334524 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 357540
CHECK AMOUNT: $********18.88*
.� ® I• ONE CIVIC SQUARE BANE EQUIPMENT
CARMEL, INDIANA 46032 1940 INDIANAPOLIS AVENUE CHECK NUMBER: 334524
LEBANON IN 46052 CHECK DATE: 01/18/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 PC11352 18.88 OTHER EXPENSES
VOUCHER NO. 187185 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 357540 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
BANE-WELKER EQUIPMENT CITY OF CARMEL
5729 WEST STATE ROAD 38 An invoice or bill to be properly itemized must show: kind of service,where performed,
PENDLETON, IN 46064 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
18.88 357540 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR BANE-WELKER EQUIPMENT Terms
Carmel Wasterwater Utility 5729 WEST STATE ROAD 38 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice PENDLETON,IN 46064
(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
PC11352 01-7202-06 $18.88 and received except 12/30/2018 PC11352 $18.88
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
kT, JJANE=WELKER-
5729 West State Road 38
Pendleton, IN, 46064
Tel: (765) 778-1991 -Fax (765) 778-8103
www.Bane-Welker.com
SOLD TO SHIP,,TO
L21267 CARMEL WASTEWATER-TREATMENT::- > ' INVOICE
PLANT
9609 HAZEL DELL PKWY.
INDIANAPOLIS, IN 46280
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Tax D Qty Description ---------------- --=----------* Price Amount
Group: 01
PARTS SHOP
N 4 CAS MA74528 SPRING H01 4 . 72 18 . 88
Received by
Date: P� �
cct #: 1 aDa,c
Use: 5
Bane Welker Equipment—Parts Return Policy
NEW PARTS(STOCK ITEMS)(a)Returned within 30 days:full credit(b)Returned after 30 days':15%restpck�fee(c)After 6.months not accepted for return
NEW PARTS(NON-STOCK ITEMS)(a)Returned within 30 days:20%restock fee(b)Returned after 30 days:25 k restock fee(c)After 6 months not accepted for return
NON RETURNABLE PARTS INCLUDED BUT ARE NOT LIMITED TO:(a)Items not returnable to manufacturer(b)Items not new or not in new saleable condition(c)Items not in original packaging
or opened sealed packages(d)Items replaced or discontinued by manufacturer(a)Expendable Items considered non-retumable to the manufacturer such as gaskets,belts,o-rings,hoses,
electrical parts etc.(f)Any part that has been Installed,cut to length or manufactured to your specifications(g)Any fluids or greases either In bulk or containers(h)Items that are non-stock
and/or not returnable to our supplier
Bane Welker Equipment reserves the right to reject any and all part return requests.Returned'parts found unacceptable will be bald fog a period not exceeding(30)days to allow
sufficient time for the customer to advise us as to their disposition.In the absense of written notice advising us;of disposition within the(30)day period,we shall
assume that rejected parts are to be discarded and we shall accept no further responsibility for them.-.. ...•` _. ._.. ... * �
FINANCE CHARGE Is computed by a periodic rate of 1 112%per billing cycle which is an APR of 1.B%applied to the previous balance.To avoid finance charge,pay within 3U da a. S VTTE TOTAL 18 . 88
1 certify under penalties of perjury that the property purchased by the use of this exemption certificate.will be DIRECTLY used In the DIRECT production of ag products for resale.
X Charge .:Sale.
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:•::•: P THIS A HS
AMOUNT
I
18 . 88