214258 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 051000 Page 1 of 1
ONE CIVIC SQUARE CARMEL WELDING&SUPP INC CHECK AMOUNT: $182.43
CARMEL, INDIANA 46032 550 S.RANGELINE RD
CARMEL IN 46032 CHECK NUMBER: 214258
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 338418 15 . 58 REPAIR PARTS
2201 4237000 339140 27 . 29 REPAIR PARTS
2201 4237000 339270 91. 14 REPAIR PARTS
2201 4237000 339360 48 .42 REPAIR PARTS
CARMEL WELDING AND SUPPLY
550 South Rangeline Road
Carmel, Indiana 46032
317-846-3493 www. CarmelWelding. com
CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET
CARMEL, INDIANA 46074
DATE ACCT PG
10/31/12 ; 3017 '1
TERMS: NET DUE 10TH OF MONTH FOLLOWING INV. D
A SERVICE CHARGE OF 1 3/4% PER MONTH TO BE ADDED
TO ACCOUNTS PAST DUE.
TOTAL DUE LAST STATEMENT 215.89
THIS STATEMENT REFLECTS CREDITS AND CHARGES MADE THROUGH THE STATEMENT DATE.
DATE I INV I DESCRIPTION AMOUNT FUTURE I CURRENT JPRST R+ JPRST 60+ JPRST 90+
0/02/12 1338418 PURE 15.58 v- 15.58
0/17/12 1032280 PAYMENT 213403 215.89CR
0/22/12 339140 PURCHASE 27.29 27.29 I
0/26/12 339270 PURCHASE 91.14' 91.14
0/30/12 1339360 PURCHASE 48.42 i 48.42
I � i
1
I
I I
082.43 ACCOUNT FUTURE CURRENT PAST 30+ PAST 60+ PAST 90+
TOTALS 0.08 1 182.43 I 0.19 I 0.0 0.00
BALANCE DUE 182.43 PAY THIS AMOUNT I
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ith-in-Lending Act requires prompt correction cf billing mistakes.
to preserve your rights under the Act here's whah 1hfjnk[yggHqta�Vm�p¢��� �
you need more information about an item on your ntatdb06�3' T3�C1
write on the statement. On aaoparate sheet of paper vMi6�,' rr�a`->1644�ho �
but doing so will not preserve your rights under this law) the following:
jr name, and account number (it any).
1oeoriptinn of the error and an explanation (to the extent you can explain) why you
:eve it is an error. It you only need more informahon, explain the item you are not sure
)ut, and if you winh, ankfor'evidenoe of the charge such as u copy of the charge slip.
not�o'iNny(%'r q ofaoa|eae|iporn1herdooun�ent'un|euoyoUhava'a"dUo|ica1� `
��TAO VNl GNIWO ] O� HTN�M ��O AT01 �����
`y for your neonn1s. ^ '
~ �� OT HT�OM ��� � \C 1 qO �3RAH] �JIV��E A
� doUaromoun1ofdh� U�� onnr
~~~r~'' 3TN]nJ3A
other information (such as your address) which you think will help us to idonhfyyou
he reason for your complaint or inquiry. Bs ��'/
,our billing error notice tnthe address on yourotatamert.whioh is UVted aftorthe words:
Land&WdNoaOMiWilit atP�JWIae you can,.but in any case eadyanou to- `reach us
.���"{ ' r '']3AH]RU4 6}4SCC S1\S0\0�
30 days after the statement vvaa mm/�t�Un you.
� S8\ 0�
creditor must acknowledge in whhqg ap letters, poi i
eipt, unless we are able to correct ��tatemantduhn%that 30 days. With S8��!
in8 your letter, we must either onnemtUo error orexp|ai i hking why we
van correct. Once we have explained the statement, we have nn further obligation to
)ough you a1iU believe there is an erro,, except as provided in paragraph 5 below.
u/o been notified, neither we nor an attorney nor ocollection agency may send you
sttora or take other collection action with the respect to the amount in dispute; but
itementa may be sent toyou, and the disputed amount can be applied against your
You cannot be threatened with damage to your credit rating or sued for the amount in
or can the disputed amount be reported to acnadit bureau or to other creditors as
until we have answered your inquiry. Hovvever, you remain obligated to pay the parts
ement not in dispute.
mined that we have made a mistake on your statement and if it is our policy to assess .
ogeofor late payments, you will not have to pay finance charges on any disputed
t turns out that we have not made on error, you may have ho pay such finance charges
untin dispute, and you will have to make up any missed minimum or required payments
uted amount. Unless you have agreed that your statement was correct, we must send
,n notification of what you owe; and if it is determined that we did make a mistake in
lioputed emount, you must be given the time to pay which you normally are given to
ited amounts before any more finance charges or late payment charges can be charged
nation does not satisfy you and you notify us in writing within 10 days after you receive
iat|nn that you ah|| refuse to pay the disputed amount, we may report youtV the credit
d other creditors and may pursue regular collection procedures. But we must tell them
not think you owe the monoy, and we must let you know towhom such reports were
o the matter has been ae#|od between you and ouroe|ves, we must notify those to
aported you aa delinquent nf the subsequent resolution.
`t follow these ,u|eo, we are not allowed to oo||nut the first $50 of a disputed amoun{,
statEft6mtturnW0o&t to be0b6irn*ct. Z-,4-3381 00A Cf,."'8�
10/22/12 339140
TIME CARMEL WELDING AND SUPPLY P/0 NUMBER
14 : 51 : 30 550 South Rangeline Road
SALESMAN Carmel , Indiana 46032 WORK ORDER
004/004 317-846-3493 www. CarmelWelding . com
1 1 of 1
Terminal 12
(317) 733-2001 (317) 733-2001
BILL TO ACCOUNTo 3017 SHIP TO ACCOUNT* 3017
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL, INDIANA 46074 CARMEL, INDIANA 46074
Tax Exemption # : 003120155002
WWW.CARMELWELDING.COM-----Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or' special orders
ORD SHIP B 0 ixe PART NUMBER DESCRIPTION LIST NET AMOUNT
1 1 STI33RSC-72 CHAIN 20IN RSC 3-8P 27 . 29 27 .29
SUPERCEDES 33RS72
SUB TOTAL - - - - > 27 . 29
CHARGE SALE MISC. - - - - - - - - > 0 . 00
LABOR - - - - - - - - > 0 . 00
TAX 7 . 000 - - - > 0 . 00
Signature INVOICE TOTAL-> 27 . 29
DATE _INVOICE I
10/02/12 338418
TIME CARMEL WELDING AND SUPPLY
9 : 40 : 52 550 South Rangeline Road
SALESMAN Carmel, Indiana 46032 WORK ORDER
015/015 317-846-3493 www. Carmelwelding. com
STOR PAGE
1 1 of 1
Terminal 12
(317) 733-2001 (317) 733 -2001
BILL TO ACCOUNT: 3017 SHIP TO ACCOUNT: 3017
CARMEL. STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL, INDIANA 46074 CARMEL, INDIANA 46074
Tax Exemption # : 003120155002
WWW.CARMELWELDING.COM-----Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD ISHIP1 B O INE PART NUMBER DESCRIPTION LIST NET AMOUNT
1 1 KAW11013-7031 ELEMENT AIR FILTER 11. 69 11. 69
1 1 KAW11013-7025 ELEMENT AIR FILTER 3 . 89 3 .89
SUB TOTAL - - - -> 15 . 58
CHARGE SALE MISC. - - - - - - - -> 0 . 00
LABOR - - - - - - - -> 0 . 00
TAX 7 . 000 - - -> 0 . 00
Signature :' INVOICE TOTAL-> 15 . 58
TE INVOICE
10/26/12 339270
TIME CARMEL WELDING AND SUPPLY P/0 NUMBER
11 : 12 : 52 550 South Rangeline Road
SALESMAN Carmel , Indiana 46032 WORK ORDER
004/004 317-846-3493 www. CarmelWelding. com
STORE
1 1 of 1
Terminal 12
(317) 733 -2001 (317) 733-2001
BILL TO ACCOUNT: 3017 SHIP TO ACCOUNT& 3017
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL, INDIANA 46074 CARMEL, INDIANA 46074
Tax Exemption # : 003120155002
WWW.CARMELWELDING.COM-----Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or' special orders
ORD I SHIP I B O kINEI PART NUMBER I DESCRIPTION LIST NET AMOUNT
6 6 TOR105-7718-03 BLADE HI FLOW 26 . 51 159.06
-6 -6 ROT6833 DIXIE CHOPPER BLADE 2 22 .64 11. 32 67 . 92CR
SUB TOTAL - - - -> 91 . 14
CHARGE SALE MISC . -- - - - - - - > 0 . 00
LABOR - - - - - - - -> 0 . 00
TAX 7 . 000 - - -> 0 . 00
Signature INVOICE TOTAL-> 91 . 14
DATE INVOICE
10/30/12 339360
TIME CARMEL WELDING AND SUPPLY PZQ N I
10 : 40 : 48 550 South Rangeline Road
SALESMAN Carmel , Indiana 46032 WORK ORDER
007/007 317-846-3493 www. CarinelWelding. com
1 1 of 1
Terminal 16
7 -
BILL TO ACCOUNTo 3017 SHIP TO ACCOUNT& 3017
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
CARMEL, INDIANA 46074 CARMEL, INDIANA 46074
Tax Exemption #i 003120155002
WWW.CARMELWELDING.COM-----Plese keep receipt
for parts returns within 30 days. 20% restocking SHIPPED VIA: CUSTOMER PICKUP
charge. No return on electrical or special orders
ORD I SHIP B O kINEI PART NUMBER I DESCRIPTION LIST NET AMOUNT
1 1 STI41121-713-41.00 BRUSH KNIFE 32 . 95 32 . 95
1 1 STI4130-713-1600 WASHER 4 .49 4 .49
1 1 STI4126-713-3100 BOLT COVER 7 .49 7 .49
1 1 STI4126-642-7600 NUT 3 .49 3 .49
SUB TOTAL - - - -> 48 . 42
CHARGE SALE MISC . - - - - - - - -> 0 . 00
LABOR - - - - - - - -> 0 . 00
TAX 7 . 000 - - - > 0 . 00
Signature z` l-� C c' INVOICE TOTAL-> 48 . 42
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))
10/02/12 338418 $15.58
10/22/12 339140 $27.29
10/26/12 339270 $91.14
10/30/12 339360 $48.42
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 NO.
ALLOWED 20
Carmel Welding and Supply
IN SUM OF $
550 S. Rangeline Road
Carmel, In 46302
$182.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
9)01
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 338418 42-370.00 $15.58 1 hereby certify that the attached invoice(s), or
2201 339140 42-370.00 $27.29 bill(s) is (are) true and correct and that the
2201 339270 42-370.00 $91.14
2201 339360 42-370.00
materials or services itemized thereon for
$48.42
which charge is made were ordered and
received except
Fr day, N�ember 02 12012
Street Commissioner
Street Cnmmicclnn�r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund