172755 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 355831 Page 1 of 1
ONE CIVIC SQUARE BRICKYARD INTERNATIONAL CHECK AMOUNT: $54.48
CARMEL, INDIANA 46032 5730 FORTUNE CIRCLE DR W
INDPLSIN 46241 CHECK NUMBER: 172755
CHECK DATE: 5/27/2009
b-EPARTMENT ACCOU PO NUMBER I NVOICE NUMBER AMOUNT DESCRIP
_1120 4237000 8233542 54.48 REPAIR PARTS
BRICKYARD I NVOICE DATE
05/14/2009 01:31PM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE WEST INVOICE NO PAGE
8233542 1
INDIANAPOLIS IN 46241 CUSTOMER NO. BRANCH
IIDEflILEASE 317- 247 -6631 04001 8*
REMIT TO: BRICKYARD INTERNATIONAL TRUCKS,,; 5730 FORTUNE CIRCLE WEST, INDIANAPOLIS,'IN 46241
CITY OF CARMEL INDIANA CITY OF CARMEL INDIANA
SOLD CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT
TO: 2 CIVIC SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Tax id: 0031201550020
CUSTOMER P.O. REFERENCE NO.
833388 (317) 571 -2600 50 000/50 000
PRICF/PER I EXTENSION
TERMS: (00) DUE BY 10TH
3 100 360978101 LIGHT 26.77 18.16EA 54.48
ASK ABOUT OUR BRAKE DRUM
SPECIALS
Day'
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CIS
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STATEMENT OF DISCLAIMER: The factory warranty
constitutes all of the warranties with respect to the sale of (1) The account is due and payable in TERMS STRICTLY CASH UNLESS ARRANGEMENTS MADE
this itemfdems. The Seller, BRICKYARD INTERNATIONAL full by the 10th of the month following I hereby authorize the repair work herein set forth to be done along with the
purchase, necessary material and agree that you are not responsible for loss or damage
your control or for any delays caused by unavailability of parts or delays in parts
TRUCKS and IDEALEASE, hereby expressly disclaims all to vehicle or articles left in vehicle in case of fire, theft or any other cause beyond
warranties, either express or implied, including any implied (2) Accounts past due are subject
to a delinquency charge of 18 (per annum) shipments b the supplier or transporter. I hereby grant you and/or Your employeesa
warranty of merchantability or fitness for a particular on the outstanding balance. In the event permission y o operate the vehicle herein described on streets, highways or else-
purpose, and BRICKYARD INTERNATIONAL TRUCKS and the account is referred for collection, it is where for the purpose of testing and/or inspection. An express garage keepers lien
IDEALEASE, neither assumes nor authorizes any other agreed that the balance due includes all is hereby acknowledged on above vehicle to secure the amount of repairs thereto.
erson to assume for it an liability n connection with collection costs including a reasonable I understand that pursuant to said express garage keeper's lien, I have no right of
p y ty attorney fee. possession of this vehicle until the repairs hereto have been paid in full or until
the sale of this item /items. y you and/or your employees have voluntarily released the vehicle to me.
FREIGHT SUBTOTAL TAX STATUS/STATE I SALES TAX PLEASE PAY
54.48 EXEMPT IN 0.00 54.48
earns
Customer Approval for repairs not covered by warranty, policy, or field CUSTOMER SIGNATURE
charges. All parts installed are new unless specified otherwise. I x
Prescribed by State Board of Accounts City Form No. 201 (Fdv. 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))
8233542 $54.48
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. WAR N
ALLOWED 20
Brickyard International Trucks
IN SUM OF
5730 Fortune Circle Drive
Indianapolis, IN 46241
$54.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 8233542 42- 370.00 $54.48 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
MA 2 2 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund