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Home My WebLink About334034 01/04/19 0'� CITY OF CARMEL, INDIANA VENDOR: 358637 ONE CIVIC SQUARE CUMMINS CROSSPOINT CHECKAMOUNT: $*****2,456.60* CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK NUMBER: 334034 CHICAGO IL 60675-1701 CHECK DATE: 01/04/19 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 N8-3273 479.40 REPAIR PARTS 2201 4237000 N8-3732 1,977.20 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 358637 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER CUMMINS CROSSPOINT IN SUM OF$ CITY OF CARMEL 75 REMITTANCE DR, SUITE 1701 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. CHICAGO, IL 60675-1701 Payee $479.40 ON ACCOUNT OF APPROPRIATION FOR _ Purchase Order# 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 N8-3273 42-370.00 $479.40 1 hereby certify that the attached invoice(s),or 12/14/18 N8-3273 B342 $479.40 1120 101 Prior Year 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Thursday,January 3,2019 Va'-®r _ David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Payment terms are 30 days from invoice date unless otherwise Sales and agreed upon in writing. Remit to: 75 Remittance Dr-Ste 1701 Service Chicago, IL 60675-1701 INDIANAPOLIS IN BRANCH • • 3621 W MORRIS STREET REPRINT INDIANAPOLIS, IN 46242-0917 N8-3273 (317)244-7251 REMIT TO:75 Remittance Dr-Ste 1701 SOLD TO SHIP TO CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQ 2 CIVIC SQ PAGE 1 OF 1 CARMEL, IN 46032-2584 CARMEL, IN 46032-2584 CONTACT BOB VANVOORST **`ON ACCOUNT CHARGE*** HT DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 14-DEC-2018 B342 CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 505471 CUSTOMER PICK UP- REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-665731 LN402 QUANTITY BACK QUANTITY PART DESCRIPTION PRODUCT UNIT PRICE AMOUNT ORDERED OR SHIPPED NUMBER CODE 1 1 3800745RX PUMP,WATER M11 SHORT SHA DRC 377.81 377.81 1 1 3801169D PUMP,WATER 1-10 3 HOLE MT CLEAN 11.25 11.25 1 1 3027924 GASKET,CONNECTION CECO 1.68 1.68. 1 1 3892095 SEAL,O RING CECO 3.62 3.62 1 1, 2863701 SEAL,O RING CECO 6.51 6.51 ORDERED ITEM 3882774 CECO 1 , 1 186780 SEAL,THERMOSTAT CECO 15.66 15.66 1 1 4318947 THERMOSTAT CECO 62.87 62.87 TRACKING# SUB TOTAL: 479.40 Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT: US$ 479.40 DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 358637 CUMMINS CROSSPOINT IN SUM OF$ CITY OF CARMEL 75 REMITTANCE DR, SUITE 1701 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. CHICAGO, IL 60675-1701 Payee $1,977.20 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 N8-3732 42-370.00 $1,977.20 1 hereby certify that the attached invoice(s),or 12/19/18 N8-3732 Repair Parts $1,977.20 2201 2201 Prior Year 2201 2201 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except r Wednesday,January 02,2019 Huffman, Dave Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Payment terms are 30 days from invoice date unless otherwise Sales and I agreed upon in writing. Remit to: 75 Remittance Dr-Ste 1.701 Service Chicago, IL 60675-1701 INDIANAPOLIS IN BRANCH INVOICE NO 3621 W MORRIS STREET INDIANAPOLIS, IN 46242-0917N8-3732 (317)244-7251 REMIT TO:75 Remittance Dr-Ste 1701 SOLD TO SHIP TO CITY OF CARMEL WATER CITY OF CARMEL KERRI LOVEALL PO BOX 1399 PAGE 1 OF 1 3450 W 131ST ST 1 CIVIC SQ CARMEL, IN 46074-8267 CARMEL, IN 46032-2584 **"ON ACCOUNT CHARGE"'* CONTACT BRIAN TOLAN DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE J"BE'NTLE CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 503254 CUSTOMER PICK UP _ REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-665991 OP305 PRODUCTQUANTITY BACK QUANTITY PART IPTION- .•D .D 1 1 4955740 TURBOCHARGER,NON CTT NIR CECO 1,977.20 1,977.20 PER J BENTLEY(STREET DEPARTMENAI TRACKING# SUB TOTAL: 1,977.20 3 1 I • I Billing Inquiries?Call(877)480-6970 THERE ARE ADDITIONAL CONTRACT TERMS ON THE REVERSE SIDE OF THIS TOTAL AMOUNT:US$ 1,977.20 DOCUMENT,INCLUDING LIMITATION ON WARRANTIES AND REMEDIES,WHICH ARE 'EXPRESSLY INCORPORATED HEREIN AND WHICH PURCHASER ACKNOWLEDGES HAVE BEEN READ AND FULLY UNDERSTOOD. ~` . 9 AGK �l d�- RECEIVED B� (print name) SIGNATURE � 4(/�`�`c DATE 1PA `9