208294 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355674 Page 1 of 1
0 ONE CIVIC SQUARE GLOBAL EQUIPMENT CO CHECK AMOUNT: $253.95
CARMEL, INDIANA 46032 PO BOX 905713
CHARLOTTE NC 28290 CHECK NUMBER: 208294
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 104738530 253.95 OTHER EQUIPMENT
a 'INVOICE'Nbm, '`�IN
GLOBAL ORIGINAL INVOICE
EQUIPMENT COMPANY INC. PO BOX 905713 104738530 04/10/12
globalindustrial.com CHARLOTTE NC 28290
PLEASE REFER TO ABOVE INVOICE NO. WHEN
(770) 822 -5600 FED TAX -ID: 11- 3584699 REMITTING AND WHEN YOU ARE MAKING ANY
INQUIRIES REGARDING THIS ORDER
o JIM BUTTLER H JIM BUTTLER
L CARMEL FIRE DEPARTMENT -IN P CARMEL FIRE DEPARTMENT -IN
D 2 CIVIC SQUARE P 510 WEST 3RD AVE SOUTH WEST
CARMEL IN 46032 D CARMEL IN 46032
T
O L- —1 O L
YOUR ORDER NO�,.'!''', ''ORDERED"BY �.PAG
E
JIM BUT 04092012 JIM' BUTTLER 1 OF 1 I'll
u.�
SMIPPED,UTA F.o.6. SHIPPING POINT FREIGHT CHARGES; "TERRITORY, r ,DATE SHIPPED
UPS BUFORD GA PREPAID' 04/1012 NET301�
-r'"
QUANTITY STOCK NO. DESCRIPTION UNIT PRICE AMOUNT
1 774106 4 W X 72 L Forklift Fork 199.95 199.95
Tine Extension Pai
SHIPPING 54.00
TAX -O
TOTAL 253.95
THANK YOU FOR YOUR BUSINESS
Please allow 5 1 days for delivery
*PLEASE NOTE THE 9EW REMIT TO ADDRESS PO BOX 905713
CHARLOTTE ISC 28290
To Inquire on your delivery, please call UPS
at 800 -742 -5877 and refer to Shipper 1Z3943100 56506451
Please visit www. global industrial. com for the largest selection
of ind strial products on the web at the best prices.
NO STATEMENT ISSUED PLEASE PAY ON INVOICE
UNLESS OTHERWISE INDICATED THIS INVOICE BECOMES PAST OUE 30 DAYS FROM DATE OF INVOICE AND A FINANCE CHARGE VIII L BE DUE ON THE UNPAID BALANCE A THE RATE OF 1 112% PER MONTH WHICH IS AN ANNUAL PERCENTAGE RATE OF 19 THIS CHARGE WILL BE COMPUTED BY APPLYING THE
DAILY RATE OF N93% TO THE DAILY PAST DUE BALANCE FOR THE NUMBER OF DAYS PAST DUE FROM THE INVOICE PAYMENT DATE. NO FINANCE CHARGE WILL BE INCURRED IF PAYMENT IS RECEIVED PRIOR TO DUE DATE. 'IN THE EVEN OF A DEFAULT WITH HESPECT TO THE PAYMENT OF THE PURCHASE PRICE.
OR ANY PART THEREOF FOR A PERIOD OF 30 DAYS FROM THE DUE DATE THEREOF, WE SHALL BE ENTITLED TO RECEIVE FROM THE PURCHASER ALL REASONABLE ATTORNEY'$ FEES INCURRED IN THE COLLECTION OF SUCH PURCHASE PRICE.'
WE HEREBY CERTIFY THAI THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SECTIONS 6.7 AND 12 OF THE FAIR LABOR STANDARDS ACT, AS AMENDED, AND OF REGULATIONS AND ORDERS OF THE UNITED STATES DEPART KENT OF LABOR ISSUED UNDER SECTION T4
THEREOF.
IF YOU HAVE A STATE SALES TAX YOU MUST PAY IT DIRECT, AS SAME HAS NOT BEEN CHARGED ON THIS INVOICE,
PERSUANT TO SECTION 11:180 OF THEN Y GENERAL OBLIGATIONS LAW, A DRAWER NEGOTIATING A CHECK WHO KNOWS OR SHOULD KNOW THAT PAYMENT OF SUCH CHECK WILL BE REFUSED BY THE DRAWEE BANK EITHER BECAUSE THE DRAWER HAS NO ACCOUNT WITH SUCH BANK OR THE DRAWER HAS
INSUFFICIENT PUT DS ON DEPOSIT WITH SUCH BANK SHALL BE LIABLE TO THE PAYEE WHO HAS PRESENTED SUCH CHECK FOR PAYMENT. NOT ONLY FOR THE FACE AMOUNT OF THE CHECK BUT ALSO FOR ADDITIONAL, LIQUIDATED DAMAGES, AS FOLLOWS: IF YOU HAD NOACCOUNT WITH THE BANK UPON
WHICH THE CHECK WAS DRAWN, AN ADDITIONAL SUM WHICH MAYBE EQUIVALENT TO SERVICE THE FACE AMOUNT OF THE CHECK OR SEVEN HUNDRED FIFTY DOLLARS, WHICHEVER IS LESS: OR IF YOU HAD INSUFFICIENT FUNDS ON DEPOSIT WITH THE BANK UPON WHICH THE CHECK WAS DRAWN, AN
ADDITIONAL SUM WHICH MAYBE EQUIVALENT TO TWICE THE FACE AMOUNT OF THE CHECK OR FOUR HUNDRED DOLLARS, WHICHEVER i$ LESS. CRIMINAL PENALTIES MAY ALSO APPLY.
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))
l 104738530 I I $253.95
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
VOUCHER NO. WARRANT N
ALLOWED 20
Global Ed
IN SUM OF
P.O. Box 442s49
$253.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
1120 I 104738530 1 102 670.99 I $253.95 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
APR 232 2
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund