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HomeMy WebLinkAbout192571 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 356866 Page 1 of 1 0 ONE CIVIC SQUARE UNITED RENTALS INC CHECK AMOUNT: $48.50 CARMEL, INDIANA 46032 PO BOX 100711 ATLANTA GA 30384 -0711 CHECK NUMBER: 192571 CHECK DATE: 12/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356003 90892635 -001 48.50 SAFETY ACCESSORIES 0United Rentals 1725 WA AVENUE SALE INDIANAPOLIS, IN 46218 AGREEMENT/INVOICE 800- UR- RENTS (800- 877 -3687) 317 -375 -1483 317 -375 -1484 FAX unitedrentals.com 90892635 -001 Customer Number 1168047 Invoice Date 11/17/10 9:47 AM W CITY OF CARMEL INDIANA 211 2ND ST SW CARMEL, IN 46032 Job Location: 3400 W 131ST WESTFIELD IN A Job Number 0 P.O. Number 1001220 F3 Office: 317 -571 -2637 Job: 317 -571 -2637 Ordered By ERIC RUSSELL Written By URG44SF Salesperson 99 9- 0.37- 97329111.p01 1 of 1 400 II" I' IIII" IIIII" II` II' IIIIIIIIII 'IIIIII'IIIIIIIII'I'Ill`IIIIII PAYMENT OF $51.90 DUE ON 11/27/10 CITY OF CARMEL INDIANA PAYMENT OPTIONS: Check( Mail Check(Fax) -Credit Card(Phone) BILLING INQUIRIES r Ph# 281- 340 -4800 Fx# 281- 240 -3905 211 2ND ST SW CARMEL, IN 46032 REMIT TO: UNITED RENTALS (NORTH AMERICA), INC 00009 PO BOX 100711 ATLANTA, GA 30384 -0711 Please detach and return top portion with payment Qty Item number Stock class Unit Price Amount T4RTST FTS ammncu23 v _WEE nnrcn EA 1001220 UM: (EA) EACH Sub total: 48.Q Tax: ((3.466 Total: 5>` 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 REPRESENTATIVEIDELIVERED BY DATE A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST. Page: 1 VOUCHER NO. WARRANT NO. ALLOWED 20 United Rentals (North America), Inc IN SUM OF P. O. Box 100711 Atlanta, GA 30384 -0711 $48.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 90892635 -001 43- 560.03 $48.50 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 f i Thursday,'Decembd� 02, 2010 Street Commissioned •�v ii JJILJF IL' 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)) 11/17/10 90892635 -001 $48.50 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 20 Clerk- Treasurer