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Home My WebLink About331276 10/17/18 ��p� CITY OF CARMEL, INDIANA VENDOR: 369204 / ONE CIVIC SQUARE INTERSTATE BILLING SERVICE INC CHECK AMOUNT: $*******111.80* 9� �� CARMEL, INDIANA 46032 PD BOX 2208 CHECK NUMBER: 331276 �"�rp-N i�. DECATUR AL 35609-2208 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 3012184157 111.80 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 369204 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER INTERSTATE BILLING SERVICE INC IN SUM OF$ CITY OF CARMEL PO BOX 2208 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. DECATUR, AL 35609-2208 Payee r $111.80 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Street Department 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 3012184157 42-370.00 $111.80 1 hereby certify that the attached invoice(s),or 9/27/18 3012184157 Repair Parts $111.80 2201 2201 2201 2201 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 Tuesday, October 16,2018 Huffman, Dave Director 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 , 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 7N ti. INVOICE DATE RUSH TRUCK CENTER, INDY �,,,a�}'�,, - �� .o--r• 09/27/2018 08:28:12 AM 1325 W. THOMPSON RD INVOICE.NUMBER INDIANAPOLIS IN US 46217-9267 3012184157 xlnh'zL' ashua 317-767-0200 5k n CUSTOMER NO. BRANCH 329471 2901 *** www.rushtruckcenters.com *** PAGE:1 of 1. Parts Invoice SOLD TO: SHIP TO: CITY OF CARMEL STREET DEPT /) CITY OF CARMEL STREET DEPT 3400.W 131ST ST C, 3400 W 131ST ST CARMEL IN 46074-8267 CARMEL IN 46074-8267 * To Be Delivered ** ANY WARAANTIRS ON THE PRODUCT SOLD HEREBY ARE THOSE MADE BY THE MANUFACIDRER. THE SELLER HEREBY EXPRESSLY DISCLAIMS ALLWARRANTIES,BIT BE EXPRESS OR IMPLIED. INCLUDING ANY IMPLIED WARRANTY OF MERCH-BILITY OR FITNESS FOR A PARTICULAR PURPOSE,AND SELLER NEITHER ASSUMES NOR AUTHORIZES ANY OTHER REASON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION OF THE SALE OF SAID PRUDUC ALL CLAIMS AND RETURNED GOODS MOST BE ACCOMPANIED BY THIS BILL. NO REFUNDS AFTER 00 DAYS. ELECTRICAL PARTS ARE NOT RETORNABLE. ALL SUMS OWING BY THE CUSTOMER ARE DUE AND PAYABLE AT THE STREET ADDRESS SET FORTH ABOVE. I REPRESENT THAT I AM THE CUSTOMER OR AM'ACTING AS A DULY AUTHORIZED AGENT OF AND HAVE AUTHORITY ID BIND THE CUSTOMER. CUSTOMER PROMISES TO PAY THE AMOUNT SHOWN HEREON,TDOETHER WITH OTHER CHARGES DOE, IF ANY, IN ACCORDANCE WITH THE CUSTOMER'S CHARGE AGREEMENT WITH YOU. CUSTOMER-PO REFERENCE MAIN-NUMBER CUSTOMER-ADVISOR Bentley 19271195 317-733-2001 9320/ SO SALES PART NUMBER DESCRIPTION CORE SPCL ORD/ UNIT UOM EXTENSION BIN LOC ITEM# QTY BACKORD RATE Call 317-691-6725 when close 10 2 1873831C1:IH CLAMP EGR COOLER NS 55.90 EA 111.80 105H Interstate Billing Svc #: R646640 *•x+*+****a***+****,P***•x•x***+,r+***•x,r***+*,r*,ra•x*+*x•x•x+*+*+********+*,r•x,r*+*•x* REMIT TO: INTERSTATE BILLING SERVICE, INC P.O. BOX 2208 DECATUR AL 35609-2208 SUBTOTAL 111.80 SALES TAX DOWNPAYMENT BALANCE DUE 111.80 Call 317-691-6725 when close Authorization;Charges.I represent that I am the purchaser,or am acting as a duly authorized agent of and have authority to bind the purchasing("customer').Quotations on parts and labor are current and subject to change.I understand that you will have a lien on the purchased part and on the Vehicle to which it is attached in the event I fail to pay the parts charges when due.I understand that all charges are due and payable by me at the Rush truck center location indicated above. Disclaimer of Warranties;Returns/Refunds.ANY WARRANTIES ON THE PRODUCTS SOLD HEREBY ARE THOSE MADE BY THE MANUFACTURER.THE RUSH TRUCK CENTER OR RUSH TRUCK LEASING FACILITY LISTED ABOVE("DEALER")HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES,EITHER EXPRESS OR-IMPLIED,INCLUDING ANY IMPLIED WARRANTY OF MECHANICABILITY OR FITNESS FOR A PARTICULAR PURPOSE IN CONNECTION WITH THE PRODUCTS OR SERVICES SOLD HEREBY.DEALER NEITHER ASSUMES FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE OF SAID PRODUCT OR SERVICES.ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS DOCUMENT.NO REFUNDS AFTER 30 DAYS.ELECTRICAL PARTS ARE NOT RETURNABLE. Miscellaneous.Replaced parts will not be returned to CUSTOMER unless requested in writing by CUSTOMER at the time of repair.I agree that you are not responsible for loss or damage to(i)my Vehicle,(ii)articles left in the Vehicle or(iii)trailers(and cargo contained in trailers),whether such trailers are attached to or detached from the Vehicle,in case of fire,theft or any other cause beyond your control.I agree you are not responsible for any delays in repairs or any downtime,including without limitation delays or downtime caused by the unavailability of parts or delays in parts shipments by-thesupplier-or-transporter-Should-there-be-a need for you to move or test drive my vehicle I hereby grant you and/or your employees permission to operate the Vehicle on streets,highways or elsewhere for the purpose of testing,inspection and/or delivery. SUBTOTAL TAX STATUS/STATE SALES TAX PLEASE PAY 111.80 EXEMPT/IN 111.80 PAYMENTS ARE DUE ON OR BEFORE THE TERMS - 10TH OF THE MONTH.ACCOUNTS WILL BE CONSIDERED PAST DUE BY THE 25TH OF j EACH MONTH. NO ORDERS WILL BE Customer Or Customer's Agent X PROCESSED IF PAYMENT IS NOT RECEIVED Net 10 days BY THE 25TH. t 1 �