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Home My WebLink About321907 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 294850 ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $*******395.88* :q ?� CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 321.907 CHICAGO IL 60673-1278 CHECK DATE: 02/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER _ AMOUNT DESCRIPTION 2201 4237000 0 -43.81 REPAIR PARTS 2201 4237000 X30128850101 311.92 REPAIR PARTS 2201 4237000 X30411916301 127.77 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 294850 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER STOOPS FREIGHTLINER IN SUM OF$ 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 $83.96 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 X304119163:01 42-370.00 $127.77 1 hereby certify that the attached invoice(s),or 2/2/18 X304119163:01 $127.77 2201 2201 2201 2201 0 42-370.00 ($43:81) bill(s)is(are)true and correct and that the 2/5/18 0 ($43.81) 2201 2201 materials or services itemized thereon for 2201 2201 which charge is made were ordered and received except Monday, February 05, 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Page 1 of 1 fRfl6NlllNfN-QUA[l1Y71lAlLfN REMIT TO: DUE UPON RECEIPT 11IYISIOBOfi , 1 Stoops Freightliner Quality Trailer -- mow 27825 Network Place Chicago,IL 60673-1278 Phone:(800)899-1533 ACCT.NO Email questions to:AR-IND@truckcountry.com 183553 PLEASE NOTE OUR NEW REMIT TO ADDRESS EFFECTIVE IMMEDIATELY CLOSING DATE CITY OF CARMEL 3400 WEST 131ST STREET 31Dec17 CARMEL, IN 46074 C/L: 5,000.00 AMOUNT ENCLOSED PLEASE RETURN THIS PORTION WITH YOUR CHECK $ Date Invoice/PO# Purchases/Debits Payments/Credits Balance 09/12/2017 X301254453:01 43.81 -43.81 PAST DUE CURRENT PLEASE PAY -43.81 -43.81 0.00 THIS AMOUNT OVER 30 OVER 60 OVER 90 --PAYABLE IN US DOLLAR-- 0.00 0.00 -43.81 Did you know that Truck Country can now email your monthly statement and daily invoices to you? Please contact our Accounts Receivable department to have this set up for you. 1/4/2018 8:33:45AM INVOICE NO. t X304119163:01 INVOICE DATE 02/02/2018 P.O. NUMBER - INUGHMAN-QHAIITY TRAILER sHIP VIA DELIVERY DIVISION U IREFERENCE P P„ TRUCK COUNTRY-FORT WAYNE 12247 DECLARATION DRIVE ALL- AIMS AND RETURNED GOODS•MUST,BE ACCOMPANIED BY THIS INVOICE.NO,RETURNS ON NEW HAVEN, IN 46774 "ELECTRICAL OR SPECIAL ORDER PARTS.,NO,RETURNS WITHOUT THIS INVOICE.,No RETURNS AFTER 30,DAYS. THERE WILL BEANi UP T,O,6%RESTOCKING FEE PLUS FREIGHT CHARGES ON Phone: (800)456-8782 FAX: (260)493-6261 ALL RETURNED PARTS.NO RETURNS ON ANY PARTS VVITHtA VALUE LESS THAN S50. Bill To: Ship To: CITY OF CARMEL 183553 CITY OF CARMEL 183553 3400 WEST 131 ST STREET 3400 WEST 131 ST STREET CARMEL , IN 46074 CARMEL, IN 46074 Phone: (317)733-2001 Phone: (317)733-2001 INVOICE NO.X304119163:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN 2/2/2018 CHIS S55212 QTY QTY j s " < UNIT EXT SHIP B/O ITEM rDES.CRIPTION �� BIN 1 PRICE PRICE 1 0 304FNCC T1001837R HEATER CORE AY SERVICE'KLT`: U52 91.59 91.59 1 0 304F/AO5-31621-000 �,,' MANIFOLD-HEATER PIPE ` W1. 36.18 36.18 fir,,�,%•'"�� I. �I �� I-� k�- �'r-q��,=' (` ;^I:,-3 �`�•,;`�.-,-.., E SALES TAX EXEMPTION CERTIFICATE -`�„`-.��" DISCLAIMER OF WARRANTIES y �j Icertifythatthlstransaction isexempt from the Indiana Sales Taxbecause: '`..�'•.,� ANY WARRANTIES ON THE PRODUCTS SOLD HEREBYARESHOSE..MADE Subtotal 127.77 Purchaser is a common contract carder who will use items purchased or serviced `�:-"* S1'MANUFACNRER,IF ANY.THE SELLER HEREBY EXPRESSLY�%' exclusively as such carder. DISCL'AIMSALL WARRANTIES EITHER EXPRESSOR'IMPUED',INCLUDING ANYJMPLIED WARRANTY OF MERCHANTABILITY OR•FITNESS FORA TAX 0.00 Authority Number. PARTICULAR;PURPOSE,AND TRUCK COUNTR`FOFFlndena NEITHER Purchaser is engaged in the business of and Items will be used for resale. ASSUMES NOR AUTHORIZES ANY.OTHER PERSON TO ASSUME FOR IT ANY LIABIUTY IN CONNECTION WITH THE SALE OF SAID PRODUCTS.WE TaxDes2 0.00 Resale Number. HEREBY CERTIFY THAT THESE:GOODS 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: 127.77 DIVISION ISSUED UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES EXPRESS 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(i X%)PER MONTH IS APPLIED TO ALL ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE Business Address Data RATE OF EIGHTEEN PERCENT(18%). 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 THE CUSTOMER OR CUSTOMER REPRESENTATIVE CONSTITUTES AGREEMENT TO PAY REASONABLE LEGAL EXPENCES, ...UOING ATTORNEY AND COUNT COSTS INCURRED BY TRUCK COUNTRY FOR PAYMENT OF THIS INVOICE. CUSTOMER EMAIL COPY Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 294850 IN SUM OF$ CITY OF CARMEL STOOPS FREIGHTLINER 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 $311.92 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 X301288501:01 42-370.00 $311.92 1 hereby certify that the attached invoice(s),or 1/23/18 X301288501:01 $311.92 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 Tuesday,January 30, 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE NO. X301288501:01 INVOICE DATE 01/23/2018 P.O. NUMBER tk 208 fHRSHTLINEH-OWN THIU M SHIP VIA PICKUP DIVISION ff TBUC _U REFERENCE TRUCK COUNTRY-INDIANAPOLIS ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BYTHIS1851 W THOMPSON ROAD INDIANAPOLIS, NO RETURNS ON INDIANAPOLIS, IN 46217 ELECTRICAL OR SPECIAL ORDER PARTS.NO RETURNS.WITHOUT THIS INVOICE.NO RETURNS. AFTER 30 DAYS.THERE WILL BE AN UP TO,25%RESTOCKING,FEE PLUS FREIGHT CHARGES ON Phone: (800)899-1533 FAX: (317)781-4370 ALL RETURNED PARTS.NO RETURNS ON ANY PARTS WITH A VALUE LESS THAN$50. Bill To: Ship To: CITY OF CARMEL 183553 CITY.OF CARMEL 183553 3400 WEST 131 ST STREET 3400 WEST 131 ST STREET CARMEL , IN 46074 CARMEL, IN 46074 Phone: (317)733-2001 Phone: (317)733-2001 INVOICE NO.X301288501:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN -1/22/2018 CHG S1398 QTY QTY - UNIT EXT SHIP B/O, ITEM ,'DESCRIPTION BIN 1 PRICE PRICE 4 0 301E/BW K073055 F� VALVE-SOLEN OI D,MANIFOL'D;N`.0 - D10 71.98 311.92 0 0 c '' cspn �' `:',, 0.00 0.00 Jin-- _-- �•_,.�`,� Lj''.,./" `—_� '� _. __ Y1:' "--i '_- _ •' I` - _;�._ _ __ - __..... rte- _. �Y"c`ti. SALES TAX EXEMPTION CERTIFICATE , DISCLAIMER OF WARRANTIES the r"J I,,+ I certify that this transaction is exempt from e Indiana Sales Tax because: -�.- ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE,THOSE;MADEr Subtotal 311.92 Purchaser is a common contract carderwho will use items purchased or serviced '�` BYMANUFACTURER,IF ANY.THE SELLER HEREBY EXPRESSLY, exclusively as such Cartier. DISCLAIMS ALL WARRANTIES EITHER EXPRESS OR IMPLIED•INCLUDING ANY IMPUED WARRANTY OF MERCHANTABILITY OR 'F,ITNESS FOR A TAX 0.00 Authority Number. PARTICULAR PURPOSE,AND TRUCKCOUNTRY Indiana NEITHER Purchaser is engaged in the business of and items%rill be used for resale. ASSUMES NOR AUTHORI7ES ANY-OTHER PERSON TO ASSUME FOR IT ANY LIABILIWE Resale Number. HEREBY CERTIFY THATO-TH SEGOO SWITH THEALWERE PRODUCEDOF SAID INTS.COMPLIANCE TaxDes2 0.00 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: 311.92 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 t ONE AND ONE-HALF PERCENT(1 R%)PER MONTH IS APPLIED TO ALL - ACCOUNTS 3D DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE Business Address Date RATE OF.EIGHTEEN PERCENT(18%). 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 WE CUSTOMER OR CUSTGMER REPRESENTATIVE CONSTITUTES AGREEMENT TO FAY REASONABLE LEGAL EXPENCES, INLCUDI NG ATTORNEY AND COUNT COSTS INCURRED BY TRUCK COUNTRY GOR PAYMENT OF THIS INVOICE. CUSTOMER EMAIL COPY Pagel of 1 CITY OF CARMEL, INDIANA VENDOR: 294850 ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $*******395.88* :q ?� CARMEL, INDIANA 46032 27825 NETWORK PLACE CHECK NUMBER: 321.907 CHICAGO IL 60673-1278 CHECK DATE: 02/13/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER _ AMOUNT DESCRIPTION 2201 4237000 0 -43.81 REPAIR PARTS 2201 4237000 X30128850101 311.92 REPAIR PARTS 2201 4237000 X30411916301 127.77 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 294850 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER STOOPS FREIGHTLINER IN SUM OF$ 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 $83.96 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 X304119163:01 42-370.00 $127.77 1 hereby certify that the attached invoice(s),or 2/2/18 X304119163:01 $127.77 2201 2201 2201 2201 0 42-370.00 ($43:81) bill(s)is(are)true and correct and that the 2/5/18 0 ($43.81) 2201 2201 materials or services itemized thereon for 2201 2201 which charge is made were ordered and received except Monday, February 05, 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Page 1 of 1 fRfl6NlllNfN-QUA[l1Y71lAlLfN REMIT TO: DUE UPON RECEIPT 11IYISIOBOfi , 1 Stoops Freightliner Quality Trailer -- mow 27825 Network Place Chicago,IL 60673-1278 Phone:(800)899-1533 ACCT.NO Email questions to:AR-IND@truckcountry.com 183553 PLEASE NOTE OUR NEW REMIT TO ADDRESS EFFECTIVE IMMEDIATELY CLOSING DATE CITY OF CARMEL 3400 WEST 131ST STREET 31Dec17 CARMEL, IN 46074 C/L: 5,000.00 AMOUNT ENCLOSED PLEASE RETURN THIS PORTION WITH YOUR CHECK $ Date Invoice/PO# Purchases/Debits Payments/Credits Balance 09/12/2017 X301254453:01 43.81 -43.81 PAST DUE CURRENT PLEASE PAY -43.81 -43.81 0.00 THIS AMOUNT OVER 30 OVER 60 OVER 90 --PAYABLE IN US DOLLAR-- 0.00 0.00 -43.81 Did you know that Truck Country can now email your monthly statement and daily invoices to you? Please contact our Accounts Receivable department to have this set up for you. 1/4/2018 8:33:45AM INVOICE NO. t X304119163:01 INVOICE DATE 02/02/2018 P.O. NUMBER - INUGHMAN-QHAIITY TRAILER sHIP VIA DELIVERY DIVISION U IREFERENCE P P„ TRUCK COUNTRY-FORT WAYNE 12247 DECLARATION DRIVE ALL- AIMS AND RETURNED GOODS•MUST,BE ACCOMPANIED BY THIS INVOICE.NO,RETURNS ON NEW HAVEN, IN 46774 "ELECTRICAL OR SPECIAL ORDER PARTS.,NO,RETURNS WITHOUT THIS INVOICE.,No RETURNS AFTER 30,DAYS. THERE WILL BEANi UP T,O,6%RESTOCKING FEE PLUS FREIGHT CHARGES ON Phone: (800)456-8782 FAX: (260)493-6261 ALL RETURNED PARTS.NO RETURNS ON ANY PARTS VVITHtA VALUE LESS THAN S50. Bill To: Ship To: CITY OF CARMEL 183553 CITY OF CARMEL 183553 3400 WEST 131 ST STREET 3400 WEST 131 ST STREET CARMEL , IN 46074 CARMEL, IN 46074 Phone: (317)733-2001 Phone: (317)733-2001 INVOICE NO.X304119163:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN 2/2/2018 CHIS S55212 QTY QTY j s " < UNIT EXT SHIP B/O ITEM rDES.CRIPTION �� BIN 1 PRICE PRICE 1 0 304FNCC T1001837R HEATER CORE AY SERVICE'KLT`: U52 91.59 91.59 1 0 304F/AO5-31621-000 �,,' MANIFOLD-HEATER PIPE ` W1. 36.18 36.18 fir,,�,%•'"�� I. �I �� I-� k�- �'r-q��,=' (` ;^I:,-3 �`�•,;`�.-,-.., E SALES TAX EXEMPTION CERTIFICATE -`�„`-.��" DISCLAIMER OF WARRANTIES y �j Icertifythatthlstransaction isexempt from the Indiana Sales Taxbecause: '`..�'•.,� ANY WARRANTIES ON THE PRODUCTS SOLD HEREBYARESHOSE..MADE Subtotal 127.77 Purchaser is a common contract carder who will use items purchased or serviced `�:-"* S1'MANUFACNRER,IF ANY.THE SELLER HEREBY EXPRESSLY�%' exclusively as such carder. DISCL'AIMSALL WARRANTIES EITHER EXPRESSOR'IMPUED',INCLUDING ANYJMPLIED WARRANTY OF MERCHANTABILITY OR•FITNESS FORA TAX 0.00 Authority Number. PARTICULAR;PURPOSE,AND TRUCK COUNTR`FOFFlndena NEITHER Purchaser is engaged in the business of and Items will be used for resale. ASSUMES NOR AUTHORIZES ANY.OTHER PERSON TO ASSUME FOR IT ANY LIABIUTY IN CONNECTION WITH THE SALE OF SAID PRODUCTS.WE TaxDes2 0.00 Resale Number. HEREBY CERTIFY THAT THESE:GOODS 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: 127.77 DIVISION ISSUED UNDER SECTION 14 THEREOF.TRUCK COUNTRY DOES EXPRESS 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(i X%)PER MONTH IS APPLIED TO ALL ACCOUNTS 30 DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE Business Address Data RATE OF EIGHTEEN PERCENT(18%). 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 THE CUSTOMER OR CUSTOMER REPRESENTATIVE CONSTITUTES AGREEMENT TO PAY REASONABLE LEGAL EXPENCES, ...UOING ATTORNEY AND COUNT COSTS INCURRED BY TRUCK COUNTRY FOR PAYMENT OF THIS INVOICE. CUSTOMER EMAIL COPY Page 1 of 1 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 294850 IN SUM OF$ CITY OF CARMEL STOOPS FREIGHTLINER 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 $311.92 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 X301288501:01 42-370.00 $311.92 1 hereby certify that the attached invoice(s),or 1/23/18 X301288501:01 $311.92 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 Tuesday,January 30, 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 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE NO. X301288501:01 INVOICE DATE 01/23/2018 P.O. NUMBER tk 208 fHRSHTLINEH-OWN THIU M SHIP VIA PICKUP DIVISION ff TBUC _U REFERENCE TRUCK COUNTRY-INDIANAPOLIS ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BYTHIS1851 W THOMPSON ROAD INDIANAPOLIS, NO RETURNS ON INDIANAPOLIS, IN 46217 ELECTRICAL OR SPECIAL ORDER PARTS.NO RETURNS.WITHOUT THIS INVOICE.NO RETURNS. AFTER 30 DAYS.THERE WILL BE AN UP TO,25%RESTOCKING,FEE PLUS FREIGHT CHARGES ON Phone: (800)899-1533 FAX: (317)781-4370 ALL RETURNED PARTS.NO RETURNS ON ANY PARTS WITH A VALUE LESS THAN$50. Bill To: Ship To: CITY OF CARMEL 183553 CITY.OF CARMEL 183553 3400 WEST 131 ST STREET 3400 WEST 131 ST STREET CARMEL , IN 46074 CARMEL, IN 46074 Phone: (317)733-2001 Phone: (317)733-2001 INVOICE NO.X301288501:01 DATE SHIPPED TERMS SALESPERSON WRITER SHIP VIA UNIT ID VIN -1/22/2018 CHG S1398 QTY QTY - UNIT EXT SHIP B/O, ITEM ,'DESCRIPTION BIN 1 PRICE PRICE 4 0 301E/BW K073055 F� VALVE-SOLEN OI D,MANIFOL'D;N`.0 - D10 71.98 311.92 0 0 c '' cspn �' `:',, 0.00 0.00 Jin-- _-- �•_,.�`,� Lj''.,./" `—_� '� _. __ Y1:' "--i '_- _ •' I` - _;�._ _ __ - __..... rte- _. �Y"c`ti. SALES TAX EXEMPTION CERTIFICATE , DISCLAIMER OF WARRANTIES the r"J I,,+ I certify that this transaction is exempt from e Indiana Sales Tax because: -�.- ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE,THOSE;MADEr Subtotal 311.92 Purchaser is a common contract carderwho will use items purchased or serviced '�` BYMANUFACTURER,IF ANY.THE SELLER HEREBY EXPRESSLY, exclusively as such Cartier. DISCLAIMS ALL WARRANTIES EITHER EXPRESS OR IMPLIED•INCLUDING ANY IMPUED WARRANTY OF MERCHANTABILITY OR 'F,ITNESS FOR A TAX 0.00 Authority Number. PARTICULAR PURPOSE,AND TRUCKCOUNTRY Indiana NEITHER Purchaser is engaged in the business of and items%rill be used for resale. ASSUMES NOR AUTHORI7ES ANY-OTHER PERSON TO ASSUME FOR IT ANY LIABILIWE Resale Number. HEREBY CERTIFY THATO-TH SEGOO SWITH THEALWERE PRODUCEDOF SAID INTS.COMPLIANCE TaxDes2 0.00 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: 311.92 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 t ONE AND ONE-HALF PERCENT(1 R%)PER MONTH IS APPLIED TO ALL - ACCOUNTS 3D DAYS PAST DUE.THIS EQUALS AN ANNUAL PERCENTAGE Business Address Date RATE OF.EIGHTEEN PERCENT(18%). 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 WE CUSTOMER OR CUSTGMER REPRESENTATIVE CONSTITUTES AGREEMENT TO FAY REASONABLE LEGAL EXPENCES, INLCUDI NG ATTORNEY AND COUNT COSTS INCURRED BY TRUCK COUNTRY GOR PAYMENT OF THIS INVOICE. CUSTOMER EMAIL COPY Pagel of 1