HomeMy WebLinkAbout172805 05/27/2009 "F CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC
CHECK AMOUNT: $35.73
CARMEL, INDIANA 46032 16389 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 172805
CHECK DATE: 5/27/2009
DEP ARTME N T A CCOUNT PO NUMBER INVO N UMBER A MOUNT DESCRIPTION
2201 4237000 549516 35.73 REPAIR PARTS
14693 5 7 9 5 1 6 DICKINSON Dickinson Pleat Services, LLC
Indianapolis Service Center (Main Office)
UNIT# WHEEL 4709 West 96th Street
INVOICE Indianapolis, IN 46268
CARMEL STREET DEPT FLEET (317) 872-4542
3400 W 131ST ST SERVICES Fax (317) 872-7624
WESTFIELD, IN 46074 PAGE 1
HOME:317-733-2001 BUS:317-733-2005
SERVICE ADVISOR: 112 BODY SHOP
VNIT. NO, MILEAGE VIN;
09 TRAILER TRAILER CCCCCCCCCCCCWHEEL WHEEL 1/1
INV.,
PAYMEN.. :DATE::
15MAY09 IS 23:00 29MAY09 CHG 114MAY09
R.0 0PENED COMPLETED: C OM MENTS:
13:46 11MAY09 110:42 14MAY09
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A SAND BLAST 1 WHEEL
02 CAB AND SHEET METAL
1999CSAND 0.00 0.00
1 592585 SANDBLAST 34.36 34.36 34.36
PARTS: 34.36 LABOR: 0.00 OTHER: 0.00 TOTAL LINE A: 34.36
CUSTOMER PAY EPA CHARGES FOR:"REPAIR ORDER
1.37
PLEASE REMIT TO. DICKINSON FLEET SERVICES, LLC STATEMENT OF DISCLAIMER DESCRIPTION TOTALS 16389 COLLECTIONS CENT DRIVE ANY WARRANTIES ON THE PARTS AND LABOR AMOUNT 0.00
ACCESSORIES SOLD HEREBY ARE MADE BY
CHICAGO, IL 60693 THE MANUFACTURER. DICKINSON FLEET PARTS AMOUNT 34.36
SERVICES, LLC MAKES NO WARRANTIES OF
ANY KIND. EXPRESS OR INIPI-im, AND GAS, OIL, LUBE 0.00
DISCLAIMS ALL WAR RANTIES OF SUBLET AMOUNT
CUSTOMER ACKNOWLEDGMENT MERCHANTABILITY OR FITNESS FOR A 0.0
PARTICULAR PURPOSE, WITH REGARDS TO MISC. CHARGES 1.37
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE THE SERVICE, PARTS, LABOR, AND /OR
REPAIRS TO THE VEHICLE ON THIS INVOICE AND THE REPAIRS ACCESSORIES PURCHASED AND THAT IN NO TOTAL CHARGES 35.73
MEET THE CUSTOMERS REQUIREMENTS AND EXPECTATIONS. EVENT SHALL DICKINSON FLEET SERVICES
CUSTOMER FURTHER AGREES TO PAY THE INVOICE IN FULL, LLC BE LIABLE FOR INCIDENTAL o� LESS 0.00
AS SHOWN, WITHOUT DEDUCTION OR SET OFF. CONSEQUENTIAL DAMAGES OR COMMERCIAL
LOSS ARISING OUT OF SUCH PURCHASE. SALES TAX 0.00
PLEASE PAY
CUSTOMER SIGNATURE THIS AMOUNT
3
CUSTOMER COPY
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))
05/14109 549516 $35.73
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
VO NO. WARRANT NO.
ALLOWED 20
Dickinson Fleet Services
IN SUM OF
1F�389 Collections Center Drive
Chicago, IL 60693
$35.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 549516 42- 370.00 $35.73 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
Thursday 7 ay 21, 2009
I
4'I V
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Street Commissioner
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Cost distribution ledger classification if
claim paid motor vehicle highway fund