HomeMy WebLinkAbout316795 10/4/2017 (9)
VENDOR: 00350062CITY OF CARMEL, INDIANA CHECKAMOUNT: 5""*'1,745.05•SCOTT OSBORNEONE CIVIC SQUARE 19702 SIX POINTS ROADCHECK NUMBER: 316795
CARMEL, INDIANA 46032 SHERIDAN IN 46069 CHECK DATE: 10/04/17
DESCRIPTION
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT T05 REPAIR PARTS
1120 4237000 REIMB
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INVOICE
BILL SHIP Invoice# 244397
TO Carmel Fire Department TO Carmel Fire Department
2 Civic Square 2 Civic Square Invoice Date 9-22-17
Carmel,IN 46032 Carmel,IN 46032
Customer ID
QTY DESCRIPTION I UNIT PRICE TOTAL
1 91003 Shoulder Bolt $.83 $.83
1 21452 MVP Trip Spring Assy $66.00 $66.00
2 5523 Machine Pins $3.31 $6.62
1 61437 9 Pin Harness $160.00 $160.00
1 61557 12 Pin Harness $160.00! $160.00
1 27170 Conversion Bar $220.00 $220.00
1 69600 F150 Mount $375.00 $375.00
\\ \ Subtotal $998.45
Shipping
Please return the portion below with your payment. BALANCE DUE $998.45
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
REMITTANCE
Invoice# 1244397
Amount Paid
Make checks payable to:
Scott K.Osborne
19702 Six Points Road
Sheridan,IN 46069
INVOICE
BILL SHIP Invoice# 244397
TO Carmel Fire Department TO Carmel Fire Department
2 Civic Square 2 Civic Square Invoice Date 9-22-17
Carmel,IN 46032 Carmel,IN 46032 - - -
Customer ID
QTY DESCRIPTION !UNIT PRICE TOTAL
1 91003 Shoulder Bolt $.83 $.83
1 21452 MVP Trip Spring Assy $66.00 $66.00
2 5523 Machine Pins $3.31 $6.62
1 61437 9 Pin Harness $160.00 $160.00
1 61557 12 Pin Harness $160.00 $160.00
1 27170 Conversion Bar $220.00 $220.00
1 69600 F150 Mount $375.00 $375.00
Subtotal $998.45'
Shipping
Please return the portion below with your payment. ;BALANCE DUE $998.45
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
REMITfANCE
Invoice# (244397
Amount Paid
i
Make checks payable to:
Scott K.Osborne
19702 Six Points Road
Sheridan,IN 46069
Page 2 of 2
LANG MEKRA NORTH AMERICA LLC 3�(
101 TILLESSEN BLVD
RIDGEWAY, SC 29130
803-337-4806
LANG MEKRA NORTH AMERICA LLC
Date: 08/25/2017 01:13:09 PM
CREDIT CARD SALE
VISA
CARD NUMBER: **********7643 K
TRAN AMOUNT: $157.46
APPROVAL CD: 215231
RECORD #: 000
CLERK ID: KnightT
INVOICE #: SAP
Thank you!
Customer Copy
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11) sander/vendor 2) vendor-no. MINA 3) Transport order no.
MEKRA Lang North America, LLC
101 Tillessen Boulevard 4) sander no.at shipping carrier
29130 Ridgeway
freight order
61 date 7) relation-no.
6) loading point 2120/TD MLNA PDC 09/05/2017
0) sendingdloading-ref.number 168523 9) freight forwarder 101 ca Mer-noJacac 87247/UPA(
UPS
11,recipient 12)gust.-no. 13416 P.O. Box 7247-0244
CARMEL FIRE DEPT
2 CIVIC SQUARE 19170-0001 Philadelphia
CARMEL IN 46032
USA phone fax
13)
14)deliv.4upioading point
16)sender comment for the shipping carrier
161 Incoming date 09/05/2017 171 Incoming time
10)sign and no./delivery nob no. 19)QTY 20)packaging 21) 22)contents 23greight. 24)gross w,
5 weight Ib lb
00766367 1 GENERIC CONTAINER MIRHD,MAIN,REWHTD,RH,CHR,KIT 0.011 6.011
CODE
26)total: 00001 26)volume approx. total: 27) 0 26) 5
29)dangerous goods classlfic. 30)dangerous goods label:when exist,see add.form
31)freight charges 32)Inv.val.ofy target coat versdrev.�33) rt.insurance of the carrier 34)sender cash on deliv.
lov.30000001EUR
Prepaid r with
36)attachments 30 cult.order number
) 4 37)seem assgmnt
36)maansottransp.no. 1Z59W8550374346488
39)truck code
40)disp.type Truck 41)payroll key
42)acknowledgment of receipt of the goods receplent
shipment above complete and In
company stamp/signature
drivoes confirmation of reception 44)the consignment contains Euro-Flach_Pa1.iFP)
Euro-Glttar-P41.(GP)
ate time signature
The above consignment Is taken over completely and In proper condition.
The traffic safety of the vehicle Is ensured.
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Transfer Order: 4000151461 09/05/2017 Page 1
111111111111111111111111111111111111111111111111111111111111111�11
Ship-to: CARMEL FIRE DEPT / 2 CIVIC SQUARE / 46032 CARMEL
Rec. Point:
Planned Goods-Issue: 20170907
Material . . . . . . . . . . Batch: . . . . B Pos. T Typ Location QTY . . . . . . . . BUn
514090029-PDC 21823517-D 0001 S 720 01A2 1 PC
MIRHD,MAIN, REM/HTD, RH, CHR, KIT D 916 0080756357 1
Material: Batch: Quantity:
111111111111
1111111111 VIII IN III VIII 111 1111111111111111111111111111 IN 1111111111111111111111 11181 III IIII 1 VIII VIII VIII 111111118111111111111111111111111 VIII 1111111111111111111111111111111 INI IIII
Picker: Date/Time: ` f
0
September 2017 Statement
,,, Open Date: 08/11/2017 Closing Date: 09/12/2017 1 of 3
Account: 643
1-2-3 REWARDS®Visa®Card Cardmember Service P 1-877-373-6192
SCOTT K OSBORNE BNK 10 KPF 8 C
il\I�w �ala�tce11, 7
,Sa2 FAmmary
Mmirnun>a R.ayment Due �g8.Op
Payment nce +
nerredits
rrlfnirrlt�m payment by die date It&ted ab4v� yotl may have Purchases +
to pay up to a$38 QO Late Fee' Balance Transfers -- -
Advances $0.00
$0.00
Other Debits
Minimum Payment Warning: If you make only the minimum $0.00
payment each period,you will pay more in interest and it will Fees Charged $0.00
take you longer to pay off your balance.For example: Interest Charged +
If:month
e no You will pay off And you will NEW Balance =
addarges the balance shown end up paying Past Due
usinrd and on this statement an estimated
eayou in about... total of... Minimum Payment Due
Credit Line
Only the minimum 10 years $6,899 Available Credit
Payment
Days in Billie Period
$132 3 years $4,752
(Savings=$2,147) Reward Points
If you would like information about credit counseling servicesEarned This Statement 202
call 866-951-1391. , Points Available 1,167
For details,see your rewards summary.
Payment P Mail payment coupon
Options: Pay online c Pay 7-phone Pay at your local
p `-l�• with a check 123rewardscard.com
1-877-373 6192 I/ 1� U.S.Bank branch
Please detach and send coupon with check payable to: U.S.Bank
bank. 2341862100130676430000098000003552837
:New
unt Number 7643
24-Hour Cardmember Service: 1-877-373-6192
Payment nce Date 2017
Cto pay by phone um Payment Due
.to change your address
000024505 01 SP 000638710203425 P Amount Enclosed $
SCOTT K OSBORNE U.S. Bank
19702 SIX POINTS RD P.O.Box 790408
SHERIDAN IN 46069-9150 St.Louis,MO 63179-0408
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September 2017 Statement 08/11/2017-09/12/2017
SCOTT K OSBORNE Page�Z of 3
• Cardmember Service C 1-877-373-6192
.:_ F�.� fid►
Points Available Last Statement k f
Redemption Activity 966 Account Questions:
Points Earned
0 Visit 123rewardscard.com Earned Points for In-Store Spend This Statement Ior call 877-373-6192
Earned Points for Our Brand Spend 0
Earned Points for Out-of-Store Spend 0
Total Earned 202
202
Points Available 1,167
Points Earned Year to Date
2,391
Quarterly rewards are mailed in February, May, August and November.
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Paying Interest: You have a 24 to 30 day interest-free period for Purchases provided you have paid your
..............
previous balance in full by the Payment Due Date shown on your monthly Account statement. In order to
avoid additional INTEREST CHARGES on Purchases, you musta
Payment Due Date shown on the front of your monthly Account is ementnew balance in full by the
There is no interest-free period for transactions that post to the Account as Advances or Balance Transfers
except as provided in any Offer Materials. Those transactions are subject to interest from the date they post
to the Account until the date they are paid in full.
If you believe we have inaccurately reported information to any Consumer Reporting Agency,you may
submit a dispute by writing to us. In order for us to assist you with your dispute, you must provide your
name, address, phone number, account number, the specific information you are disputing, the explanation
of why it is incorrect, and any supporting documentation (e.g., affidavit of identity theft), if applicable, to:
U.S. Bank National Association
Consumer Recovery Department
Attn: CBR Disputes
P.O. Box 108
St Louis, MO 63166-0108
Each time you or a third party on your behalf, pays your bill by personal check, you authorize us to convert
that payment into an electronic debit. If the check is processed electronically, the checking account will be
debited for the amount on the check and the debit will appear on your account statement
questions, please contact us at the Inquiries phone number located on this statement. . If you have any
F..... i.....:...d t. ,...:.edd k-. t
Pa ments a
nd Other Credits "'
.u` . ..
Post Trans
Date Date Ref# Transaction Description
Amount"
Purchases and Other Debits TOTAL THIS PERIOD 9W
Post Trans
Date Date Ref# Transaction Description
08/28 08/25 1350 LANG MEKRA NORTH AMERI 803-3374806 SC Amount
$157.46
Continued on Next Page
FIRE LINE Phone# 717-354-8103 Invoice
EQUIPMENT Fax# 717-427-1607
4652 Division Highway E-Mail billing(afirelineequipment.com Invoice M 22831
East Earl, PA 17519 Invoice Date: 9/11/2017
Due Date: 9/11/2017
Bill To: i0.
Carmel Fire Department I�rnl armel Fire Department
2 Civic Square 1 2 Civic Square
Carmel,IN 46032 Carmel,IN 46032
V/r�
Rep P.O. Number: S.O. No. Terms VIN# Serial# FD Designation#
DAM 14020 20250 Credit Card
Item Description Hours/Qty Rate U/M Amount
A06-36027-002 Rear Heater Switch 1 65.55 ea 65.55
A06-36027-001 Switch Rear A/C 1 65.55 ea 65.55
680 542 01 03 ALF Fuel Gauge 1 186.39 ea 186.39
680 542 00 05 Engine Coolant Temp Gauge 1 86.68 ea 86.68
22-46073-000 Electric Oil Pressure Gauge 1 75.65 ea 75.65
SW 392RC13 Fuel Sender 1 109.32 ea 109.32
Total $589.14
Sales Tax (0.0%) $0.00
Subtotal $589.14
Payments/Credits -$589.14
Balance Due $0.00
Fire Line Equipment Page 1 of 2
Thank you for your order
Your order has been received and is now being processed. Your order details
are shown below for your reference:
Order#14020
Product Quantity Price
ALF Rocker Switch-Rear Heater 1 $65.55
ALF Rocker Switch-Rear A/C 1 $65.55
ALF Fuel Gauge 1 $186.39
Engine Coolant Temp Gauge 1 $86.68
Electric Oil Pressure Gauge 1 $75.65
ALF Fuel Sender 1 $109.32
mhtml:file://C:\Users\sosborne\AppData\Local\Microsoft\Windows\Temporary Internet Files\Con... 8/31/2017
Fire Line Equipment Page 2 of 2
Subtotal: $589.14
Shipping: Free Shipping
Payment method: PayPal
Total: $589.14
Customer details
. Email address: sosborne@carmel.in.gov
. Phone: 317-371-3140
Billing address Shipping address
Scott Osborne Scott Osborne
19702 Six Points Rd Carmel Fire Dept.
Sheridan, IN 46069 2 Civic Square
Carmel, IN 46032
Fire Line Equipment—Powered by WooCommerce
mhtml:file://C:\Users\sosborne\AppData\Local\Microsoft\Windows\Temporary Internet Files\Con... 8/31/2017
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SCOTT OSBORNE WORLD MASTERCARD
Account Number XXXX XXXX XXXX 2185 Monthly Statement Aug 11, 2017 to Sep 10, 2017
Page 1 of 4
'Previous Balance *New Balance
Payments and Other Credits - Minimum Payment Warning:Minimum Payment Due
Purchases and Adjustments +
Balance Transfers +
Payment Due Date Oct 07,2017
Credit Limit
Cash Advances +
Fees Charged + Late Payment Warning:
Interest Charged + If we do not receive your minimum payment by the date listed above,you may
New Balance have to pay a late fee up to$37.00. Failure to make the minimum payment by
the due date listed above may also result in future transactions being declined.
Total Available Credit
Cash Advance Credit Limit If you make only the minimum payment each period,you will pay more in
Available Cash Advance CreditInterest and it will take you longer to pay off your balance. For example:
Past Due Amount If you make no You will pay off the And you will end up
Statement Closing Date Sep 10,2017additional charges balance shown on this paying an estimated
Days in Billing Cycle 31 using this card and statement in about... total of...
each month you pay...
'A Previous Balance and/or a New Balance with a minus sign(-) each
Minimum
before it Indicates a credit balance. Payment 7 years $2,660
• If you would like information about credit counseling services,
call 1-066-451-4266.
jR 1400~539-2968
TDD/TTY(for the hearing impaired):14W-5W-8336 If you have filed Bankruptcy:See reverse for important information.
Please send billing inquiries and correspondence to:
KEYBANK,NA.
itPO BOX 89446
CLEVELAND,OH 44101-6446
Past Due Notice
You are past due$30.00. This amount is included in your Minimum Payment Due.
Rewards Summary
Rewards point balance is 6,211 points as of 09/08/2017. Visit key.com/rewards for details.
Transactions
POST TRAN REFERENCE
DATE DATE NUMBER DESCRIPTION AMOUNT$
SCOTT OSBORNE XXXX XXXX XXXX 2185 Total Activity $864.67
09/01 08/31 70793655 PAYPAL*FIRE LINE 4029357733 PA 589.14
MW
Fees
POST TRAN REFERENCE
DATE DATE NUMBER DESCRIPTION AMOUNT$
TOTAL FEES FOR THIS PERIOD
--------________ERE_To 8iisure�roQer eredit,please include your coupon below withyour pexrnent,Please write)lour account number onyour checkparable to KeyBank. _
KeyBank
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