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HomeMy WebLinkAboutOtt Equipment Service, Inc./STREET/$41,422.02/Balancer & Tire Changer - ASACzBmmjtpoMzodi.NdHsbuibu2;24qn-Opw32-3134 DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8 12/6/2023 12/6/2023 12/6/2023 12/6/2023 Exhibit A Qbhf!2!pg!4 FRVJQNFOU!QSPQPTBM!0!TBMFT!BHSFFNFOU Qsfqbsfe!po!2201803134!cz!Xjmm!Qsbep Tvcnjuufe!up;Rvpufe!uispvhi; Djuz!pg!DbsnfmPUU!FRVJQNFOU!TFSWJDF!JOD 4511!X!242tu!Tu628!IFSSJNBO!DU Dbsnfm-!JO!!57185.9378OPCMFTWJMMF-!JO!!57171 428*!844.3112 UDY6:QSP 27-198/13 Mfwfsmftt!Ubcmf.Upq!Ujsf!Dibohfs Mfbso!npsf!boe!tff!ju!jo!bdujpo" iuuqt;00xxx/ivoufs/dpn0ujsf.dibohfst0ubcmf.upq Foibodfe!Mfwfsmftt!Ubcmf.Upq!Ujsf!Dibohfs Izcsje!mfwfsmftt!uppmifbe!xjui!gjohfsujq!dpouspm Gvmm!cfbe!qsftt!tztufn!xjui!spmmjoh!ejtdt Bekvtubcmf!ubcmfupq!dmbnqjoh!)21.37!jo/* Uxjo!dzmjoefs!dmbnqjoh!xjui!svccfsj{fe-!ijhi!hsjq!xiffm!qspufdujpo Qpxfsgvm!331W!ijhi.upsrvf!npups!xjui!3!tqffe!gpsxbse!esjwf QpxfsPvu)UN*!Cfbe!Mpptfofs Tqbdf.tbwjoh!qpxfsfe!txjoh!bsn GbtuCmbtu!jogmbujpo!tztufn Mpdljoh!mpxfs!ejtd!dbo!efnpvou!upvhi0ifbwz!ujsft!fbtjmz Gbdupsz!jotubmmbujpo!boe!usbjojoh SQ22.9.22211513 3:7/57 BS57!Fyqboefs0Sfevdfs!.!Beet!5#!fyufsobm!dmbnqjoh!PS!sfevdft!fyufsobm!dmbnqjoh!cz 6#/!)7#!up!37#!gps!UDY611-!UDY616-!UDY626-!UDY646-!UDY661-!UDY61-!UDY62- UDY64-!UDY69-!UDY6:*!)!8#!up!39#!gps!UDY686* Rvpuf!JE;!!po!2201803134 DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8 Qbhf!3!pg!4 31.3156.2 2-351/13 31.3156.2!xiffm!mjgu!lju!jt!gps!UDY611!gbnjmz!)UDY611+-!UDY616-!UDY626-!UDY646*- UDY61!gbnjmz!)UDY61-!UDY62-!UDY64*-!UDY68!gbnjmz!)UDY67-!UDY68*-!boe UDY6:¡gbnjmz!)UDY69-!UDY6:-!UDY6:QSP*!ujsf!dibohfst/!+UDY611!bgufs!T0O JFD113483/!Cmbdl!pomz/ Qsjdft!tvckfdu!up!dibohf!xjuipvu!opujdf/Tvcupubm%28-734/61 Uijt!qspqptbm!jt!hppe!uispvhi2301803134 Upubm!jowftunfou%28-734/61 Gsfjhiu!jt!ftujnbufe!boe!nbz!cf!ejggfsfou!po!b!gjobm!jowpjdf/ Uby!xjmm!cf!bttfttfe!bu!ujnf!pg!jowpjdf!vomftt!qspqfs!uby!fyfnqu!gpsnt!bsf!tvcnjuufe!cfgpsfiboe/ Qsjdf!epft!opu!jodmvef!dpodsfuf-!fmfdusjdbm-!bjs-!dpoevju-!ps!joufsofu!xpsl!uibu!nbz!cf!ofdfttbsz/ Rvpuf!JE;!!po!2201803134 DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8 Qbhf!4!pg!4 Zpvs!Mpdbm!Ivoufs!UfbnUijt!Qspqptbm!xbt!Qsfqbsfe!gps Jufnt!po!uijt Mfhbm!Obnf!pg!Cvtjoftt Qspqptbm Xjmm!Qsbep 2!UDY6:QSP Cvtjoftt!DpotvmubouDjuz!pg!Dbsnfm 2!SQ22.9. 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VENDOR NO. DESCRIPTION VENDOR SHIP TO PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT EXTENSION Street Department 3400 W. 131st Street Carmel, IN 46074- 317) 733-2001 355371 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 Matt Higginbotham 82341 2201Department:2201Fund:Motor Vehicle Highway FND 44-670.00Account: Heavy Duty Balancer W/ LaserSystem1 $23,798.52 $23,798.52Each Leverless Table-Top TireChanger1 $17,623.50 $17,623.50Each 41,422.02SubTotal 41,422.02 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. CONTROL NO. 110267 ORDERED BY TITLE CONTROLLER Street Department 3400 W. 131st Street Carmel, IN 46074- Lee Higginbotham 317) 733-2001 Commissioner DocuSign Envelope ID: 3C2AC1A0-352E-4C87-8ACB-016FB5EE24A8