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318315 11/07/2017 CITY OF CARMEL, INDIANA VENDOR: 366764 ONE CIVIC SQUARE K M INTERNATIONAL CHECK AMOUNT: $'*''"'102.33' CARMEL, INDIANA 46032 6561 BERNIE KOHLER DRIVE CHECK NUMBER: 318315 - NORTH BRANCH MI 48461 CHECK DATE: 11/07/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 15221 102.33 REPAIR PARTS 2 a < « R \ 3 z q � f k E # > I q - k n cr q 2 ƒ w X / j \/ E ƒ / ? b 2a A k E /m( } (D $ k / T ± \ © § c 0 / 0 3 § # k ° z z E z_ - . CD \ k O | Z ® / ! 2 E - > r- 0 / \ / E k ƒ ? 3 / i g F. E 7 / $ -nm m 2 m n _ E A § ƒ a e fCD - $ # 2 ƒ 0 j [ , \ 3 \ \ k ) ƒ / } 7 w E 0 m m / 7 C - a) k \ / 0 / / & { D ƒ 2 I 3 g | § [ , - - - ± ƒ %I § / s CL ° ` 7 � j m \ \ 07 ; m J § CD i D \ ) \ E § \ -n $ 2 0 03 8 - » a z o ® k ƒ/ 2 § q ƒ \ k C o _� 0> 2 / # } f / Z --i § N %k § k cnJ a 2 & T 7 � � e� © D }_n CD D §/ E / oco 6� ° q r \ \\ / \ / k \7 \ § \ O m C/ m C % CD �_ §0 / $ / m _ 0 \ gCD \ ± _ CD S \ CL ] § k 0 k \ f CL \ 2 D CD0 } k > ® \ INVOICE t>iL Date Invoice# 6561 Bernie Kohler Drive 10/31/2017 15221 North Branch,MI 48461 Bill To Ship To CITY OF CARMEL CITY OF CARMEL 3400 W. 131ST 3400 W. 131ST CARMEL,IN 46074 CARMEL,IN 46074 S.O. No. P.O. No. Terms Due Date Rep Territory C... Ship Via INCOTERM 15281 BENTLEY Net 30 Days 11/30/2017 BLM 30 10/31/2017 UPS GND Quantity Description Rate Amount I KM4000/8000T AUTOMATIC CHANGEOVER PROPANE REGULATOR, 1/4"FIF x 3/8" 84.56 84.56 FPT 1 HANDLING/PACKAGING AND/OR CRATE CHARGES 7.50 7.50 1 UPS-GROUND TRACKING#1Z 7E9 IEI 03 5706 0667 10.27 10.27 1.25%Late Fee On All Past Due Invoices-Assessed Monthly Tota **ALL WARRANTY PARTS must be returned to KMI within 7 business days of customer $102.33 receipt in order for credit to be issued.** Tax Indemnification.Buyer shall pay,and indemnify and hold Seller,and its Affiliates,and all officers, Payments/Credits $0.00 directors,employees and agents harmless from and against,any taxes that may at any time be asserted in respect of the transactions described in this purchase order,or the Buyer's use or possession of the Balance Due equipment that is the subject of this purchase order(including any sales,use,receipts,value added, $102.33 occupation,excise,personal property,privilege or license taxes,or any withholdings,but not including taxes imposed upon Seller with respect to its overall net income)and costs,expenses and reasonable counsel fees in defending against the same,whether arising by reason of the Buyer's purchase,use or LMsession of the eguipmentr otherwige. Phone# Fax# E-mail Web Site (810)688-1234 (810)688-8765 ginger@kmintemational.com www.kmintemational.com K M INTERNATIONAL Packing Slip 6561 BERNIE KOHLER DRIVE NORTH BRANCH, MI 48461 Date Invoice# 10/31/2017 15221 Bill To Ship To CITY OF CARMEL CITY OF CARMEL 3400 W. 131 ST 3400 W. 131 ST CARMEL,IN 46074 CARMEL,IN 46074 S.O. No. P.O. No. Ship Via FOB Project 15281 BENTLEY 10/31/2017 UPS GND _ 1YpUon Descn I KM4000/8000T AUTOMATIC CHANGEOVER PROPANE REGULATOR, 1/4"FIF x 3/8"FPT 1 HANDLING/PACKAGING AND/OR CRATE CHARGES 1 UPS-GROUND TRACKING# 1 Z 7E9 I E 1 03 5706 0667 �r Phone# Fax# (810)688-1234 (810)688-8765 Keizer-Moms Intemational,Inc-