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155534 01/10/2008
CITY OF CARMEL, INDIANA VENDOR: 00350303 Page 1 of 1 0 ONE CIVIC SQUARE THERMO KING OF INDIANA, INC CARMEL, INDIANA 46032 PO BOX 6069 CHECK AMOUNT: $15.04 DEPT83 CHECK NUMBER: 155534 INDIANAPOLIS IN 46206 -6069 CHECK DATE: 1/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 IC06060 1S.04 REPAIR PARTS I THERMO ICING OF INDIANA, INC INDIANAPOLIS 817 South Tibbs Ave PO Box 42388 Indianapolis, IN 46242 -0388 (317) 247 -4002 ITC MILLBURY 3838 Rockland Circle Millbury, OH 43447 (419) 872 -6895 FORT WAYNE 3403 West Coliseum Blvd Fort Wayne IN 46808 -1009 (260) 471 -0046 EVANSVILLE 7924 Burch Park Rd Evansville. IN 47725 -1788 (812) 867 -0141 93iEet6�ste ecaaats JEFFERSONVILLE 3405 Industrial Pkwy Jeffersonville, IN 47130 -9667 (812) 282 -5022 Please remit payments to: PO BOX 6069 DEPT 83, INDIANAPOLIS. IN 46206 -6069 1 SOLD TO SHIP TO ICAR38 CARMEL FIRE DEPARTMENT ENGINE #44 2 CIVIC SQUARE CARMEL, IN 46032 s� d By v.rr go �oB: zate a 21 010 coUZVTz INVOICE zco 0 6 0 ShJp By ups ©20 Tax. D Qty Description Price Amount! GROUP 01: KYSOR PARTS N 1.::i`KYS 222662 LIGHT ASS' Y 7:::09 7 0`9 PARTS FREIGHT N UPS SHIPPING'CHARGE' 7.95 PRICES SUBJECT 7'O CHANGE WPPHOUT NOTICE. A FEE OF S20.00 WILL. [3E ASSES8F,I) ON AI.J, RE FURNED CHECKS. STATE SALES TAX WILL BE ADDED IF A SIGNED TAX EXEMPTION CERTIFICATE IS NOT PROVIDED. j CUSTOMER RESPONSIBLE FOR PAYING ANY APPLICABLE FEDERAL EXCISE TAXES. THERMO KING OF INDIANA IS NOT RESPONSIBLE FOR COLLECTING FEDERAL, EXCISE TAXES. SIGNATURE X_ SUBTOTAL 15.04 Charge Sale �h�tke t 7 J F� d PAY THIS I'll AMOUNT $15.04 NO RETURNS ACCEPTED VkTrHOUT PRIOR ALITHORIZATION..ALL RETURNS SUBJECT TO RESTOCK /L-IANDLING FEES. OPEN BOXES. DAMAGED, INSTALLED OR USED PARTS WILL NOT BE ACCEPTED. "TERMS: NEI' 30 DAYS..... INTEREST WILL BE CHARGED ON ANY BALANCEOVER 30 DAYS, 1.5% PER MONTH (I8% PER ANNUM). 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)) v Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. 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 20t a� 4 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund