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319561 12/12/17 CITY OF CARMEL; INDIANA VENDOR: 365934 •_ 6 �'•: ONE CIVIC SQUARE WEST SIDE TRACTOR SALES CHECK AMOUNT: $***'****20.05* CARMEL, INDIANA 46032 DEPT 4570 CHECK NUMBER: 319561 PO BOX 87618 CHECK DATE: 12/12/17 CHICAGO IL 60680 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_ 601 5023990 I45066 20.05 OTHER EXPENSES VOUCHER NO.. 173507 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 365934 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER WEST SIDE TRACTOR SALES CITY OF CARMEL DEPT 4570 An invoice or bill to be properly itemized must show: kind of service,where performed, PO BOX 87618 dates service rendered, by whom, rates per day,number of hours, rate per hour, CHICAGO, IL 60680 numbers of units, price per unit,etc. Payee 20.02 365934 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR WEST SIDE TRACTOR SALES Terms Carmel Water Utility DEPT 4570 Due Date BOARD MEMBERS PO BOX 87618 I hereby certify that that attached invoice(s), CHICAGO, IL 60680 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT I45066 01-6500-05 $agog and received except 11/30/2017 I45066 $20.02 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer WEST SIDE TRACTOR SALES REMIT TO: WEST SIDE EXCHANGE WEST SIDE BLOOMINGTON T: (812)333-9677 F: (812)333-9731 DEPT.#4570 NOUFORT WAYNE T: (260)482-8576 F: (260)483-4057 P.O.BOX 87618 INDIANAPOLIS T: (317)544-3411 F: (317)544-3420 CHICAGO, IL 60680-0618 LAFAYETTE T: (765)447-6933 F: (765)448-9038 PHONE(630)355-7150 sAL�ESCO° SOUTH BEND T: (574)232-1461 F: (574)233-3324 Branch SAME AS BELOW o Date Time Page c 11/20/17 12:01: � 01 co Account No. Phone No. Invoice No. CARME001 3177332855 I45066 Ship Via Purchase Order 6 CARMEL WATER DEPARTMENT UPS-NDA BACKHOE88 1 3450 W 131ST ST Sales Tax License No. Federal Exemption No. c CARMEL IN 46074-8267 IN057 F.E.I.N.No.36-2484344 Salesperson DRT DESCRIPTION ORDER#: 041680 ************** CALL FOR A FREE UNDERCARRIAGE INSPECTION ****************** Part# Description Bin ORD ISS SHP B/O UTTTT Price Amount H2O8987 WEAR RING 1 1 1 20.05 20.05 TOTAL CHARGE 20.05 j�7 LATE CHARGE %PER MONTH( %PER ANNUM) TERMS: Parts and service invoices are due net 30 days from date of invoice. Special order goods are not returnable. All returns must be accompanied by this invoice. Returned goods are subject to a restocking charge. Parts and service are under warranty for ninety RESTOCKING %MINIMUM SERVICE CHARGE. (90)days. Rentals and whole goods invoices are payable cash in advance or payable upon receipt of invoice if an open account accomodation has been granted. There is a $25.00 service charge on all returned checks. Title to all items remains with West Side Tractor Sales until purchase price,interest and other charges are paid in full. SIGNATURE DATE