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317263 10/11/17
(9, ) CITY OF CARMEL, INDIANA VENDOR: 358637ONE CIVIC SQUARE CUMMINS CROSSPOINTCHECK AMOUNT: S""*****117.17*CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 317263 CHICAGO IL 60675-1701 CHECK DATE: 10/11/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 001-86010 117.17 REPAIR PARTS 0 w n < < q � 0 ? C-71CDO U) § � 2 2 / M I 0 itg �_ p ® k 4t M \ _ 0 e z � C ± 2 Z C: q � 0C,:) O < 2 ƒ % ) w f $ & ; 2 # q 3 o } ) > C % ® \ -n m / § k / q / 3 * © \ z ( > O CD K0 O CD CD - z | w w 6 _ ) $ 2 L7 z k $ % k $( av o m CD • . 0 x3 # _ E } s # f 2 \ o k § \ CL m _ E 0 ƒ &% 3 8 2 CD \ [ 7 C \ / C ƒ « E / o CL e §k 0 g ® k ƒ B CD c | o / t 7 - 2 § C » ( CL$ / § ) \ $ cr D CL /$ 0 g � ) � � E § \ � � � CD' O \ c 0 - [} § \ ) ƒ \ L C o � 0 ° CD Z / ik § \ cn } // / & 0 D �) ( \ \ 90 ) o a » > ° � CD f w - 2 0 CD k A2. 0 E \ \ O f ? ) % CD C c / % CD ƒ_ § $ / £ n . 0 \ )7 M \0 - / \ ƒ � ] CD k « r CL 60D / g m » k Q ® \ Payment terms are 30 days from invoice date unless otherwise Sales and agreed upon in writing. Remit To:Cummins Crosspoint Service 75 Remittance Dr-Ste1701 ce Chicago, IL 60675-1701 INDIANAPOLIS BRANCH INVOICE NO 3621 W MORRIS STREET INDIANAPOLIS, IN 46242-0917 ` ',� (317)244-7251 (� 001-86010 Remit To:75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 SOLD TO CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CONTACTJASON FORCE CARMEL, IN 46032 PAGE 1 OF 1 ON ACCOUNT CHARGE HT DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 26-SEP-2017 NEED CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 400706 CUSTOMER PICK UP REF.NO. SALESPERSON PARTS DISP. MILEAGE.HOURS PUMP CODE UNIT NO. OE-100-637016 1115 QUANTITY BACK QUANTITY PART PRODUCT ORDERED ORDERE 1� SHIPPED NUMBER DESCRIPTION CODE UNIT PRICE AMOUNT 1 1 4330737 HOSE,FLEXIBLE CECO 85.89 85.89 2 2 3926704 CLAMP,SPRING HOSE CECO 15.64 31.28 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 NOW RETURNABLE TO THE VENDOR. RGA NUMBER MUST BE OBTAINED BEFORE RETURN IS MADE. TRACKING# SUB TOTAL: 117.17 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$ 117.17 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