HomeMy WebLinkAbout329670 09/05/18 w_Fdq
CITY OF CARMEL, INDIANA VENDOR: 093500
® ONE CIVIC SQUARE FEDERAL SIGNAL CORP CHECK AMOUNT: $*******394.43*
CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK NUMBER: 329670
9a,�TON SUITE 3257 CHECK DATE: 09/05/18
CHICAGO IL 60675-3257
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 6975985 394.43 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 093500 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FEDERAL SIGNAL CORP IN SUM OF$ CITY OF CARMEL
75 REMITTANCE DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SUITE 3257 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60675-3257
Payee
$394.43
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
6975985 42-370.00 $394.43 I hereby certify that the attached invoice(s),or 8/30/18 6975985 Repair Parts-E341 $394.43
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,August 30,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
r1rFederal Signal Corporation INVOICE Invoice.Number: 6975985. .
2645 Federal Signal Drive involce bate(Page No 8/21/201.8 1 of. 1
University Park, IL 60484 USA Order-Number:1 3794898 S0. .
Public Safety Systems µPleasenoteourPaymentopUans—
Phone: 800-264-3578 WIREPAYMENT: OVERNIGHT PAYMENT: MAIL PAYMENT:
Fax: 800-682-8022
Federal Signal Corporation Federal Signal Corporation Federal Signal Corporation
C/O Walls Fargo Bank N.A. 350 N.Orleans St.,FI 8 75 Remittance Dr,Suite 3257
230 W.Monroe St.Ste 2900 Suite 3257 Chicago,IL 60675-3257
Chicago,IL 60606 Chicago,IL 60654.1529
SWIFT:WFBIUS6S
SOLD TO:84102884 Routing#:121000248
Account#:4122213390
ACCOUNTS PAYABLE
CARMEL FIRE DEPT
2 CIVIC SQ - SHIP TO:84102884
CARMEL IN 46032-2584 CARMEL FIRE DEPT
United States 2 CIVIC SQ
ATTN:SCOTT OSBORNE
CARMEL IN 46032-2584
United States
Bill To Customer PO Frei ht/Inco Terms Ship Via
84102884 E341 PREPAID AND ADD FEDEX GROUND
Payment Terms Ship Date .' ,Shipper Re /Re ion.
NET 30 8/21/2018 FOB"Origin FIRE-IN Mf OH
Line Quanititv Unit Total
No Ordered BO Shipped Item No. Description _ Price Amount
1.000 2 2 Z82806003J-02 BRAKE ASSY,12V 192.00 384.00
Q BRAKES REQUESTED BY SCOTT OSBORNE.
------------------------ -------- -------------------------—-- ------------------------------------------ ----------------------------------
2.000 1 1 FREIGHTSSG 430776393735 10.43 10.43
SHIPPING&HANDLING
----------------------- ------- ---------------------------- —-------------------------------------- ----------------------------------
3.000 1 1 FedEx Ground
430776393735
----------------------- ------- ---------------------------- ------ --------------------------------- --------------------------------
Applicant agrees to pay service charges-of 1.112% interest per month on any invoice amount past SUB-TOTAL- 394.43
due until paid, both before and after judgment, and further agrees to pay all costs incurred in
collection of past due amounts, including reasonable attorney's fees in the event this account is TAXES_: -0.00
placed for collection,whether suit is filed thereon or not. INVOICE TOTAL': 394.43
SEND PAYMENT DETAILS TO:fscar@federalsignal.com CURRENCY USD
R5542565C_SSG.cIp6 (SSG2000PS1396217) (RI/61 ON 1121) ORIGINAL