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Home My WebLink About330828 10/09/18 0^%��,q,,f, CITY OF CARMEL, INDIANA VENDOR: 357422 L�FI ONE CIVIC SQUARE W A JONES TRUCK BODIES &EQUIPMECK AMOUNT: $*****2,187.40* s� ��Q CARMEL, INDIANA 46032 1171 S WILLIAMS DR CHECK NUMBER: 330828 °M,��oN COLUMBIA CITY IN 46725 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 104983 2,187.40 OTHER EXPENSES VOUCHER NO. 186565 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor# 357422 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER W A JONES TRUCKBODIES&EQUIPMENT CITY OF CARMEL 1171 S WILLIAMS ST An invoice or bill to be properly itemized must show: kind of service,where performed, COLUMBIA CITY, IN 46725 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $2,187.40 357422 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR W A JONES TRUCKBODIES&EQUIPMENT Terms Carmel Wasterwater Utility 1171 S WILLIAMS ST Due Date BOARD MEMBERS I,hereby certify that that attached invoice COLUMBIA CITY,IN 46725 (s), or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 104983 01-7500-02 $2,187.40 and received except 9/27/2018 104983 $2,187.40 y 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. , 20_ Clerk-Treasurer MC Equipment, INC. Invoice W A JONES TRUCK BODIES & EQUIPMENT ,rDate Invoice# 1171 S.WILLIAMS DR. COLUMBIA CITY, IN 46725 _ Phone(260)244-7661 Fax(260)244-7662 CITY OF CARMEL WASTE WATER 9609 HAZELDELL PARKWAY INDIANAPOLIS,IN 46280 7 . P.O. Customer Fax Customer Phone Numb . • S18917 Net 30 DBS 9/24/2018 Dayton Freig t • . • - Description Price Each L3738 AL 667XH-138W/138 30CTC 2,046.97 1 2,046.97 FREIGHT FREIGHT CHARGE 140 43 1} 140.43 Sal 7.0°0) $0.00 X Authorized Signature RR DONNELLEY RR Donnelley Logistics Services Worldwide, Inc D.B.A.: DLS Worldwide BIII of Lading 1000 Windham Pkwy. Bolingbrook, IL 60490 BOL Number: DTWO01671028 SHIP • WA Jones Ship Date: 09/24/2018 1171 South Williams Drive Due Date: 09/25/2018 Columbia City, IN 46725 :Carrier: Dayton Freight Lines, Inc. Doug Sheetz 260-244-7661 Fax: 260-244-7662 Pro Number: SHIP TO REFERENCES Carmel Waste Water Treatment Plant BOL: DTWO01671028 9609 Hazel Dell Parkway DTW Agent: EW01 Indianapolis, IN 46280 SCAC: DAFG Duane Jarvis 317-571-2634 ext 1640 Fax: THIRD PARTY FREIGHT CHARGES BILL • DLS Worldwide 1000 Windham Parkway Bolingbrook IL 60490-3507 Freight Charge Terms: 3`d Parry Prepaid SERVICES SPECIAL INSTRUCTIONS Questions or Issues with shipment call(888)757-6909 dtwops@dls-ww.com QTY PKG WT HIVI COMMODITY • 1 SKD 600lbs, conveyer chain 48.0 X 48.0 X 30.0 70.0 1 600 GRAND TOTAL Where the rate is dependent on value,shippers are required to state specifically in COD Amount: $ writing the agreed or declared value of the property as follows: "The agreed or declared value of the property is specifically stated by the shipper to be not exceeding Fee Terms: Collect_ Prepaid_ per Check Acceptable_ 3rdParty NOTE:Liability limitation for loss or damage in this shipment may be applicable.See 49 USC 14706(c)(1)(A)and(B). Received,subject to the agreement between the Carrier and DLS Worldwide in effect on the date of shipment. Trailer Loaded: Freight Counted: Carrier agrees that DLS Worldwide is the sole payer of the corresponding freight bill. This Bill of Lading is not _by Shipper _by Shipper subject to any tariffs or classifications,whether individually determined of filed with any federal or state _by Driver _by Driver regulatory agency,except as specifically agreed to in writing by DLS Worldwide and Carrier. Shipper Signature/Date -- ---- — — Carrier Signature/Pickup-Date---— --This is to certify that the above named materials are properly classified,described,packaged, Carrier acknowledges receipt of packages and required four(4)placards.Carrier certifies marked and labeled,and are in proper condition for transportation according to the emergency response information was made available and/or carrier has the Department of applicable regulations of the Department of Transportation. Transportation emergency response guidebook or equivalent documentation in vehicle. Property described above is received in good order,except as noted. Shipper: Date: Carrier: Date: Page 1 of 1