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317357 10/11/2017 CITY OF CARMEL, INDIANA VENDOR: 294850 CHECK AMOUNT: $««k#k«.«43.81- ONE 3.81"ONE CIVIC SQUARE STOOPS FREIGHTLINER CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 317357 CHICAGO IL 60673-1278 CHECK DATE: 10/11/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 X30125445301 43.81 REPAIR PARTS _0 ? -4 q $ § ) 2 / cn 00 7 } . > Q 2 3 # 2 0 m CO � z / q / k O ƒ m 3 q o I . E k m n 0 9 0 k > ƒ � £ / \ 0 t I > R. / G § CL CD ? M z § 4z > O m 4A O CD CD Z | z ® & J i g - 2 r- k g § ^ a [ § PL i & ( Cr 0 o m m � � � / 0 7 i -n _ / k ; # f 2 70)\ a % E / ¥ . k / k \ CD k § & K 2 o 0 k k ƒ g ® - � k \ 0 } 0 & k f = k § CD c � / » - CO , = ƒ K£ 2 m § CL E [i §- w \ cn w * m \ \ [ @ 3 \ D \ nk j < j / () k ƒ \ C \}jkm L ) J \ k ƒ 3 ( 0 %k § k \ | 0< 0 E 2 \\ \ \ D f_ { c 90 D r-L& o E - D 6� \ / 0 \ n / \ E / c E + 2Z % ) 0 \ { C % / E $ / k p B k 2 pf � / c 8 m f a) ] § k z CL > � / 2 \ § PD \ % W § e w � �+R INVOICE NO. X301254453:01 S�.`OOps INVOICE DATE 09/12/2017 fRE/GNTL/NER-UUAL/Tr TRA/LER P.O. NUMBER ��2�� O SHIP VIA PICKUP DIVISION OF REFERENCE TRUCK COUNTRY-INDIANAPOLIS � MSANnRMTr3foostg►ussAGco�nPA rrru (NuoiceNci2ETURNsor� 1851 WTHOMPSONROAD rlbttp +t € q€ ttuRNSntTtt�siyuQite.# RtTurtNs INDIANAPOLIS, IN 46217 ,� upA�es TH S #{LAN2raRiTf7CKt►� � ust�t�rrARa�soN Phone: (800)899-1533 FAX: (317)781-4370 ALL RETURNEa� it�T$:,N�3R��� ��5Ni4PIYPAR'fiSWAUALUELESS7'WIt$50. Bill To: Ship To: CITY OF CARMEL 183553 CITY OF CARMEL 183553 3400 WEST 131 ST STREET 3400 WEST 131 ST STREET CARMEL , IN 46074 CARMEL, IN 46074 Phone: (317)733-2001 Phone: (317)733-2001 INVOICE NO.X301254453:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN 9/12/2017 CHG S2022 QTY QTY UNIT EXT SHIP B/O ITEM DESCRIPTION BIN 1 PRICE PRICE 1 0 301FIA18-68366-000 HANDLE-RELEASE,EXT,DOOR,LH U0707 43.81 43.81 SALES TAX EXEMPTION CERTIFICATE DISCLAIMER OF WARRANTIES I certify Nat this transaction is exempt from the Indiana Sales Tax because: ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE MADE Lam{ Purchaser is a common confect Came,who will use items purchased or serviced BY MANUFACTURER,IF ANY.THE SELLER HEREBY EXPRESSLY'. Subtotal 43.81 exclusively as such tamer. DISCLAIMS ALL WARRANTIES EITHER EXPRESS OR IMPLIED INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A TAX O.00 Authority Number: PARTICULAR PURPOSE,AND TRUCK COUNTRY OF Indiana NEITHER TAX Purchaser is engaged in the business of and items will be used for resale. ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE OF SAID PRODUCTS WE TaxDes2 0.00 Resale Number: HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,7 AND 12 OF THE I am authorized to execute f8is CerlNcate and claim this exception. FAIR LABOR STANDARDS ACT OF'938.AS AMENDED AND OF REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR Total: 43.81 DIVISION ISSUED UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES EXPRESS A LIMITED NON-TRANSFERRABLE WARRANTY,TO THE ORIGINAL Business Name Authonaad Signature PURCHASER.ON TECHNICIAN WORKMANSHIP ISSUES FOR 30 DAYS FROM THE COMPLETION DATE OF THIS REPAIR ORDER A FINANCE CHARGE OF ONE AND ONE-HALFPERCENT(1 9i%)PER MONTH IS APPLIED TO ALL ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE Business Address Data RATE OF EIGHTEEN PERCENT(18%). RECEIVED --PAYABLE IN US DOLLAR-- Please Remit Payment to: Delivered by: Date: STOOPS FREIGHTLINER 27825 NETWORK PLACE Customer Signature: CHICAGO,IL 60673-1278 SIGNATURE FY THE CUSTOMER OR CUSTOMER REPRESENTATIVE CONSTITUTES AGREEMENT TO/AY REASONABLE LEGAL EXIENCEF, INLCUDINO ATTORNEY ANO COURT COSTS INCURRED BY TRUCK COUNTRY FOR FAYMENT OF THIS IN xOICE. CUSTOMER Page 1 of 1