203641 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 359187 Page 1 of 1
ONE CIVIC SQUARE TENNANT SALES SERVICE CO
CHECK AMOUNT: $589.72
CARMEL, INDIANA 46032 P 0 aOx 71414
y* Via` CHICAGO IL 60694 -1414
CHECK NUMBER: 203641
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 910628928 589.72 REPAIR PARTS
069007981300 Remit Payment To
Tel 1 -800- 553 -8033
Tennant Sales and Service Company
Fax 1
PO Box 71414
CHICAGO IL 606941414
USA Invoke
SF�Ip Ta.: Iruoice X10162$928'
CITY OF CARMEL CITY OF CARMEL
STREET DEPT STREET DEPT In..ir�It.- 4moUnt 61 ..g 7`i.
3400 W 131ST ST 3400 W 131ST ST Currency US Dollars
WESTFIELD IN 46074-8267 WESTFIELD IN 46074 -8267 Document Date 1 0/1 812 01 1
Payment Terms
Net 30 Days
B111 f Final due date 11/17/2011
CITY OF CARMEL
STREET DEPT
3400 W 131ST ST Giustomer Nutt ber b 172:77
WESTFIELD IN 46074 -8267 Po N U mb e r
SIGNED WORK ORDER
Contact MIKE
317- 733 -2001
Sertri: e
Seriai Number' 523 3'11990.::.................
Service Notification 303109493
Service Order 14037110
nit lrxte#1 leLl:: ;:.Tax::;:::
tsc�pio
tkxX..........`[1 If' �tiMa #eri�l t�ri�e �!al�e.
Notes
was contacted by shop rep in need of parts for their 528 looked up parts
and contacted mike several times to verified parts
1 H TRIPMM TRIP, NO CHARGE, MULT MACH N
Net Value 0.00 0.00
1 H LABORREGULAR LABOR, REG RATE N
Price 105.00 105.00
Net Value 105.00 105.00
1 PC 87579 LATCH, TENS N
Price 18.70 18.70
Net Value 18.70 18.70
2 PC 60006 BLA SAGE, 049.01- N
Price 101.00 202.00
Net Value 101.00 202.00
2 PC 60005 BLADE, SAGE, 046.61- N
Price 50.00 100.00
Please include invoice number with payment. All modifying agreements must be in writing and signed by both parties. The items specified have been produced in compliance with the
Fair Labor Act of 1938, as amended. Customer must obtain authorization before returning goods by contacting Tennant at telephone numbers shown above. Selected items and
conditions appear hereon. All orders are subject to additional terms and conditions which are available on Tennant's website at w w w. tennantco. com /leg a liter ms_ conditions or available in
printed form upon request.
Page 1 of3
069007982300 Remit Payment ro Tel 1-800-553o033
Tennant Sales and Service Company Fax 1'763-513'2142
po Box 71414
JEN
ou ooes4-���� Invoice
cn/�� o�����ce
USA
th
CITY OF'CARMEL CITY OF CARMEL
STREET DEPT STREET DEPT In A
3400 W 131ST ST 3400 W 131ST ST Currency US Dollars
WESTFIELD IN 46074-8267 WESTFIELD IN 46074-8267 Document Date 10/1812011
Payment Terms
Net 30 Days
CITY OF CARMEL
STREET DEPT
3400 W 131ST ST
WESTFIELD IN 46074-8267 P, 0 Number
SIGNED WORK ORDER
Contact MIKE
I Service Notification 303109493
Service Order 14037110
Ue
Net Value 50.00 100,00
4 PC 60004 BLADE, SOGE, 27.11- N
Price 25.00 100-00
Net Value 25.00 100.00
2 PC 59775 STRIP N
Price 9.50 19.00
Net Value 9.50 19.00
4 PC 59639A GUIDE, TIP, SQGE N
Price 8.60 34,40
Net Value 8.60 34.40
Price 2.00 4.00
Net Value 2.00 4.00
Subtotal 583.10
ShopSupp&Disposable 6.62
Total 589.72
Repair Order is Attached
VOUCHER NO. WARRA NO.
Tennant Sales and Service Company ALLOWED 20
IN SUM OF
P. O. Box 71414
Chicago, IL 60694 -1414
$589.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 42- 370.00 1 hereby certify that the attached invoice(s), or
2201 910628928 42 370.00 $589.72 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
�r• Thursday, November 03, 2011
Street Commissioner
s Titde
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))
10/18/11 910628928 $589.72
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