HomeMy WebLinkAbout322387 02/27/18 a u,..CgA,y
CITY OF CARMEL, INDIANA VENDOR: 372215'
i; ONE CIVIC SQUARE SOUTH SUBURBAN WELDING & FAB IN(;HECK AMOUNT: $*****7,150.00*
CARMEL, INDIANA 46032 14022 S.WESTERN AVE. CHECK NUMBER: 322387
?i;�TON.Eo` POSEN'IL 60469 CHECK DATE: 02/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 101344 38323 7,150.00 HUMBLER FORCIBLE ENTR
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372215
SOUTH SUBURBAN WELDING & FAB INC IN SUM OF$ CITY OF CARMEL
14022 S. WESTERN AVE. 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.
POSEN, IL 60469
Payee
$7,150.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
101344 38323 44-670.99 $7,150.00 1 hereby certify that the attached invoice(s),or 2/16/18 38323 $7,150.00
1120 102 1120 102
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 16,2018
David Haboush
Fire Chief
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
oJ��SugURB ANINVOICE
South Suburban Welding & Fabricating Co. , Inc.
14022 S. Western Ave • Posen, Illinois 60469-0346 No. 38323
p�SIL
385-7160`y 708-385-7160 • Fax 708-385-7133
EN, UN
Invoice Date FEBRUARY 7, 2018
TO
CARMEL FIRE DEPT. Our Order 1801 -02
2 CIVIC SQUARE Your Order 10 1 344
CARMEL, IN 46032
Date Shipped 2-7-18
Terms:Net 30 days
1.1/2%PER MONTH SERVICE CHARGE will be added to unpaid items on the 1st day of Shipped Via SSW TRUCK
the 2nd month following invoice date.($2.00 Min.)
{ QUANTITY DESCRIPTION° UNIT PRICE AMOUNT
1 "HUMBLER" FORCIBLE ENTRY DOOR $ 6,800.00
DELIVERY CHARGE 350.00
TOTAL $ 7, 150.00
TAX EXEMPT #35-6000972
NO CREDIT will be allowed for any merchandise returned UNLESS AUTHORIZED BY OUR REPRESENTATIVE.We hereby certify that these goods were produced in
compliance with all applicable requirements of section 6,7 and 12 of the fair labor standards act as amended,and of regulations and orders of the United States
Department of Labor issued under section 14 thereof.
THIS SHIPPING ORDER e " " " " '
Carbon,and retained by the Agent.
RECEIVE,subject to the classifications and lawfully filed tariffs In effect an the date of issue of this Shipping Order,
Na property descnbetl beVav,N apparent good order,except es roled(Wnlents arM condlian of eenlenls of padages unkrro'.m),marked,wnsigned,and destinetl as intl7ated below,which aaii rattier(me word metier being understood throwgho,t fhb cMI2c1 as meaning any person or
oxpomlien in possession of No prop¢rry under the eoneep)ogres to wny to its usual place of de Wery oI said tlestinatian it on its roulo,oNarnise to tleliver to ermdwr mMer on the route to said dP3e(101bn.It is mutually greed as to as _"is'
eani¢r of ell or arty of Said pr n over ell or airy portion
W said mete to destination,eM es to earls party et arty time inleresletl in all or any of¢aid pmpeM•Nat every seance to be pedonned hemurMer shall be subject b all the forms antl mnditiore of an Uniform Domestic SVayh18�9 0l Ledr�g t to (1)in llm'Iorm Fr&ght Clpssifcation in etled mi
Ilia date hereof it etis is a rail or a rail-water ship 1 or(2)N the applicable motor carrier Uassif�lion or Zang it this is a motor Urrier shi7ment.Shipper hereby cereges that he¢familiar with e0 the terms antl mntlitwns of Ne saitl bill of lading set lonh in Ne classiLraoon or tariff wFUCh
governs the transportation of this shipment,and Ne said terms end corMitions are herelry agreed to�'the shipper and e¢epled for himself end his assigns.
r`/'1J -J (l 'vu>q''L4:J-1 i.lff.l r ifJ!�`i9 yV'r�t•i -f'P^:'LF%a f? J -..F�l�'re,;d•,-�if-IJ A�I_',R�'4:-1
..'1
V Carrier's Pro No.
1.Name ,ti [f
+ Shipper's Bill of L
ading No.
301 —J2
Of r� .,`R;N'3 eL, Consignee's Reference/PO No. 101344
Carrier
No.
Consigned to CA 4EL FIRS; DEPT
On Collect on Delivery Shipment,the letters"COD"must appear before consignee's name.
Destination Street 2 CIVIC SQUARE State of County of
Delivering Carrier Trailer No.
Additional Shipment Information ^iii"Rr,1r.T,_ Ti;,1 L r;0
HANDLING PACKAGES KIND OF PACKAGE,DESCRIPTION OF ARTICLES,SPECIAL MARKS AND EXCEPTIONS 'WEIGHT Class or Rate Rel. Cube For Freight Collect Shipments:
UNITS NO.TYPE NO.TYPE (Subject to Correction) (Subject to Correction) (For Info.Only) (Optional)
If this shipment is to be delivered to the
consignee,without recourse on the consignor,
1 FORCIBLE Ilii Ui'1 ER11iNTR the consignor shall sign the following
rr '1 DO:it•, statement:
The carrier may decline to make delivery of
this shipment without payment of freight and all
other lawful charges.
(Signature-of Consignor.)
Shipper Certification-This is to certify that the
above named materials are properly classified,
described,packaged,marked and labeled,and
are in proper condition for transportation accord-
ing to the applicable regulations of the DOT.
Per Date
Carrier Certification-Carrier acknowledges
receipt of packages and required placards.
Carrier certifies emergency response
information was made available and/or carrier
has the DOT emergency response guidebook
TOTAL or equivalent document in the vehicle.
PIECES
NOTE(1)Where the rate is dependent on value,shippers are required to state specifically in writing the NOTE(2)Liability Limitation for loss or damage on this shipment may be applicable. Per
agreed or declared value of the property as follows: See 49 U.S.C.§14706(c)(1)(A)and(B).
'The agreed or declared value of the property is specifically stated by the shipper to be not exceeding NOTE(3)Commodities requiring special or additional care or attention in handling or stowing must Package Nos. Date
be so marked and packaged as to ensure safe transportation with ordinary care.See Sec. t Freht charges are to be PREPAID
per, 2(e)of NMFC Item 360. g g
unless marked collect.
Notify if problem enroute or at delivery (for informational purpose only) CHECK BOX IF COLLECT
Name Fax No. Tel.No. ❑
Send}reigh ill W. C.O.D.charge to be paid by
Company Name \ city Street State zip Shipper❑ Consignee El
shipper\ ��� i - Carrier r' o� C.O.D.SHIPMENT
P•r �'' Per Date
` C.O.D.Amt.
THIS SHIP T IS CORRECTLY DESCRIBED CORRECT WEIGHT IS LBS. SO:iu7�JJJrucn klreld;nzi Ck FGl�r'L�iir.:.3 Co.,is c. Collection Fee
14922 S.A'asno P Ava.,P'�i;z1, F.602-59-0346 Permanent post office address of shipper
Total Charges
*Mark'X'to designate Hazardous Materials as defined in DOT Regulations. (�. Agent must detach and retain this Shipping
Order and must sign the Original Bill of Lading