HomeMy WebLinkAbout214451 11/07/2012 „f CITY OF CARMEL, INDIANA VENDOR: 360189 Page 1 of 1
ONE CIVIC SQUARE UNITED RENTALS TRENCH SAFETY CHECK AMOUNT: $172.00
CARMEL, INDIANA 46032 1725 WALES AVENUE
INDIANAPOLIS IN 46218 CHECK NUMBER: 214451
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 106494495 172 . 00 OTHER EXPENSES
United Rentals �725WAOLES AVENUE EQUIPMENT SALE
INDIANAPOLIS, IN 46218 AGREEMENT/INVOICE
800-UR-RENTS(800-877-3687) 317-375-1483 317-375-1484 FAX
unitedrentals.com # 106494495-001
Customer Number 1299042
Invoice Date 10/18/12 1:59 PM
4j CITY OF CARMEL WATER DEPT
''A 3450 W 131ST ST
ril CARMEL, IN 46074-8267 Job Location: 3450 W 131ST ST, CARMEL
.Q Job Number 1
O P.O. Number VERBAL
1-31 Office: 317-733-2855 Cell : 317-733-2855 Ordered By GREG HOLLANDER
Written By URG44SF
7.1.2291 1 W1B 0.404 14101S11.p11 1 of 1 400 Salesperson 8318
IIIIII'llllllll'III'II�IIII'II'II"II'I'IIIIIIIIIIIIIIJIIIII��II $184.04 Payment due upon receipt of invoice
CITY OF CARMEL WATER DEPT PAYMENT OPTIONS: Check(Mail)-Check(Fax)-Credit Card(Phone)
BILLING INQUIRIES: Ph#877-509-2400 Fx#763-509-2450
3450 W 131ST ST
CARMEL IN 46074-8267 REMIT TO: UNITED RENTALS(NORTH AMERICA),INC.
02291 PO BOX 100711
ATLANTA.GA 30384-0711
Please detach and return top portion with payment
Qty Equipment # Price Amount
13306902 CC: 330-6902 152.00 152.00
_
SLING 3/8" X 4'
DELIVERY CHARGE 20.00
Sub-total: 172.00
Tax:
Total: 1-9 6
TO SCHEDULE EQUIPMENT FOR PICKUP, CALL 800-UR-RENTS (800-877-3687)
WE ARE AVAILABLE 24/7 TO SUPPLY YOU WITH A CONFIRMATION #
IN ORDER TO CLOSE THIS CONTRACT
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* DELIVERY ACKNOWLEDGEMENT
* *
* *
* Received By Date:
* Signature
* *
* *
* *
* Printed Name
* *
* *
* Delivered By: Date:
* Signature
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�J L'
READ BEFORE SIGNING:
(1) BY SIGNING THIS EQUIPMENT SALE AGREEMENT/INVOICE, CUSTOMER AGREES TO ALL TERMS AND CONDITIONS ON THE FRONT AND BACK OF THIS
AGREEMENT(2)ACKNOWLEDGES RECEIPT OF THE EQUIPMENT IN GOOD WORKING ORDER, AND (3) IS FULLY FAMILIAR WITH THE OPERATION AND USE
OF THE EQUIPMENT.
x
CUSTOMER SIGNATURE DATE CUSTOMER NAME PRINTED UNITED RENTALS REPRESENTATIVE/DELIVERED BY DATE
A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST. Page: 1
VOUCHER # 122568 WARRANT # ALLOWED
360189 IN SUM OF $
UNITED RENTALS TRENCH SAFETY
1725 WALES AVE
INDIANAPOLIS, IN 46218 }
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
106494495 01-6200-06 $172.00
Voucher Total $172.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
360189
UNITED RENTALS TRENCH SAFETY Purchase Order No:
1725 WALES AVE Terms
INDIANAPOLIS, IN 46218 Due Date 10/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201: 106494495 $172.00
I hereby certify that the attached invoice(s), or bill(s) is(are) true and
-orrect and I have audited same in accordance wiitro,h, IC 5-11-10-1.6
Date Officer