169174 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00350303 Page 1 of 1
0 ONE CIVIC SQUARE THERMO KING OF INDIANA, INC CHECK AMOUNT: $175.30
CARMEL, INDIANA 46032 PO BOX 6069
DEPT83 CHECK NUMBER: 169174
INDIANAPOLIS IN 46206 -6069
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 IC11450 175.30 REPAIR PARTS
THERMO KING OF INDIANA INC.
INDIANAPOLIS 817 SOUTH TIBBS AVENUE INDIANAPOLIS, IN 46241 (317 247 -4002
JEFFERSONVILLE 3405 INDUSTRIAL PARKWAY JEFFERSONVILLE, IN 47130 (812 282 -5022
EL NEW HAVEN 2275 PATRICK HENRY WAY NEW HAVEN, IN 46774 (260 493 -0046
EVANSVILLE 7924 BURCH PARK ROAD EVANSVILLE, IN 47711 (812 867 -0141
UFT ELKHART 2926 LILLIAN STREET ELKHART, IN 46514 (574 264 -1221
MILLBURY 3835 ROCKLAND DRIVE MILLBURY, OH 43447 (419 837 -2108
TMER KIIrG SIKESTON 1030 COUNTY LINE ROAD SIKESTON, MO 63801 (573 472 -2833
*Please remit payments to: P.O. Box 6069 DEPT. 83, INDIANAPOLIS, IN 46206- 6069
SOLD TO SHIP TO
ICAR38 CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE -BOB
CARMEL, IN 46032
PH 664 -0958
y VII FQ BC�� Date 21 0 COUNTER INUOZCCl!14 5 0
Ship
PICA tJP tax a0�� 2050
Tax D Qty Description Price Amount
GROUP 01
KYSOR PARTS
N- 4'KYS 1.0,75005 12V MTR,2 S 36.54 146.16
N 3 KYS 2199025 SW,2 SPEED 6.73 20.19
TOTAL KYSOR PARTS 166.35
PARTS FREIGHT
N UPS SHIPPING 8.95
Es
PRICES SUBJECT TO CHANGE WITHOUT NOTICE.
A FEE OF S20.00 XVILL BE ASSESSED-ON ALL RETURNED CHECKS.
STATE SALES 'TAX WILL BE ADDED IF A`SIGNEU TAX EXEMPTION CERTIFICATE IS NOT PROVIDED.
CUSTOMER RESPONSIBLE FOR PAYING ANY APPLICABLE FEDERAL EXCISE TAXES. THERMO KING OF INDIANA IS NOT RESPONSIBLE FOR COLLECTING FEDERAL EXCISE TAXES.
SUBTOTAL 175.30
J
X Charge Sale
iIOE' .7) ��C PAY THIS
AMOUNT $175.30
NO RETURNS ACCEPTED WITHOUT PRIOR AUTHORIZATION..ALL RETURNS SUBJECT TO RESTOCK /HANDLING FEES.
OPEN BOXES, DAMAGED. INSTALLED OR USED PARTS WILL NOT BE ACCEPTED. 'ASQ" AND SUPERSEDED PARTS ARE NOT ELIGIBLE FOR RETURN.
TERMS: NET 30 DAYS INTEREST WILL BE CHARGED ON ANY BALANCEOVER 30 DAYS, 1.5% PER MONTH (18% PER ANNUM).
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))
IC11450 Parts E41 E45 $175.30
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. WARRANT NO.
ALLOWED 20
Thei mo King
IN SUM OF
P.O. Box 6069 Dept. 83
Indianapolis, IN 46206 -6069
$175.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 IC11450 42- 370.00 $175,30 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
FEB 1 7aa
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund