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Home My WebLink About319879 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 294850,;--, ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $********71.19* d. a° CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 319879 CHICAGO IL 60673-1278 CHECK DATE: 12/21/17 t ETON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 R30201767801 71.19 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 294850 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER STOOPS FREIGHTLINER IN SUM OF$ CITY OF CARMEL 27825 NETWORK PLACE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. CHICAGO, IL 60673-1278 Payee $71.19 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT R302017678:01 43-510.00 $71.19 1 hereby certify that the attached invoice(s),or 12/7/17 R302017678:01 $71.19 2201 2201 2201 2201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Wednesday, December 13,2017 Huffman, Dave Director 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 , 20- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE NO. R302017678:01 INVOICE DATE 12/07/2017 P.O. NUMBER (PARTS) fREIGBTLINEN-OUAUTYTBAIIEN VIN 1FVHG5CY3HHJ62348 UNIT DIVISION OF IBUCK Service Invoice TRUCK COUNTRY-ANDERSON 6105 COLUMBUS AVE ANDERSON, IN 46013 Phone: (800)515-2393 FAX: (765)683-4472 Bill To: Owner: CITY OF CARMEL CITY OF CARMEL 3400 WEST 131 ST STREET 3400 WEST 131 ST STREET CARMEL, IN 46074 CARMEL, IN 46074 WK PHONE: (317)733-2001 HM PHONE: (317)733-2001 CUST# 183553 ADVISOR 52922 ENG COLOR RED SCHED 12/4/17 UNTID 449540 YEAR 17 MAKE FTL MODEL 108SD MILES 3460 INSVC 1/1/00 ACCT CHG JOB#2 COURT SCP PERFORM TRUCK COUNTRY COURTESY INSPECTION . CONDITION PERFORM TRUCK COUNTRY COURTESY INSPECTION CAUSE COURTESY INSPECTION CORRECTION QTY ITEM DESCRIPTION UNIT PRICE EXTD PRICE COURTI PERFORM COURTESY INSPECTION TECH NO. S1601 0.00 JOB#2 COURT--PARTS:0.00--LABOR:0.00--MISC:0.00 -- SUBTOTAL 0.00 JOB#3 QCI SCP QUALITY CONTROL INSPECTION-FINDINGS NOTED IN CORRECTION CONDITION QUALITY CONTROL INSPECTION-FINDINGS NOTED IN CORRECTION CAUSE CORRECTION QTY ITEM DESCRIPTION UNIT PRICE EXTD PRICE Q/C QUALITY INSPECTION TECH NO. S1601 0.00 JOB#3 QCI--PARTS:0.00--LABOR:0.00--MISC:0.00 -- SUBTOTAL 0.00 JOB#4 54 SCP ELECTRICAL CONDITION DISABLE GPS CAUSE DISABLE GPS CORRECTION DISABLE GPS PER CUSTOMER REQUEST. QTY ITEM. DESCRIPTION UNIT PRICE EXTD PRICE 54 ELECTRICAL TECH NO. S82766 63.00 JOB#4 54--PARTS:0.00--LABOR:63.00--MISC:0.00 -- SUBTOTAL 63.00 CUSTOMER EMAIL COPY Page 1 of 2 INVOICE NO. R302017678:01 INVOICE DATE 12/07/2017 P.O. NUMBER (PARTS) VIN 1 FVHGSCY3HHJB2348 IHNIT CUST# 183553 S2922 346RED 2 449540 YEAR 17 MAKE FTL MODEL 108SD MILES 0 INSVC 1/1/00 ACCT CHG SALES TAX EXEMPTION CERTIFICATE DISCLAIMER OF WARRANTIES I certify that this transaction is exempt from the Indiana Sales Tax because: ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE NIISC CHARGES 0.00 Purchaser is a common contract Cartier who will use hems purchased or serviced MADE BY MANUFACTURER,IF ANY.THE SELLER HEREBY exclusively as such carrier. EXPRESSLY DISCLAIMS ALL WARRANTIES EITHER EXPRESS OR PARTS 0.00 IMPLIED INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY A.M.rity Number. OR FITNESS FOR A PARTICULAR PURPOSE,AND TRUCK COUNTRY Purchaser is engaged in the business of and items will be used for resale. OF Indiana NEITHER ASSUMES NOR AUTHORIZES ANY OTHER LABOR 63.00 PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH PACKAGES Ki�� 1�l� Resale Number. THE SALE OF SAID PRODUCTS.WE HEREBY CERTIFY THAT THESE PACGES GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE I am authorized to execute this Certificate and claim this exception. REQUIREMENTS OF SECTIONS 6,7 AND 12 OF THE FAIR LABOR STANDARDS ACT OF 1838,AS AMENDED AND OF REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR DIVISION SUBLET O.00 ISSUED UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES Business Name Authorized Signature EXPRESS LIMITED NON-TRANSFERRABLE WARRANTY,TO THE ORIGINAL PURCHASER,ON TECHNICIAN WORKMANSHIP ISSUES FOR NUSC SUPPLIES 8.19 30 DAYS FROM THE COMPLETION DATE OF THIS REPAIR ORDER.A ,L FINANCE CHARGE OF ONE AND ONE-HALF PERCENT(1%%)PER TAX 0,00 Business Address Date MONTH IS APPLIED TO ALL ACCOUNTS 3D DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE RATE OF EIGHTEEN PERCENT (18%). RECEIVED TOTAL 71.19 BY: - --PAYABLE IN US DOLLAR-- Please Remit Payment to: --voffl-mp-pm—.. .9.1—d by—p- SIGNATURE Ad—..d.,.—.tamd Dy tl..la—of Cuatom.rPmt etlen'E,W, CONSTITUTES YAGREEMENT TO PAT THE CUSTOMER OR CREASONABLE USTOMER ELEGAL NTATIVE STOOPS FREIGHTLINER YA.c--D.pt Ol Cgn—Rom,Tmd.and Con.umor Pm—don,P.O.Do[ EXPENCE,INLCU DING ATTORNEY AND COU RT COS"INCURRED 27825 NETWORK PLACE ealf,M........con.in A]lOBdall. aY TRUCK COUNTRY FOR PAYMENT OF TH Ig INYOICL CHICAGO,IL 60673-1278 CUSTOMER EMAIL COPY Page 2 of 2