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320249 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 366510 ONE CIVIC SQUARE FLEETPRIDE CHECK AMOUNT: $*******157.71 CARMEL, INDIANA 46032 P 0 BOX 847118 CHECK NUMBER: 320249 F _TON`o DALLAS TX, 75284-7118 CHECK DATE: 01/04/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION, 2201 4237000 89496821 157.71 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 366510 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FLEETPRIDE IN SUM OF$ CITY OF CARMEL P O BOX 847118 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. DALLAS, TX 75284-7118 Payee $157.71 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 89496821 42-370.00 $157.71 1 hereby certify that the attached invoice(s),or 12/15/17 89496821 $157.71 2201 2201 Prior Year 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 Tuesday,January 02,2018 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 REMIT FloctPrido© INVOICE FLEETPR DE.. PO BOX 847118 TRUCK& TRAILER PARTS 89496821 DALLAS TX 75284-7118 (361) 883-4358 EXT 4000 WWW.FLEETPRIDE.COM INDIANAPOLIS IN 1140 S WEST ST (317) 632-4487 STORE NO. SHIP LOC. INVOICE TYPE QUOTE INVOICE DATE INVOICE NUMBER 352 IND I CHARGE SALE d 1 12/15/17 89496821 SOLD TO CARMEL STREET DEPT. SHIP TO CARMEL STREET DEPT. 3400 W 131ST ST CARMEL IN 46074-8267 3400 W 131ST ST (317)-733-2001 WESTFIELD IN 46074-8267 CHECK NO. SHIPPER NAME ORIG. INVOICE N0. FREIGHT BILL OF LADING TERMS PP & ADD DELIVERED NET 30 PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY ACCOUNT SALESMAN MIKE 302461 345 UANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT ORD. SHIPPED CODE *NOTE* AUTO BO TICKET 1 1 230 OTR3036SB-LS OTR SPRING BRAKE CHAMBER (EA) 157.71 157.71 BALANCE DUE $157.71 Parts & Service Freight Taxes $157.71 $.00 $.00 WARRANTY DISCLAIMER: Parts are subject only to the relevant manufacturer's warranty, warranty terms shall be made available to you to the extent possible through us. Our labor is warranted against defects in materials or workmanship for 90 days, we will not pay outside labor. WE MAKE NO OTHER WARRANTY, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR PARTICULAR PURPOSE. Your sole remedy for breach of any warranty is limited to the money received by us for the part/labor. Consequential damages ere disclaimed. Parts are otherwise subject to our Return/Exchange Policy. For additional information, go to http://flootpride.com/warranty-disclaimer/ It is agreed that payment of the cash price is due within the terms stated above. A SERVICE CHARGE OF 1.5% per month (187 PER ANNUM) shall be due upon the amount of any charge which has not been paid when due. PLEASE PAY FROM THIS INVOICE. CORES MUST BE RETURNED WITHIN 60 DAYS TO BE ELIGIBLE FOR CREDIT. 348 IND IND_SAVE MBAUER 12/15/17 16.10.37 All Claims and returned goods MUST be accompanied by this bill. Page 1 Of 1 RECEIVED BY