209685 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 359187 Page 1 of 1
0 ONE CIVIC SQUARE TENNANT SALES SERVICE CO
CARMEL, INDIANA 46032 P O BOX 71414 CHECK AMOUNT: $1,474.60
CHICAGO IL 60694 -1414 CHECK NUMBER: 209685
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 01- 002460 1,474.60 REPAIR PARTS
069006521500 Remit Payment To
Tel 1- 800 553 -8033
Tennant Sales and Service Company
Fax 1-763-513-2142
PO Box 71414
(JEN NAN CHICAGO IL 60694 -1414 Invoice USA
aSli TO
Frttatce Nur>3ber 91 +r�99246Q
CITY T CARMEL CITY T CARMEL (rtvC►1Ge Amour t 1 X4744.60
STREET DEPT STREET DEPT
3400 W 131ST ST 3400 W 131ST ST Currency US Dollars
WESTFIELD IN 46074 -8267 WESTFIELD IN 46074 -8267 Document Date 05/14/2012
Payment Terms
BIII Tb Final 3 due date 06/13/2012
CITY OF CARMEL
STREET DEPT
3400 W 131ST ST Customer Number b112774
WESTFIELD IN 46074 -8267 PO Number
SIGNED WORK ORDER
Contact KEVIN SMITH
317- 733 -2001
Date pfierv�c 05 -2
Serial Number_ _528 -31990
Service Notification 303304250
Service Order 14289497
U��t Extended Tax
tty Unit IUlateral IEescriptlan Price Value
Notes
Ordered parts fore customer looked up and ordered
1 H TRIPMM TRIP, NO CHARGE, MULT MACH N
Net Value 0.00 0.00
1 H LABORREGULAR LABOR, REG RATE N
Price 108.00 108.00
Net Value 108.00 108.00
4 PC 87579 LATCH, TENS N
Price 18.70 74.80
Net Value 18.70 74.80
2 PC 69725 FRAME WLDT, SAGE, SIDE, RH [5271 N
Price 94.00 188.00
Net Value 94.00 188.00
2 PC 69724 FRAME WLDT, SAGE, SIDE, LH [5271 N
Price 94.00 188.00
Net Value 94.00 188.00
Please include invoice number with payment. All modifying agreements must be in writing and signed by both parties. The items specified have been produced in compliance with the
Fair Labor Act of 1938, as amended. Customer must obtain authorization before returning goods by contacting Tennant at telephone numbers shown above. Selected items and
conditions appear hereon. All orders are subject to additional terms and conditions which are available on Tennant's website at www.tannantco.com /legal /terms_conditions or available in
printed form upon request.
Page 1 of5
069006522500 Remit Payment To Tel 1- 800 553 -8033
Tennant Sales and Service Company Fax 1- 763 513 -2142
PO Box 71414
(j i iiN CHI IL 60694 -1414 Invoice
t `u ftlO
P Invoice ltturnt er 1 Q89 246Q
ITY OF CARMEL CITY OF CARMEL
STREET DEPT STREET pEPT [:►?uOtCe 474 $0
3400 W 131ST ST 3400 W 131ST ST Currency US Dollars
WESTFIELD IN 46074 -8267 WESTFIELD IN 46074 -8267 Document Date 05/14/2012
Payment Terms
Net 30 Days
BI TtJ Final due date 06/13/2012
CITY OF CARMEL
STREET DEPT
3400 W 131ST ST Customer Number 5112;774
WESTFIELD IN 46074 -8267 PO Number
SIGNED WORK ORDER
Contact KEVIN SMITH
317 733 -2001
Date df ;Serwce 1)511412012
Serial Number 528-31990
Service Notification 303304250
Service Order 14289497
Unrti xterde
Qty Lirtlt
IVtateriatescriptlFOr Pr €ce Value
Ta
x
2 PC 64320 HOSE ASSY, W/1 CUFF, 3.OD 024L 3.0/ N
Price 34.80 69.60
Net Value 34.80 69.60
2 PC 60006 BLADE, SAGE, 049.01- N
Price 101.00 202.00
Net Value 101.00 202.00
2 PC 60005 BLADE, SAGE, 046.61- N
Price 50.00 100.00
Net Value 50.00 100.00
4 PC 60004 BLADE, SAGE, 27.11- N
Price 25.00 100.00
Net Value 25.00 100.00
2 PC 59826 RETAINER WLDT, BLADE, SAGE, 1.3W 46.31- N
Price 35.90 71.80
Net Value 35.90 71.80
2 PC 59800 RETAINER WLDT, BLADE, SAGE, 1.3W 49.11- N
Price 34.70 69.40
Net Value 34.70 69.40
2 PC 59775 STRIP N
Price 9.50 19.00
Net Value 9.50 19.00
2 PC 59663A RETAINER, SAGE, SIDE [5281 N
Price 28.10 56.20
Net Value 28.10 56.20
4 PC 59639A GUIDE, TIP, SQGE N
Price 8.60 34.40
Net Value 8.60 34.40
4 PC 59617 FLAP, CONTAINMENT N
Price 4.80 19.20
Page 2 of5
069006523500 Remit Payment To Tel 1- 800 553 -8033
Tennant Sales and Service Company Fax 1- 763 513 -2142
PO Box 71414
J EN NAN T CHI IL 60694 -1414 Invoice
hlp a Invatoe Nurnw 91D9� !�6Q
CITY OF CARMEL CITY OF CARMEL II'IYO]Ce Arnollrat ,A: X0 STREET DEPT STREET DEPT
s:.
3400 W 131ST ST 3400 W 131ST ST Currency US Dollars
WESTFIELD IN 46074 -8267 WESTFIELD IN 46074 -8267 Document Date 05/14/2012
Payment Terms
.III To Final due date 06/13/2012
N et Days
CITY OF CARMEL
STREET DEPT
3400 W 131ST ST Customer Numher 6112:774
WESTFIELD IN 46074 -8267 PO Number
SIGNED WORK ORDER
Contact KEVIN SMITH
317- 733 -2001
Qate cif SerVlce #3511412Q7 2
Serial Number 528 -31990
Service Notification 303304250
Service Order 14289497
{3ty Unit Unit xteride
E d Tax:
Materiat t3escrrpt on I'rtee �talue
Net Value 4.80 19.20
2 PC 59613A BRIDGE WLDT, RH N
Price 37.00 74.00
Net Value 37.00 74.00
2 PC 59612A BRIDGE WLDT, LH N
Price 38.10 76.20
Net Value 38.10 76.20
4 PC 59610A BLADE, SAGE, BACKUP, .12 X 1.5 X 27.1 N
Price 2.00 8.00
Net Value 2.00 8.00
4 PC 03495 STRIP, NON SLIP, 0.50W 06.0L N
Price 1.10 4.40
Net Value 1.10 4.40
4 PC 03494 STRIP, NON SLIP N
Price 1.20 4.80
Net Value 1.20 4.80
Subtotal 1,467.80
ShopSupp &Disposable 6.80
Total 1,474.60
Repair Order is Attached
Page 3 of5
VOU NO. WARRA NO.
ALLOWED 20
Tennant Sales and Service Company
IN SUM OF
P. O. Box 71414
Chicago, IL 60694 -1414
$1,474.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Member
2201 I 01- 002460 I 42- 370.00 j $1,474.60 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
Friday ;June 01, 201
ff
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/14/12 01- 002460 $1,474.60
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