HomeMy WebLinkAbout188566 08/03/2010 CITY OF CARMEL INDIANA VENDOR: 356866 Page 1 of 1
ONE CIVIC SQUARE UNITED RENTALS INC
is 0 CHECK AMOUNT: $251.50
CARMEL, INDIANA 46032 Po Box 100711
ATLANTA GA 30384 -0711 CHECK NUMBER: 188566
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 88649133 -001 251.50 SMALL TOOLS MINOR E
OU nited Rentals s 1725 WA AVENUE SALE
INDIANAPOLIS, IN 46218 AGREEMENT/INVOICE
800 -UR -RENTS (800- 877 -3687) 317- 375 -1483 317 -375 -1484 FAX
unitedrentals.com 88649133 -001
Customer Number 932026
Invoice Date 7/13/10 2:41 PM
4J SHOP
_H 3400 W 131ST ST
CARMEL, IN 46032 Job Location: 3400 W 131ST ST, CARMEL
.Q Job Number 1
p P.O. Number VERBAL RON WILLIAMS
h Office: 317 -571 -2443 Cell: 317 571 -2443 Ordered By RON WILLIAMS
Written By URG44MV
Salesperson 7462
7.1.20591 MB 0.382 80042S1 1.p10 1 of 1 400 02059
I�IIII�I�'' �IIIII�II�II' III�IIII� '�IIII�III�I'�����II�I "II�'I PAYMENT OF $269.11 DUE ON 7/23/10
CARMEL WASTEWATER PAYMENT OPTIONS: Check(Mail) Check(Fax) Credit Card(Phone)
BILLING INQUIRIES: Ph# 281- 340 -4800 Fx# 281 240 -3905
760 3RD AVENUE SW
CARMEL IN 46032 -2072 REMIT TO: UNITED RENTALS (NORTH AMERICA), INC.
PO BOX 100711
ATLANTA, GA 30384 -0711
Please detach and return to ortion with payment
Qty Item number Stock class Unit Price Amount
1 LIFTING TOOL, CROSSING PLATE AMDBC EA 185.000 185.00
36905 R.in T.nc. t.ion SHOW
UM: (EA) EACH
2 FAST -LOK PLATE AMDBC EA 24.000 48.00
36900
UM: (EA) EACH
DELIVERY CHARGE 18.50
SHIP TO: SHOP
3400 W 131ST ST
CARMEL, IN 46032
Sub total: 251.50
Tax: �p�,� 17.61
Total: 1 269.11
READ BEFORE SIGNING:
(1) BY SIGNING THIS AGREEMENT, CUSTOMER AGREES TO ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF THIS AGREEMENT (2)
ACKNOWLEDGES RECEIPT OF THE ITEMS IN GOOD WORKING ORDER, AND (3) IS FULLY FAMILIAR WITH THE OPERATION AND USE OF THE ITEMS.
X
CUSTOMER SIGNATURE DATE CUSTOMER NAME PRINTED UNITED RENTALS REPRESENTATIVE/DELIVERED BY DATE
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST. Page. 1
VOUCHER NO. WARRANT N
ALLOWED 20
United Rentals (North America), Inc
IN SUM OF
P. O. Box 100711
Atlanta, GA 30384 -0711
$251.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board MemberE
2201 —q9242& 42- 380.00 $251.50 1 hereby certify that the attached invoice(s), or
/q 133 bill(s) is (are) true and correct and that the
I
c�v r materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, A ?gust 02, 2011
Street Commissioner
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))
07/13/10 932026 $251.50
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