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163175 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1 ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC PO BOX 66724 CHECK AMOUNT: $19.18 CARMEL, INDIANA 46032 INDIANAPOLIS IN 46266 CHECK NUMBER: 163175 CHECK DATE: 9/3/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 105012 19.18 REPAIR PARTS i i it DICKINSON Dickinson Fleet Services, LLC Indianapolis Service Center (Main Office) 4709 West 96th Street FLEET Indianapolis, IN 46268 SERVICES (317) 872 -4542 Fax (317) 872 -7624 Orlando Service Center Cincinnati Service Center Atlanta Service Center 1583 Central Floridy Pkwy 11536 Gondola Drive 6802 Buford Highway Orlando, FL 32837 Cincinnati, OH 45241 Doraville, GA 30340 (407) 850 -5075 (513) 772 -3629 (770) 449 -3910 Pennsburg Service Center Atlanta- Fulton Service Center 2703 Gerryville Pike 5501 Fulton Industrial Boulevard Pennsburg, PA 18073 Atlanta, GA 30336 (215) 679 -6241 (404) 346 -3313 REMIT TO: P.O. BOX 66724, INDIANAPOLIS, IN 46266 DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE 5 AUG 08 12 5 AUG 08 25 AUG 08 NUMBER 105012 o ACCOUNT NO. 14693 H PAGE 1 OF 1 L I D P CARMEL STREET DEPT 0 3400 W 131ST ST 0 WESTFIELD, IN 46074 SHIP VIA SLSM. B/L NO. TERMS F.O.B. POINT 8 CHARGE INDIANAPOLIS IN OUA pF, ORD. SHIP PART NO. DESCRIPTION NET AMOUNT 8.0. 2 2 0 12104 DRAIN VALVE 9.59 9.59 19.18 Authorized Dealer Morgan Body Parts Service Anthony Lift Gate Maxon Lift Gate Waltco Lift Gate Thieman Lift Gate We appreciate your K YOU FOR YOUR BUSINESS busineSS LEASE CALL US FOR ALL YOUR PARTS 19.18 EAVY DUTY TRUCK -PART NEEDS! SUBLET ICKINSON FLEET SERVICE IS FREIGHT 0.00 OUR FULL -LINE MORGAN DEALER SALES TAX 1.15 CUS 'S GNATURE X TOTAL: 2 0.3 3 DISCLAIMERS OF WARRANTIES: Any ar -ties on the product sold hereby are RETURN POLICY those made by the manufacturer. The el DICKINSON FLEET SERVICES, LLC TO BETTER SERVICE YOU NO REFUND ON SPECIAL ORDERED OR ELECTRICAL hereby expressly disclaims all warranti el her express or implied, including any PARTS. NO REFUND WITHOUT THIS INVOICE. 10% HANDLING CHARGE ON implied warranty of merchantability or fitness for a particular purpose, and ALL RETURNED ITEMS. NO RETURNS AFTER 30 DAYS. ALL RETURN PARTS DICKINSON FLEET SERVICES, LLC neither assumes nor authorizes any other MUST BE IN ORIGINAL CONTAINER IN RESALABLE CONDITION. person to assume for it any liability in connection with the sale of said products. CTTSTOMF -.R COPY Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) 1 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)) 08/25/08 105012 $19.18 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 e VOUCHER NO. WARRANT NO. Dickinson Fleet Services ALLOWED 20 IN SUM OF 4709 W. 96th Street Indianapolis, IN 46268 $1 ,ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 105012 42- 370.00 $19.18 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 Thursday, August 28, 2008 T Street CoAmissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund