319901 12/21/17 0-1,
CITY OF CARMEL, INDIANA VENDOR: 365934
ONE CIVIC SQUARE WEST SIDE TRACTOR SALES CHECK AMOUNT: 319901 ,015.80•
CARMEL, INDIANA 46032 DEPT 4570 CHECK NUMBER: 319901 PO BOX 87618 CHECK DATE: 12/21/17
CHICAGO IL 60680
DEPARTMENT ACCOUNT_ PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 I45295 1,015.80 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts city Form No.201 (Rev.1995)
Vendor# 365934 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WEST SIDE TRACTOR SALES IN SUM OF$ CITY OF CARMEL
DEPT 4570 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PO BOX 87618 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60680
Payee
$1,015.80
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
145295 42-370.00 $1,015.80 1 hereby certify that the attached invoice(s),or 12/1/17 145295 $1,015.80
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
WEST SIDE TRACTOR SALES REMIT TO:
WEST SIDE EXCHANGE
WEST SIDE BLOOMINGTON T: (812)333-9677 F: (812)333-9731 DEPT.#4570
AN9FORT 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
SALES -T rNNyyy
co ° SOUTH BEND T: (574)232-1461 F: (574)233-3324 Branch
SAME AS BELOW
o Date Time Page
L12/01/17 10:12:31 01
Account No. Phone No. Invoice No.
CARME002 3175712452 I45295
Ship Via Purchase Order
6 CITY OF CARMEL STREET DEP 624J 11/29
a) 3400 WEST 131ST STREET Sales Tax License No. Federal Exemption No.
c
CARMEL IN 46074 IN057
F.E.I.N.No.36-2484344 Salesperson
JCZ
DESCRIPTIO_N
ORDER#: 041819
************** CALL FOR A FREE UNDERCARRIAGE INSPECTION ******************
Part# Description Bin ORD ISS SHP B/O UTTTT Price Amount
T181520 HEADLINER I29548 1 1 1 698.60 698.60
AT117065 LATCH 229555 1 1 1 77.96 77.96
M40333 STOP NUT 1404-4 1 1 1 .45 .45
34H252 ROLL PIN 229555 1 1 1 .59 .59
M61002 HANDLE 229555 1 1 1 15.29 15.29
11M7059 COTTER PIN 1346-2 1 1 1 .40 .40
AT117061 LUG I29555 1 1 1 83 .57 83 .57
T150020 Lever 229555 1 1 1 103 .30 103.30
U15574 SPRING 229555 1 1 1 9.06 9.06
U43002 SCREW I29555 5 5 5 .88 4.40
19H1948 1/4 X 3/4 GR5 1367-3 1 1 1 .79 .79
T125809 WASHER 229555 1 1 1 2.77 2.77
T60920 WASHER 1402-8 2 2 2 1.51 3.02
FRT MISC 1 1 1 15.60 15.60
TOTAL CHARGE 1015.80
CI MEL S�REE�
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