HomeMy WebLinkAbout200534 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 354602 Page 1 of 1
ONE CIVIC SQUARE MARK IV ENVIRNMENTAL SYSTEMS INC CHECK AMOUNT: $412.38
CARMEL, INDIANA 46032 1012 N BLUFF ROAD
SUITEA CHECK NUMBER: 200534
GREENWOOD IN 46142
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 39156 412.38 REPAIR PARTS
Mark IV
En vironmentaR S ystems, Rn lEfgtii VOCE (ORDER
1012 N. BLUFF ROAD, SUITE A GREENWOOD, IN 46142
(317) 889 -3744 Q
(317) 882 -8022 Fax 15 6
www.markiv- env.com
BILL TO THE WORK IS TO BE
C.O.D. HARGE NO CHARGE
MACE MAKE
MO Lti MODEL
SERIAL N� �VQ SERIAL NUMBER
NAME
STREET D D TE
DESCRIPTIOItiI 4NORIC PERFORMFD
CI PROMISED
PHONE PO d /����p��
�Ob� YV•TI� HORIZEDBY M8�
T
1
E -MAIL ADDRESS
WORK TO BE PE ORMED 7L
OTY. MATERIALS &SERVICES UNIT PRICE AMOUNT'
REF R- LBS. OZ.
TOTAL MATERIALS
LS I��CI�MM EN3ATIOlVS I
HRS. LABOR RATE AMOUNT I Z�S 'Z'I` r� G M*, r, *j
lfS 76y4- Tlmi' o i�D ley, s d Zl o
LI ITED WARR iVTY: All materials, parts and equipment are warranted by the manufacturer's or suppliers'
l�r;tJ,/ 6(j, written warranty only. All labor performed by the above named company is warranted for 30 days or as other
ARRIVAL TIME DE T RE TIME wise indicated in wnting. The above named company makes no other warranties, express or implied and its
���H TOTAL LABOR /t agents or technicians are not authorized to make any such warranties on behalf of above named company.
TERMS BALANCE DUE ON COMPL TIDN OF WORK. BUYER AGREES TO PAY 1 -1 12% PER MONTH ON IJ REGULAR 71 WARRANTY .—TOT sum �]�t
UNPAID BALANCES OVER 10 DAYS. BUYER ALSO AGREES TO PAY COST, INCLUDING ATTORNEY SERVICE CONTRACT
FEES, FOR THE ENFORCEMENT OF THE TERMS AND CONDITIONS OF THIS AGREEMENT. TOTAL
INVOICES LEFF UNDISPUTED AFTER 7 DAYS ARE NON- NEGOTIABLE. r N® MATERIALS
1=k l TOTAL
I have authority to order the work outlined above which has been satisfactorily completed. I LABOR
agree that Seller retains title to equipment/materials furnished until final payment is made.
If payment is not made as agreed, Seller can remove said equipment /materials at Seller's
expense. Any damage resulting from said removal shall not be the responsibility of Seller. EXPIRES TRAVEL
LL� Q CHARGE
PRINT 'Y ME SIGNATURE TAX
CUSTOM SIGNAT� DATE TOTAL
VOUCHER NO. WARRAN NO.
ALLOWED 20
Mark IV Environmental Systems, Inc.
IN SUM OF
1012 N. Bluff Road, Suite A
Greenwood, IN 46142
$412.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 39156 42- 370.00 $412.38 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 11, 2011
Street Commissioner
F l
Street CcTitietissi: ner
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))
08/03/11 39156 $412.38
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