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Home My WebLink About321793 02/13/18 li ur.,tgq�f- CITY OF CARMEL, INDIANA VENDOR: 294850 b ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $********21.20* CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 321793 �TpN ; CHICAGO IL 60673-1278 CHECK DATE: 02/13/18 JDEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 X30129096301 21.20 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 294850 STOOPS FREIGHTLINER IN SUM OF$ 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 $21.20 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Fire 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 X301290963:01 42-370.00 $21.20 1 hereby certify that the attached invoice(s),or 2/2/18 X301290963:01 $21.20 1120 101 1120 101 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 Friday, February 02,2018 David Haboush Fire Chief 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE NO. X301290963:01 °'f 4� - INVOICE DATE 01/31/2018 StOOp� REPRINT P.O. NUMBER EN'G NE42 FRUGRl1101-OUALTI11 YpTRA1111T01HSHIP VIA PICKUP 0/U1SION Of IIIUUII UIIl01m REFERENCE TRUCK COUNTRY-INDIANAPOLIS n � � m 1851 W THOMPSON ROAD �� ALL CLAIMS;AND RETURNED GOODS MUST BEACCOMPANIED BY THIS INVOICE:NO RETURNS ON INDIANAPOLIS, IN 46217 ELECTRICAL OR SPECIAL;ORI ER PARTS NO"RETURNS„WITHOUITHIS INVOICE.NO RETURNS- AFTER 30�DAY5, THERE WILL BEAN UP TO 25d1e-RESTOCKING FEE PLUS FREIGHTCHARIGES ON � Phone: (866)899-1533 FAX: (317)781-4370 ALL RETURNED PARTS NO RETURNS ON ANY.PARTS WITH A VALUELESS'THAN$50 ! Bill To: �t Ship To: CARMEL FIRE DEPARTMENT 160874- CARMEL FIRE DEPARTMENT 160874 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL , IN 46032 CARMEL, IN 46032 - Phone: (317)571-2600 Phone: (317)571-2600 INVOICE NO. X301290963:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN 1/31/2018 CHG S3013 QTY QTY ;'_ UNIT EXT SHIP B/O ITEM DESCRIPTION �' BIN 1 PRICE PRICE 1 0 301F/681 721 02 KO �” STRIKER-SERVICE KIT U10 21.20 21.20 m�r .a n SALES TAX EXEMPTION CERTIFICATE -r sti. DISCLAIMER OF WARRANTIES "` . l., 1 certify that this transaction is exempt from the Indiana Sales Tax because; ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSEMADE SU btotal 21.20 Purchaser is a common contract came,vine will use items purchased or serviced BY MANUFACTURER,IF ANY.THE SELLER HEREBY EXPRESSLY exclusively Be such carrier. DISCLAIMS ALL WARRANTIES EITHER EXPRESS,OR IM,P.LIED INCLUDING ANY'IMPLIED'WARRANTY OF MERCHANTABILITY ORFITNESS FOR A TAX 0.00 Authority Number- PARTICULAR PURPOSE,AND TRUCK COUNTRY OF Indiana NEITHER Purchaser is engaged in the business of and items will be used for resale. ASSUMES NORAUTHORIZES ANYOTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION-WITH THE SALE OF SAID PRODUCTS.WE TaxDes2 0.00 Resale Number. HEREBY CERTIFY THAT THESEiGOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6,.7 AND 12 OF THE I am authorized to execute this Certificate and claim this exception. FAIR LABOR STANDARDS ACT OF 1938.AS AMENDED AND OF REGULATIONS AND ORDERS OF THE ADMINISTRATOR OR WAGE AND HOUR Total: 21.20 DIVISION ISSUED UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES EXPRESS A LIMITED NON-TRANSFERRABLE WARRANTY,TO THE ORIGINAL Business Name Authorized Signature PURCHASER,ON TECHNICIAN WORKMANSHIP ISSUES FOR 30 DAYS FROM THE COMPLETION DATE OF THIS REPAIR ORDER.A FINANCE CHARGE OF ONE AND ONE-HALF PERCENT(1% )PER MONTH IS APPLIED TO ALL ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE Business Address Date RATE OF EIGHTEEN PERCENT(1 8%). RECEIVED --PAYABLE IN US DOLLAR BY, Please Remit Payment to: Delivered by: Date: STOOPS FREIGHTLINER 27825 NETWORK PLACE Customer Signature: CHICAGO,IL 60673-1278 SIGNATURE BY TME CUSTOMER OR CUSTOMER REPRESENTATIVE CONSTITUTES AGREEMENT TO PAY REASONABLE LEGAL EXPENCES, INLCYDINO ATTORNEY ANO COURT COSTS INCURRED BY TRUCK COUNTRY FOR PAYMENT OF THIS INVOICE. CUSTOMER Page 1 of 1