185130 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 364125 Page 1 of 1
ONE CIVIC SQUARE AIRCRAFT SPRUCE SPECIALTY CO
F CHECK AMOUNT: $84.84
CARMEL, INDIANA 46032 Po sox 4000
e� CORONA CA 92878 -4000 CHECK NUMBER: 185130
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238000 748800 84.84 SMALL TOOLS MINOR E
AIRC:RAF -T- SPRUCE SPECIAL- TY -CO
P, 22t�AIRP_ORT_CIRCLE,- CORONA,- CA.92878_4000
AIRCRAFT SPRUCE WEST: CORONA, CA AIRCRAFT SPRUCE EAST: PEACHTREE CITY, GA
ADA41M (951) 372 -9555 FAX (951) 372 -0555
CALL TOLL FREE (877) 4- SPRUCE (877) 477 -7823
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NOTE: ANY SHORTAGES MUST BE REPORTED WITHIN 10 DAYS.
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DESCRIPTI i QUANTITY k l BACK
SHIPPED ORDERED
1,, t%)tt 12 °01.665 *,'AR()1? E->0I BL_A F"IC:IOD 76.850 7t:,,. 85
TFI(lhll: YOU f'OR Y(:)t.11 '-t ORDER
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APR 3 0 2010
I3ya
Purchase
Description
P.O. IN PorF
G.L
Budget
Line Descr
Purchaser Date
Approval Date
CERTIFICATE OF CONFORMANCE
The products on this invoice have been obtained through authorized manufacturers or distribute rs and to
the best of our knowledge fully meet all applicable specifications. There may be products on th s invoice
which are not approved for use on FAA type certificated aircraft. Pure ser is responsible for de ermining
suitability of any part purchased from Aircraft Spruce for installation their c.r ificat ore rimental
aircraft.
James J. Irwi ,r, ii
PAID WITH ORDER BALANCE D
8 0 1. 0 0
WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT Inasmuch as Aircraft Spruce Speciality Company has no opportunity to supervise the installation, or maintenance of parts supplied by it, nor
any opportunity to participate in the design or manufacture of the products it sells or of the various homebuilt and certificated aircraft in which its parts are utilized, the purchaser, by placing this order with Aircraft
Spruce Speciality Company and accepting the parts, agrees that all materials purchased will be used solely at purchaser's risk and that the purchaser will indemnify and hold Aircraft Spruce Specialty
Company, its owners and employees, free and harmless from all loss, liability, and damage resulting from claims brought by reason of any alleged failure or defect of any parts or parts supplied by Aircraft Spruce
Specialty Company. If this agreement is unacceptable to purchaser, the purchaser will immediately return in new condition all products listed on this invoice to Aircraft Spruce for refund of purchase price.
I
RETURN POLICY
package.
Merchandise may be returnedfoj.gedjt,gr re and within 30,days from date of
purchase if received in res leable co d�tion` i• Okked in original
manufacturer's box, complete•'withi instructions &h.dj -:Wll :components (if
;e Specialty applicable). A copy of the original order showing purchase or information
late of original stating the invoice number and date of purchase, with reason for return must
workmanship. accompany the article. Do not mail purchase information in letter form under
is limited to separate cover. A 15% restocking charge may be applicable to all
repair or replacement of the purchased product only, aid under no merchandise returned to cover costs involved in processing the return. Do not
circumstances shall Aircraft Spruce Specialty Co. be liable for any loss, return any products C.O.D. as it cannot be accepted by our warehouse. All
darge, ll i�}ury, of repair or consu�nti.�damage any Iretu
in:, rns must be rrad.q to Aircraft Spruce Il�l((est 1� C orona, Cat:
con r, a ,fir�i for
hh bbffnn rf r Y a
nebtion vJit the sale, use or repair of'any prd ct purch s fr Aircraft' return authorizatiol'aA8 irisfructions.
Spruce Specialty Co.
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RETURNED MERCHANDISE
Item Number Description Price
If you have any questions about your order call Toll Free (877) 4- SPRUCE (877- 477 -7823) to
PLEASE SEND u.•. .w., .w t
Item Number Descrl `ti6Ti ^j�� Price
Reason for Return Please check appropriate box:
Wrong item Ordered Quality Unsatisfactory Arrived Late Other
Defective Not As Described Wrong Item Sent Core Credit
NOTE: CREDIT CANNOT BE ISSUED WITHOUT IM EY&ULSS COMPLETED BELOW.
DETAILS:
I
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Aircraft Spruce Specialty Co. Terms
P.O. Box 4000
Corona, CA 92878 -4000
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/26110 748800 Safety hood for sandblasting 23421 84.84
Total 84.84
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
Voucher No. Warrant No.
Aircraft Spruce Specialty Co. Allowed 20
P.O. Box 4000
Corona, CA 92878 -4000
In Sum of
84.84
ON ACCOUNT OF APPROPRIATION FOR
101 Genera! Fund
PO# or INVOICE NO. ACCT #rrITLE AMOUNT Board Members
Dept
r
1125 748800 4238000 84.8..4"` I 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
�`X
5 -May 2010
Signature
84.84 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund