182555 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 294850 Page 1 of 1
ONE CIVIC SQUARE STOOPS FREIGHTLINER CHECK AMOUNT: $127.54
CARMEL, INDIANA 46032 PO BOX 633838
CINCINNATI OH 45263 -3838 CHECK NUMBER: 182555
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1210110 127.54 REPAIR PARTS
Stoops
FREIGHTLINER- QUALITY TRAILER, INC.
1851 W. Thompson Rd. Indianapolis, IN 46217
(317) 781 -4390 Fax (317) 781 -4370
1 (888) 781 -4390
NO REFUND WITHOUT THIS INVOICE
NO PARTS WILL BE ACCEPTED AFTER 30 DAYS.
TERMS: Net 30 15% HANDLING CHARGE ON ALL RETURNS.
from invoice date
REMIT T0: NO REFUNDS ALLOWED AFTER 30 DAYS.
P.O. BOX 633838 TRUCK PARTS
CINCINNATI, OH 45263 -3838 INVOICE
PLEASE PAY FROM INVOICE
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
20 JAN 10 SWEEPER 22 JAN 10 1 22 JAN 10 NUMBER 1210110 15:40
0 ACCOUNT NO. 515109 H PAGE 1 OF 1
L I
D p
CITY OF CARMEL
0 STREET DEPARTMENT 0
3400 WEST 131ST STREET
WESTFIELD IN 46074
SHIP VIA SLSM. /L NO. TERMS F.O.B. POINT
UPS JES CHARGE I INDIANAPOLIS IN
aao. seiP B.a. PART NO. DESCRIPTION LIST NET AMOUNT
1 0 F5TZ *1- 7618 *AR RESERVOIR 110.45 110.45-
0 P/N83- 316170 HEATER /AC C08 3.03 9.09
FREIGHT OUT 8.00 ALLIANCE
PARTS AN Sf YViCES WOR,D
aasc�af
CORPORATION
THANK YOU FOR YOUR BUSINESS
ALL CORES MUST BE RETURNED WITHIN 30 PARTS 119.54
DAYS TO RECEIVE A FULL CORE REFUND. SUBLET
CORE SHOULD BE FULLY ASSEMBLED FREIGHT 8.00
IN THE ORIGINAL BOX OR CONTAINER. SALES TAX 1 0.00
CUSTOMER'S SIGNATURE
X TOTAL 127.54
LATE FEES ADDED TO DELINQUENT ACCOUNTS EACH MONTH AT 1' /z% EQUIVALENT ANNUAL RATE OF 18
Any warranties on the product sold hereby are those made by the manufacturer, The Seller, STOOPS FREIGHTLINER- QUALITY TRAILER, WC, herein expressly disclaims afi
warranties, either express or implied, including any implied warranty of merchantability, Or fitness for a particular purpose, and neither assumes nor authorizes any other
[,person to assume for it any liability in connection with the sale.
Should legal action be necessary, the customer shall be responsible for all cost associated with the collection of this invoice. Including, but not limited to, all court costs and attorney's fees
incurred by Stoops Freightlineri Trailer Inc. S IGNATURE COPY
VOUCHER NO. WARRA NO.
Stoops Freightliner ALLOWED 20
IN SUM OF
P. O. Box 633838
Cincinnati, OH 45263 -3838
$127.5
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1210110 42- 370.00 $127.54 1 hereby certify that the attached invoice(s), or
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 hursday; February 11, 2010
a
Street CommissioneV
Cir'n� _nrYllT'lICCI(111PY'
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/22/10 1210110 $127.54
1 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
Clerk- Treasurer