HomeMy WebLinkAbout323588 03/29/18 oCITY OF CARMEL, INDIANA VENDOR: 363862ONE CIVIC SQUARE JASON FORCE CHECK AMOUNT: 323588 74.00`
CARMEL, INDIANA 46032 21589 OVERDORF ROAD CHECK NUMBER: 323588 NOBLESVILLE IN 46062 CHECK DATE: 03/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 774.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 363862 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
JASON FORCE IN SUM OF$ CITY.OF CARMEL
21589 OVERDORF ROAD 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.
NOBLESVILLE, IN 46062
Payee
$774.00
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
0 42-370.00 $774.00 1 hereby certify that the attached invoice(s),or 3/29/18 0 $774.00
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
Thursday, March 29,2018
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
P
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iD AND D INSTRUMENTS
¢2525 WINTER ST NE
(MINNEAPOLIS, MN 55413
(612) 378-1224
P
Date: 3/21/2018ITime: 1:27 PM EST
;Trans Type: Sale
!Customer ID: CITYCARMEL`;
;Transaction #: 327002529;
?Name: # JASON FORCE]
iAccount:
lExp Date: *""*
'Card Type: VISA
(Street: 21589,
r
;Zip: 46062;
;Entry: Manual';
ilnvoice#: I 147225.'
1PO#: CV 41
AuthCode: 0216661
Result: APPROVED
Message: APPROVAL
;Batch Number: ; 353;
'Description: ;INSTRUMENT CLUSTER REPAIR;
;Subtotal: i $774.00
[Total Amt: I $774.W
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tl Agree to Pay Above Total
'Amount According to Card
Issuer Agreement (Merchant
Agreement if Credit Voucher)
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(Signature X
ACKNOWLEDGEMENT
Sales Order No: 147225
Aj Order Date: 03/20/18
860.76('x,4243•ddlnstruments.com
Page: 1
2525 WINTER STREET NE MINNEAPOLIS,MN 55413
Customer Phone: 317-690-4283
Customer Fax:
CITY OF CARMEL CITY OF CARMEL
B FIRE-DEPT S FIRE DEPT
2 CIVIC SQUARE H 2 CIVIC SQUARE
L CARMEL, IN 46032 ' CARMEL, IN 46032
L P
ATTN:JASON FORCE ATTN:JASON FORCE
Taxable: N Purchase Order: 317-690-4283
Pmt Terms: CREDIT CAR Ship Via:
Account Cd: CITYCARMEL FOB: D&D
Entered By: CBL Job Number:
Line Order Qty Part#/Description Price UM Extended Price Est Ship
1 1.00 DDFLAT HD $399.0000 EA $399.00 03/22/18
2004 FREIGHTLINER MULTI-PLEX
2 1.00 DD60020 $125.0000 EA $125.00 03/22/18
Lens-5"with slot
3 2.00 DD60021 $125.0000 EA $250.00 03/22/18
Lens-5"without slot
2004 FREIGHTLINER MULTI-PLEX SYSTEM 3-GAUGE
VIN:4UZAASPVX4CM98519
1) CUSTOMER STATES THAT THE LCD ODOMETER DOES NOT DISPLAY
PROPERLY
2) CUSTOMER REQUEST REPLACE ALL LENSES
PERFORMED BENCH CHECK AND INSPECTION. VERIFIED CUSTOMER
CONCERNS.TRACED TO AND REPLACED FAILED LCD ASSEMBLY ON
SPEEDOMETER AND ALL LENS UNITS.
RECHECK OKAY
30CL
15ST
Nam ACKNOWLEDGEMENT
Sales Order No: 147225
& � Order Date: 03/20/18
600.766:4243addlnstruments aom
Page: 2
2525 WINTER STREET NE MINNEAPOLIS,MN 55413
Customer Phone: 317-690-4283
Customer Fax:
CITY OF CARMEL CITY OF CARMEL
B FIRE DEPT S FIRE DEPT
2 CIVIC SQUARE H 2 CIVIC SQUARE
L CARMEL, IN 46032 ' CARMEL, IN 46032
L P
ATTN:JASON FORCE ATTN:JASON FORCE
Taxable: N Purchase Order: 317-690-4283
Pmt Terms: CREDIT CAR Ship Via:
Account Cd: CITYCARMEL FOB: D&D
Entered By: CBL Job Number:
Line Order Qty Part#/Description Price UM Extended Price Est Ship
THANK YOU FOR YOUR ORDER! Subtotal: $774.00
RETURN POLICY: Freight: $0.00
" PLEASE CALL FOR AN RMA NUMBER
* RETURNS SUBJECT TO 20% RESTOCK CHARGE Total: $774.00
* NO RETURNS AFTER 30 DAYS
" NO RETURNS ON INSTALLED PARTS OR SPECIAL ORDERS
Received By: Date: