HomeMy WebLinkAbout195881 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 356429 Page 1 of 1
ONE CIVIC SQUARE CRANE AMERICA SERVICES
CARMEL, INDIANA 46032 88048 EXPEDITE WAY
CHECK AMOUNT: $149.13
CHICAGO IL 60695 -0001 CHECK NUMBER: 195881
o -z
CHECK DATE: 3/2912011
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 90048975 149.13 REPAIR PARTS
C;I E IVII IlIC;A
WE CAN HANDLE IT.
Invoice
Crane America Services Inc., 2650 Roosevelt Ave., Indianapolis, IN46216
Please reference in all correspondence
Bill to: 104156 Invoice No 9004;8975
Customer.. No 1.0.41:56 .1111
CITY OF CARMEL
3400 W. 131ST STREET Ship to 104156
CARMEL IN 46074 CITY OF CARMEL
3400 W. 131ST STREET
CARMEL IN 46074
USA
Your order dated: Mar 09, 2011 Date Mar 18, 2011
Your order no.: VERBAL JEFF STEWART Contact Mr. Rodney Holland
Sales order no.: 2045365 Phone 317 637 -8299
Tag order: Fax 317- 637 -8499
E -mail Rodney.Holland @craneamerica.com
We invoice you for the supply of goods /services subject to our general terms and conditions.
Remit payment: CRANE AMERICA SERVICES, 88048 Expedite Way, Chicago, IL 60695 -0001
Payment Terms: Within 30 days Due net
Item Material Description Qty Unit Discount% Price Total USD
10 #34223, 4 BUTTON PENDANT 1 SPD 1 EA 120.00 120.00
20 H -7545 LATCH KIT 1 EA 10.00 10.00
Shipped 3/09/2011
Value of Goods: 130.00
Shipping Handling: 19.13
Net Value of Goods: 149.13
Non Taxable: 4913-
Invoice Value: 149.13
Incoterms: Ex works Indianapolis
Ship via: UPS Ground
Delivery note: 70008539 of Mar 18, 2011
BUYER ACKNOWLEDGES THAT BUYER RECEIVED, HAS HAD THE OPPORTUNITY TO REVIEW, AND AGREES TO THE TERMS AND
CONDITIONS SET FORTH ABOVE, AS WELL AS THOSE TERMS AND CONDITIONS OF SALE CONTAINED ON THE REVERSE.
NYMC
A WHOLLY OWNED SUBSIDIARY OF DEMAG CRANES COMPONENTS
Page 1 of 1
CRANEE ANOERCA
WE CAN H A N 0 1. 11,
TERMS AND CONDITIONS OF SALE
1. PARTIES. `Seller" nt'er,i to CRANE AMERICA SERVICES, INC. "Bayer' refers to 1he PLIPthaSt,'; Of '"',lon'nelol Or O�,ery shalt op, treated di, --into as carlollation, Cancefla!ion charges be due
it payable up
derilifirl on InQ face nereof, an a skintj or its invoice_
2, TERMS AND ACCEPTANCE OF ORDER, Al] services pitformed ('Ssrvlces") and all orders and sales 9. LIMITED WARRANTY: DISCLAIMERS; LIMITATION OF LIABILITY AND REMEDIES, Sedleif
of goods supplied by Sllel ('Goeds') th.11 he tiobjeut bi� these forms and varrants that the Smues'performed by Seller are free from deldQls in workmanship for a period Of one
from date of date of performance. Exclusions: Seller make; no vmrrord w-tIb respect to Goods
ACCEPTANCE BY BUYER IS EXPRESSLY LIMITED TO THE TERMS AND CONDITIONS CONTAINED 0,u igutill he entitled to only those wo"arlittes p by the of such Good,, to the
HEREIN AND ON THE FACE HEREOF AND ANY INFORMATION OR DOCUMENTS EXPRESSLY extent such warrant ara assionahe to [1Uy81'L Seller shall provide all reasonably Available Information. to
INCORPORATED BY REFERENCE. SELLER HERESY OBJECTS TO ANY CONTRARY, DIFFERENT Soya rNarding such mani.fai;Luie warravt,n,
OR ADDITIONAL TERMS OR CONDITIONS THAT MAY NOW OR IN THE FUTURE APPEAR ON
BUYER'S ACKNOWLEDGMENT OR OTHER FORMS, OR ANY ALTERATIONS IN THE TERMS AND IHE FORFG0 NG WARRANTIES ARP EXCLUSIVE AND IN LIEU OF ANY AND ALL OTHER
CONDITIONS OF THIS DOCUMENT, UNLESS EXPRESSLY AGREED TO IN WRITING BY SELLER. IF
BUYER HAS PREVIOUSLY MADE SELLER AN OFFER WITH RESPECT TO THE SERVICES OR WARRANTIES, EXPREGS OR IMPLED, Aki&Nr, BY LAW OR CUSI INcLUDING, Stil NOT
GOODS. THr$ DOCUMENT OR ANY OTHER ACKNOWLEDGMENT OR CONFIRMATION BY SELLER UNNT0, 70, ANY VOPI-TOWARRANTY OF MERCHANTABILITY OR FITNESS FOR A l ARTICLR AR
SHALL NOT OPERATE AS AN ACCEPTANCE OF BUYER'S OFFER, BUT RATHER SHALL BE PURPOSE, ALL OF ARE HEREBY EXPiyE38f_Yf,'i,
DEEMED TO BE A COUNTEROFFER.
It Sellero Forms are no! a,xapmblc. Euyor shall ri-od"Artly noVy Seller of its onjeci,ops and Buyers Irnmedlateh ipul amsmroury, Buyer shall gi,a Seller wrilLen noflce c? any allegeo defvtls, Seller shall be
Litr,ris IQ w ob and its dell Of or acknirt. or acCeolonce of the Glnuds and /or the ql,erz ma��nahla oprooturity to inspect any alleged defaclive Services or t Provided Iliac inspection
PL
,favuencp of 6L SpoiiOs. wl�icllet occurs first sins I Buyer 6 toosl,a 10 tic terms hereof by Seller v OittiF the o defects, BUYER'S SOLE AND EXCLUSIVE REMEDY PURSUANT TO ANY
A,y roarence in R,yer's order or other nommunicafoll is for colivenlence. only and opt an incoF,"Grabon of CLAIM AGAINST SELLER OF ANY KIND ARISING OUT OF OR CONNECTED WITH THE SERVICES
the 1 nes then ool odes s exfirer, stated, In the event of any conflict between the wrrrns ,of forth herein AND GOODS PROVIDED BY SELLER, INCLUDING, BUT NOT LIMITED TO, A CLAIM IN CONTRACT,
a n
.and e facelb,"'eOL the latter 'lla I 000tro;.
NEGLIGENCE OR TORT (INCLUDING, STRICT LIABILITY), SHALL BE, AT SELLER'S OPTION, THE
1QUOTATION. PROPER PERFORMANCE OF CONTRACTED SERVICES OR A CREDIT OF ALL OR A PORTION OF
r rm iwmwer Only and shall not' be 1),r ding on Sellit uniess, and until Seller has corri'mod THE PRICE PAID FOR THE SERVICES AND GOODS.
1 iel tmg it, acc�opufnce of fll1 note ?Aw,,dbv B,,ver in accorti wild the riantation. Seller reserves on
la ea ic rerec a inch
ftleGoads This provigion is smatebai farlQr in SoIN" r aurectw to Provide Il'o se":Cott and ','coos ai Itht firice
lof ticl"'ved il" ,the. 3u E w bno thstv i3, or days, Se tter, whet"s for sates polic reaso,, it&orqrse shall not
s pecified Any ri=mmodalion to Buyer by S�
4, RISKS AND TRAM SPORT ATIOM Seater rLso tne nglts to increase She proe o! o be taken to establish any 600nlin'SC
sr er, -ee $30 Frl it'i cleot SN)�v 'r Older to refte-1 ,ands subsequent rutrease in the cost of
L'IlbQfill tne, Ma'dtfaCtUra OF ct�!voi� Little Gcod& or Samcos NOTWITHSTANDING ANYTHING CONTAINED HEREIN TO THE CONTRARY, SELLER WILL NOT
UNDER ANY CIRCUMSTANCES BE LIABLE FOR ANY INDIRECT, INCIDENTAL SPECIAL OR
The Good ssin nfl til sApf)&d F.0.13 sttlier's pial J,Ies. rxpraitsly sbn !io tirilirl ill C66 clocit"I core, CONSEQUENTIAL DAMAGES �INCLUDING, BUT NOT LIMITED TO, LOSS Of PROF REVENUE
include any riddi!ional Ltos s. mdud out net huliwd !4 catriayo and clelivery e6s S, 1swarloc, taxes OR BUSINESS), ATTORNEYS FEES, OR CLAIMS ARISING OUT OF THIRD PARTY ACTIONS,
and costs assct;otod will too on Of file Goods, which are (he 10 rasponsibilit� and REGARDLESS OF WHETHER SUCH THIRD PARTY ACTIONS, OR ANY OTHER CLAIMS. LOSSES,
expense of Boyer, ill l fe�, .event lionil 1 30pr expresmy ""gil'ies any costs associated ef'Wi he de wery, OR DAMAGES, WERE REASONABLY FORESEEABLE TO BUYER OR SELLER, RESULTING FROM
Alpment. Or cfthe G"x"'Is'n ino quotation or order the cureon c' any subseque OR IN ANYWAY RELATED TO SELLER'S PROVIDING THE SERVICES OR GOODS, WHETHER FOR
flrol�all in those roster ail t," borne by Bayer Regardla,s of wheirm Seller assumes any 0 Ric INJURIES TO PERSON, PROPERTY OR OTHERWISE.
is o:i r'st; of Id" or tdeftsflai� ne borne by r;over.
10. SITE LABOR SITE SERVICES. In the event ling! Seller has engaged to provide labor m other
Buyer sE a r Fy 5c c, Gol 9to tl to to shipr:,q and delivery diet" and prices. Slioulti, Boa of is services eLlCh as ll
is'WilstiOn, star, -lair ns;nectiorlt� and or repa to it, oxfstfr l cn,icmoqt at ththe reqLiest v.
��Ot lretton5 be.; rc 'qu�?ol, �,:,Ile r c f,,ro tliP, ri� lbl to al�,Igna e file method and role a I
et given tree the Buyer, Sailor shailbe, and aG�,sq a it ne wook0a o rya e� l6onty cor"Pleaf n� q nl�
SI cFflert amr to ire.in', at Buyer', F!Apen, WiLo an insurer sGlvdad by Seller, the. full value site vvork at tire Akiyor� diialgoated went sto. Hiqo shalt prow suit Iii, power seritilti(s) far Operation
0 Giocs �Q d, selft, m of !is elr t r n, c..!'Ivor Flo Goods in one or more installments, All and oonriection of the equipmwit that Seiler has been s ego o,eo to spry "Fe, NO .4frarrIv sr, all exist v on F,
s!,eh lnstalluenok sliuIll "'partite invoioed and paid f c, wIrIli, due without regard fo subsequent m,0u%finf, occurs to a place tai ennOnein1whir-e ce use of mo tuna on,s outside the -One E n
lleklffies service or repairs prcipo,,co or prtiv�ded Buyer shel have no nait of warranty for r,,pai, of el e.
,tscovered upon oper Of aquittrcot to art ims uefforl s. vice.
;f cc,TS t "re -a" f" 5bwo,q1t :c be, 'erit bak>korinti,iru lions O Bove,, of fshiorq cot ,lni be 11. NON-SOLICITATION, Buy. ;lgrees lita! ou�ng Crw,ie America St�i�cla's pelforinani,��, �L' worl,
rOn file Guou� v at be �Iorod
n e Eli ogee's enplb"5" and risk at
specified trio i a
SAOr Ooeo rtot "Irl ir ln� n Storage aPam at its plant. Seller is Firtifln�d referenced anj fa' a ,a,dd of One li, year' tho-,afov Buyer sLak net dl,cctly of ottirronly solicit,
0 mpoyflatnt T, Or employ it erg capatof� any employee of Crane America "we S
as rcm so
,lom Good,, elsewhere 03yer's tt�p�ri",arldrsK. way with Crane Ar-oca Ssroci,'s tre ofmarl 0 file worf, I-i this tFrelation 70
S. TERMS 0 PAYMENT. Lnjc,�s 6ta c p
oa nsi t Fe 's f Inis tin 1 11 "coloy06' ITICalf; any EiCtVe�y oln�lqjad by Crane
oine Arrignca
Q1 Goods, ret th.F,�ty (30� days of *w6 e da te aymem .5 to be o"do specified a s op !a
til lIi e-T r Slrk .8 verfooried or America Sp�.ce I t ime OP Elf Is 8mol aissm,alod in ny ,,jV mt
c lrrfm�% w�lt nil a-smJoie,i bank chandc, to be va�J by Si, er, Ouyers obligation In bay dor�a nol cease
until vin "Ai ol Dy �n ,:e flas re lcmittecl to ro'cs a the free drsp3sa; of Sate at the specified buy, its panentv, subsidiarle%, affil
ocatfcm Ptiyrne shpl de mado w, Mip� An, !hcit any dulcns, i ncluo,lq, but ooi mited ID. 12, SECURITY INTEREST, Unles�' anot lint the Goods tar Si, P zi 4111 d for Dow hereby
Co ductnils for o r I.xo� lf ary or o soy nly efoged damage or t l a i r) anS
.ndit" q "'Oe'di to in �qtm b S L, t rio ov �,oj F,01,r a secuny wtiorest to irI,, Goods to stscure top y V ann OtF4r
�UICI!Li ntay, its opiori, defe. itudhar -�cr arising. oler
ilalt Buyer s�,all tri to pay w,y ,t of Ill uu price n;
au'o" colgatfoill; of Bjycor 1 w 'S 3u"of Al,thmal", s, to file "10 necessary fina�cmq
l' er cancei the �!rshlpfee, Llik'rc,. Seller nasenias the ttIfIL PoCF to F000rq any siblanl,o to stattnnonti, and othtl, sim,ir decumcriTF requ,red t� pnTw, the so firee"St g i�ecqln arc
I to shall :w",no aLl
o') satisfery seen vky irirfnonalicc of Buyers o hpt 0 rL n ouo, L be issesad ii:o,ocahly Sefler a power cif arturntiy In 'xiciN any on oehair Of Buyer re:ativq
,If �Ite Clo Irlom Redder I",- der In e, 'r C 'U "'t 2141'a, to 01 illai Sallot 'T of Dorrown'), to �Iny If croto
ponlor n n7yir-rt not made n o witi. fre le ms of this agreurneriL Pilymo-ir of such Int rest
"lees nut Mw-' F l, nu,� oftt� ni,pcior& ,1n rar V,n tj r3 e mei)t Ccu ecfioo of feast ac aunts my be 13. INDEMNIFICAIICIN BY BUYER, Buyer snol demivfy arc hold horil retort r-quGst by
1 el Pr, shall deferic Solk", lie �,Flfcers, aiirldi, x errulciees, aonianl. any alnlf ieldlty.
inj�Pf",d to y arorwyo nrA o:f legal assoi:4,lec will wlio0i", r,'` pa� duo
occour7ts Pri� pay, by dla �r. loss on cama g. mole e "'I aUorm, inon, Ans") out at al orsw
ly pa fr
injory or th-no, disa(l e to or to,
Or oestol Iiob Of w
oruvpq ti, nq i of aanarlLclod with. OF tO'bl-nita pray i810n nf GODde W
5E1.fVERY: OELAY. ��aie ci�dolw, �,,,Injya mele crlfive.ly "Loor iv "t o" se(v; es tiunsuaH In ws I ufft en l), s clli,,, 1rierlie, or no o
t said Oai nl, or ficii,o l t a e I nun l
Qr', 'J :1, upon the alloile n7irooct of ;"ovl,�� 'rlin
'e :'l, -Alt l�! "Ir l l
S,e!, wi, 10 atr
trFlr S �j,�q oer�y
lll�!c J "i v: u,� (tc r o 'Ser,i�6eo a e 10 o o rm by 4"
o'L 0," 't 20"Co,J �.c e nmitrg, L u! rrti�Ld 0!
h�c tort
lat"if fefrlt dejoys, 14.DEFAULI.
Su r! Iles or po,"r C'l arcount Of
f cv� if
oortati
v �u. L.re iki,, rimierall, tg'aamerts, St)mie way, 1 1 5 filect !Cr Can
t" t r letf 0' pu Vo Omer a] Its option Fit 10 witti rev iabi;fly In(
mole'n 'ai in,p,,if, expert or an mlspe i,� or rat;lroon.s. delivery .1'rilor a q
R Of solrvO�, �sba�j aisc I* deinyed if Buytir ails to timely ,wifforn In, oibii�abo i, under the to.mrit iyiaiar to cancel an y o' All other l. arts won 4?er, arid p o all leg at and
perifonoa,.<� ziellable rerledhoa
ocIrean"InI OF if Buy ter sibroll or later incliFies informalion necessary I,,, the mam"a0we of tibc-
c' r
7 c, ne a tl -eevires, DsOy if, d&;wooy of Goods or TiLdcoolartitl of Sor does not 15, INSOLVENCY. If Silver sbali se incolvaul or :.oasit b,slmmss o he, the any
w1 j G u ncRI th aqlaer 0, t ',larnl c4mago. dirvoliy ormdiretcti�abrflixobla to such delay
Dmoctfings under any brinto wso or neorgailtz3Uun iita of fe,,, q."h lot slrn�� at Tlie
rw;c��: toat ilbo delay .gs wimiT, tfie coril"Ol and dug to t o fault of Sillier, 00 Buyer option of Seller, be doomed P defaalt undef this agneement, mf S�li�e, ;-ai otOct cease oerfo, ?rid
of %ucil de'ay, acct (e) Seller has aZ pay reasonQQ4J "I WI If l3uyer
Aeiy r Itl an- SiAef C rsof L t
"I is agricerrient with rose to a Gri.Ek lot 6,11"ored 0' ot�emxi prier to the e:eVl1_1111 tend
o i tn 1 1 6,iytir a` bai g It it
PLII-,�UE all rilalebill legal and tiqt�ihadlr
irlo r cl 6 baildl�,rf Z)nd rellie 1111d OF rot e, �lt;'llifirri to �S121
Fier Qxv0sure,
�t c
'o-o' "'OlCL
co Buyer a�s if the �Ood-, bad been In I1PPVd o lfi GOVERNING LAW; JURISDICTION. l. the Any cortrooefity ansiny out of Or roiatuo to !bls ioamloe�, 1, "or the
ioi
i oifi crifiJine i;chec a V Buyer ocquosl& delay in erection and/o i ✓Mlan 9,91a Of coods shall bc constne'd and go, by the rlws,��f SWO of Ohio. inOluding Artide 2 of the
in
iohloed in vo �lbntrso and Seller corsonis tier td in wr-1,ing, Buyer shalt any ar erection, Casts lit that it of I'
dale and J y co, loan eric fit,-' the de:. te. riiforr�'Oommerdv Coop as ex Ohio Revised (,oil[. Gneplr�r 1�ii)2, rela"11885 at
pht be, a pplicable 1ri
ri, DlicablL undm pciples F,t eonfl w. Aj itAs of laid aoicl ar o:ng firtnT or .slated to this tCnba'
7, INSPECTICN Or GOCUS, L,,e nhallj. or Btver shelf instruct I age w or II Goo"%, to F. the sale a good" snail be i nsfiflted and fliclatet', ir. a% Irallaral OF state wrF oeawlo' in Morngon-y
deft Cr,,nty. Oblo, The pantis fle7eby rneyc,ibly corisunt to the l oosaickn of tf:p .ou; uf .'o r, 0 c, r C ry
ln�,'��,Lt flo 111l'o0it'y Upon reen-'t andro c'-pi.tion of�apdwaO by "'alins to
v.,� Z
r -0, f�ooc� n Sr,,V�Ats r�,'Sulllrq from thol �af 'r, io cov�onn tat wa,nly pucv �ll in i:,ounty, Ohio.
zuble�t 1C file terns ineol 1 arH any r(libi: 01 otjtl Iior. l re ccat,o, of e. .f c lilo
or re
I I'a� B yo, It t, t ent Fl ilne Cmd rails to dive rotc� of cov u,,n if,r, 17. NOTICES, Any �el lotre" be ov hil"d se by ccourser, lacsal 'Xp;pis; r"
of 3 �l�, al I'e dCri il'
of f!"i o-4 t f For -o
or id) 3jyi it" geoj 0, lo,� 'n t
f or is Qciurvasm) co pwangc mrim, -rie:ed or o, slel��
I'l, Jj's ;��m !Z4 v V 111 If or 0-n file, hereof, gild si�alf f'e ile (""Pat 6 f:ve i5 bucmes� ftel �aw,l; vc�o, err or; le
O�Xz
'er,
rc, 'Flo Asnx �Ile �5,eo� c�we otiol e ta I a,; I o
�ns slant Ilb O)e eficn. -oolion of date of oatu.1 otmat. Either z I vuaeil llorii to 'ho odor t"t
ec l, drintts far r�ctic,8 b
-ec"n-ilIc �ers and A oism), by Buyer
I ld�lmr ri oi odag s vary L19So' Pot'liLted Ender Warprovision vl�y proSion Of! is agreornew, Part' ofthoill,"'i-yo,
o"i'l k fts� lc-� "'Iii
�l l�, t ler i day herod tot Panal po, Orm once. There thalf be 18, MISCELLANEOUS, Those ieimo and flrdlilor�; "e or ;P1 tf ort; wdo,Ftae a �V; lm of r! i, ce�,Inn�;v R("Ie'.io n eyo, �;y I. toroefoc i� r ing thl- al oe of Goods or
wamn ttiwi," respell n f lh e sul:iIo� t nalrt'r h No proa!Q�l
s "hall n
r, hn"40. e,
tt,o 0�
io mfr-
0 If L'ye ��s ve ieli�� �o, eis*r �,I be tl�os, pr_Aco� to order he Ow
%set ded. exc.pr. tw awirrio qed b Ii
n suy c Party Il c nql�llxl ny an WEF 0"Flov �rT'r�nia!io,;
'os Now Ony c o r, plo of LI sijo eon e nt e"'
S. CANCELLAT10olQ iie, ,1w n zus ag,edmer:, n, G sage or cancel On owcr, S'eri:'r pro vis lu I,,,l, to In W1 Iflf,oO 11) nr,,ndfI 1! Or
be i c, hefd it ltl u��O u !'ap
l f,ra!tit
Jnn Or lgfeSirne'
iti, 'n �Clle, I' 8��Y61 11�es a Wlat redoes'! of Cweu.fiat,or on tre :his 'Ci, bQ I,? S 'o of tha or nri, od pr ..on Fir arwt Fl: the. �,N
p-il', il,. C* ,ha than b riLrcoa,
o f L "'d q in *,Iwo to eequeul, Buy'l e
s, c -dr! 1� vf'thu toll C Greeds from Satter or the pf�.bu o f t". ��e trr �Iziy �,o
pap ct I" a! 'S I TZNod
wi I sen', il P,e, Thu p,(,,,, ti'is ilq oth,,le 'o"d olm
h�r Cfm5 et, (we.,ffnq Fr,o ccsl FAVoil,tab e 1 0 wo('t expl)FIFI', ^Dwnit?ecj 7, 'y If-, iu l�lo I wm n cxm
1 klo of tile, parli�u be a,ld bitti, hel6, e�kworl, wTn ar'!
dzitl �bcofiotlor r_qwsl F, rel"Prit't; �;Fillsr �3 az�tjcl paled �,rfit or t ell line 1� or Nihcolled ne'l'on
"if any end all mcdorLA a!,d t�or 1 it a taR�:ellolieo 'nqmsl is
t- j h�, rf* iccetnai�, P. dh auqe of Sr d cl 'l 18 EXPORT CONTROL APPROVAL (Export Approval) Care Amence SeOiicns, Fic. Fetal- the nifok
0 "he onorfm �r;lco or th� cacl, Iod p„ ace lbor-f Far prirpos� let this piro"is,on. request, or %liaptirlsm, to 'void and will void ally order if it learns of i nformation indicaiinq vii;4 the Olatcloals ordered Lre to a
delivco3d to any (:Ourtry that is subject to export 0, sales ptohibilfimi, of either ibe united State,, Germany
or Iho Eoroneen Union.
Revised May 20N
VOUCHER NO. WARRANT NO_
ALLOWED 20
Crane America Services
IN SUM OF
88048 Expedite Way
Chicago, IL 60695 -0001
$149.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member:
2201 90048975 42- 370.00 $149.13 I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thu�rsdayi March 24, 2011
v 9"
v r Street Commisio er
Stet comTitleisionetr
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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, dumber 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))
03/18/11 90048975 $149.13
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