170320 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 355831 Page 1 of 1
ONE CIVIC SQUARE BRICKYARD INTERNATIONAL CHECK AMOUNT: $53.48
?o CARMEL, INDIANA 46032 5730 FORTUNE CIRCLE DR W
INDPLS IN 46241 CHECK NUMBER: 170320
CHECK DATE: 411/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 8226719 53.48 REPAIR PARTS
INVOICE DATE
03/23/2009 01:30PM
INTERNATIONAL TRUCKS 5730 FORTUNE CIRCLE DRIVE WEST INVOICE NO. PAGE
8226719 1
INDIANAPOLIS IN 46241 CUSTOMER NO, BRANCH
IDEALEASE 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: ONE CIVIC SQUARE TO: ONE CIVIC SQUARE,
CARMEL IN 46032 CARMEL IN 46032
CUSTOMER P.O. REFERENCE NO
.A44 823407 (317) 571 -2600 20 000/20 000
PRICEIPER I EXTENSION
TERMS: (00) DUE BY 10TH
1 100 354153001 HORN 73.04 53.48EA 53.48
SEE REVERSE SIDE OF INVOICE
FOR OUR FANTASTIC WINTER DEALS!
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 itemAtems. 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 res ponsible for loss or damage
TRUCKS and IDEALEASE, hereby expressly disclaims all to vehicle or articles left in vehicle In case of fire, the R or any other cause beyond
(2) Accounts past due are subject uenc our control or for an delays caused b unavailability arts
of arts or delays in
warranties, either express or implied, including any implied to a Jelin charge of 20 annum y y y y p y p
of merchantability or fitness for articular delinquency g (p shipments by the supplier or transporter. I hereby grant you and/or Your employees
warranty Y P on the outstanding balance. In the event permission to 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,
person to assume for it any liability in connection with collection costs including a reasonable I understand that pursuant to said express garage keeper's lien, I have no right of
attorney fee. possession of this vehicle until the repairsthereto have been paid in full or until
the sale of this item /items. Y 1y ou and/or your employees have voluntarily released the vehicle to me.
FREIGHT SUBTOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
53.48 EXEMPT IN 0.00 53.48
Customer Approval for repairs not covered by warranty policy, Of field SIGNAT CUSTOM E TERMS
charges. All parts installed are new unless specified otherwise. SI
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
r
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))
8226719 Part A44 $53.48
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
VOUCI -lf NO. WARRANT N
ALLOWED 20
Brickyard International Trucks
IN SUM OF
5730 Fortune Circle Drive
Indianapolis, IN 46241
$53.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 8226719 42- 370.00 $53.48 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
MAR 3 0 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund