3Ph 1140 230/460V 56YZ(FLA 3.4/1.7)
00002 9001389 EA; 1,606 JA 101
Blade Fan 26 37 deg CW 5/8 HUB(S3GL-2637 CW.63
HOI)
00003 L-50161-SC EA 1.000 JA 101 La
Basket Cond.Fan 33 1/2(4238-5014)
00004 202573 EA 1.000 ZVE 101 IZI
Condenser Fan Venturi-Old Style
Re eived :
Date !
PO # : 07 z& '7
ACCT # : Co2fl�
Use : F64Si4- Lei
Our responsibility for this shipment has now ceased. You are responsible for making damage
or shortage claims directly to the carrier. Please report errors or omissions immediately.
Date Shipped Shipped By Weight
Customer Signature Print Name
Applicable taxes extra
DELIVERED AUG 1.4 2W