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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