205420 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1
ONE CIVIC SQUARE CARMEL WELDING SUPP INC
CARMEL, INDIANA 46032 550 S. RANGELINE RD CHECK AMOUNT: $37.52
CARMEL IN 46032
CHECK NUMBER: 205420
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 324051 37.52 REPAIR PARTS
i
CARMEL WELDING AND SUPPLY
550 South Rangeline Road
Carmel, Indiana 46*832
317-846-3493 www.CarmelWelding.com
CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET
CARMEL,INDIANA 46074
DATE ACCT PG
TERMS: NET DUE 10TH OF MONTH FOLLOWING INV. D ATE
A SERVICE CHARGE OF 1 3/4% PER MONTH TO BE ADDED
TO ACCOUNTS PAST DUE.
TOTAL DUE LAST STATEMENT 703.55
THIS STATEMENT REFLECTS CREDITS AND CHARGES MADE THROUGH THE STATEMENT DATE.
12/12/11 1 ,327426 PURCASE 11 13.49
t2/13/11 1327460 PURCHASE- 13.80 13.80
12/14/11 �327463 PURCHASE 2377.04
2/14/11 iO31462 PAYMENT 204184 703.55CR'
2/16/11 1327545 PURCHASE
12/21/11 1031484 PAYMENT 204536 4502. 69CR
2/23/11 1031489 PAYMENT 204741 2377. OCR
2/29111 1 327787 PURCHASE 10.23 10,23
ON ACCOUNTI FUTURE I CURRENT I PAST 30+ 1 PAST 60+ 1 PAST 90+
TOTALS
BALANCE DUE 37.52 PAY THIS AMOUNT
NOTICE
iRORS OR INQUIRES ABOUT YOUR STATEMENT
th- in- Lending Act requires prompt correction of billing mistakes.
to preserve your rights under the Act here's what'to.do.:if you think your' statement..isi:
/ou need more information about an item on your statement
write on the statement. On a separate sheet of paper write (you may telephone your
but doing so will not preserve your rights under this law) the following:
r name, and account number (it any).
ascription of the error and an explanation (to the extent you can explain) why you
3ve it is an error. It you only need more information, explain the item you are not sure
ut, and if you wish, ask for evidence of the charge such as a copy of the charge slip.
not send in your copy. Qf,a sales slip, or, other document, unless, you; a duplicate
d for your records.
dollar amount of the suspended error.
other information (such as your address) which you think will help us to identify you
ie reason for your complaint or inquiry.
cur billing.error. notice to.the address on your statement which is listed after the words:
_2 ,a
ance Address Mail it as soon as you can, but in any case., early enough to „reach:.us...,_.t.
0 days after the statement was mailed to you.
;reditor must acknowledge in writing ,all letters, pointing possible errors.withih' =30=
,'rpt, unless we are able to correct your statement during'ih' tf-k days. Within 90 "'days
1g your letter, we must either correct the error or explain' in= venting why we believe; the''
as correct. Once we have explained the statement, w,e,.have no further,.obligation to:`,t j J
ough you still believe there is an error, except as provided, in -paragraph 5 :below.
ve been notified, neither we nor an; attorney nor a collection agency may send ,you. ;1:
tters or take other collection action with the respect to the amount in dispute; but
lements may be sent to you, and the disputed amount can be applied against your
You cannot be threatened with damage to your credit rating or sued for the amount in
)r can the disputed amount be reported to a credit bureau or to other creditors as
intil we have answered your inquiry. However, you remain obligated to pay the parts
;went not in dispute.
nined that we have made a mistake on your statement and if it is our policy to assess
rges for late payments, you will not have to pay finance charges on any disputed
-turns out that we -have not made an error, you- may -have to pay -such finance charges
int in dispute, and you will have to make up any missed minimum or required payments
ited amount. Unless you have agreed that your statement was correct, we must send
n notification of what you owe; and if it is determined that we did make a mistake in
isputed amount, you must be given the time to pay which you normally are given to
ted amounts before any more finance charges or late payment charges can be charged
cation does not satisfy you and you notify us in writing within 10 days after you receive
ation that you still refuse to pay the disputed amount, we may report you to the credit
I other creditors and may pursue regular collection procedures. But we must tell them
not think you owe the money, and we must let you know to whom such reports were
the matter has been settled between you and ourselves, we must notify those to
'ported you as delinquent of the subsequent resolution.
follow these rules, we are not allowed to collect the first $50 of a disputed amount,
Statement turns out to be` correct.
DATE INVOICE
I
12/13/11 327460
TIME CARMEL WELDING AND SUPPLY P/0 NUM ER
15:58:16 550 South Rangeline Road
SALESMAN Carmel, Indiana 46032 WORK ORDER1
007/007 317- 846 -3493 www.CarmelWelding.com I
STORF PAGE I
1 1 of 1
Terminal 16
733-2001 7
BILL TO ACCOUNTe 3017 SHIP TO ACCQUNT* 3017
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL,INDIANA 46074 CARMEL,INDIANA 46074
Tax Exemption 003120155002
WWW.CARMELWELDING.COM Plese keep receipt
for parts returns within 30 days. 20o restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD I SHIP B O L INE 1 PART NUMBER DESCRIPTION LIST NET AMOUNT
6 6 SM T21 -1717 15GA 1 1 -2X1 1 -2 TUBI 2.30 13.80
SUB TOTAL 13.80
CHARGE SAL MISC. 0.00
LABOR 0.00
TAX 7.000 0.00
Signature INVOICE TOTAL 13.80
flIXIECHOP CHOPPER, Faxepho (765) 246 6012
The World's Fastest Lawn Mower. Giro
Dixie Chopper Tax exempt number
6302 E. County Road 100 N. Enterprise number
Coatesville, IN 46121
Ship to:
CARMEL STREET DEPT Packing slip copy
3400 WEST 131 ST Number 162945
WESTFIELD, IN 46074 Ship date 12/9/2011
Page 1 of 1
Sales order SA0412978
Requisition ..............:65956
Bill to: Your ref. 4CSQ20698
Mid -State Truck Equipment Inc. Our ref.
11020 Allisonville Rd Mode of delivery Fedex Ground
Fishers, IN 46038 Terms of delivery Dealer
Freighted by Carrier
Item number Description Ordered Unit Delivered Remaining quantity
30240 -0 Roller 7.50 "L Nylon Deck 2.00 Ea 2.00
B -254 Bolt 5/8 -11X7 CARR PT Gr.5 2.00 Ea 2.00
Zinc
N -156 Nut 5/8 11 Nyloc Jam 6.00 Ea 6.00
BB# 62NST
2010B85W Belt B85 Wrapped 1.00 Ea 1.00
200613162R Belt V 162" B section Raw 1.00 Ea 1.00
600059 Tailpipe Muffler 2.00 Ea 2.00
600060 Clamp Tailpipe 1.00 Ea 1.00
Backorder
Remaining
Item number Description quantity
2010B41 W Belt B41 Wrapped 1.00
900339 Kit Conversion Bearing 8.00
Wheel M/C Wide
(2) 10205
(2) 67205
(1) 900341
(1) 700152
5 1/4 Spacer
Receipt:
I
12/29/11 327787
TIME CARMEL WELDING AND SUPPLY P/0 NUMBER
14:56:51 550 South Rangeline Road
SALESMAN Carmel, Indiana 46032 WORK ORDER I
005/005 317- 846 -3493 www.CarmelWelding.com
I
1 1 of 1
Terminal 12
7 33-2001 (317) 733-2001
BILL TO ACCOUNTe 3017 SHTP TO ACCOUNT* 3017
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL,INDIANA 46074 CARMEL,INDIANA 46074
Tax Exemption 003120155002
WWW.CARMELWELDING.COM Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
.charge. No return on electrical or special orders
ORD SHIP I B 0 INE PART NUMBER DESCRIPTION LIST NET AMOUNT
1.5 1.5 SM P33 3 IN. BLACK PIPE 6.82 10.23
SUB TOTAL 10.23
CHARGE SALE MISC. 0.00
LABOR 0.00
TAX 7.000 0.00
Signature INVOICE TOTAL 10.23
12/12/11 327426
TIME CARMEL WELDING AND SUPPLY P/0 NUM ER
9:41:11 550 South Rangeline Road
SALESMAN Carmel, Indiana 46032 WORK ORD
007/007 317- 846 -3493 www.CarmelWelding.com
STORE PA
1 1 of 1
Terminal 16
(317) 733-2001 (317) 733-2001
BTLL TO ACCOUNTe 3n17 SHIP TO ACCOUNT* 3017
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL,INDIANA 46074 CARMEL,INDIANA 46074
Tax Exemption 003120155002
WWW.CARMELWELDING.COM Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD I SHIP I B 0 LINE1 PART NUMBER DESCRIPTION LIST NET AMOUNT
1 1 STI0000- 937 -5004 HOSE 3.1X5.7X1000 MS 13.49 13.49
SUB TOTAL 13.49
CHARGE SALE MISC. 0.00
LABOR 0.00
I TAX 7.000 0.00
Signature 2ylp INVOICE TOTAL 13.49
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))
12/31/11 $37.52
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
VOU NO. W N
ALLOWED 20
Carmel Welding and Supply
IN SUM OF
550 S. Rangeline Road
Carmel, In 46302
$37.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 42- 370.00 $37.52 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
��Wednes'day, January 11, 201
Street Commissi, ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund