HomeMy WebLinkAbout217602 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 356429 Page 1 of 1
i `• ONE CIVIC SQUARE CRANE AMERICA SERVICES CHECK AMOUNT: $295.00
CARMEL, INDIANA 46032 88048 EXPEDITE WAY
+v o� CHICAGO IL 60695-0001 CHECK NUMBER: 217602
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 90124058 295 . 00 BUILDING REPAIRS & MA
C RA1 I. IVII RICA
Invoice
Crane America Services Inc., 2650 Roosevelt Ave., Indianapolis, IN46218
Please reference in all correspondence
__.. _ ........ ..... ............ __ ........
Invoice No 901;24058;
Bill to: 104156 Customer:No. 104"156
CITY OF CARMEL
3400 W. 131ST STREET Ship to 104156
CARMEL IN 46074 CITY OF CARMEL
3400 W. 131ST STREET
CARMEL IN 46074
USA
Your order dated: Jan 22, 2013 Date Feb 07, 2013
Your order no.: Jeff Stewart Contact Ms. Nicole Clark
Sales order no.: 2110001 Phone 317-637-8299
Tag order: Fax 317-637-8499
E-mail Nicole.Clark @craneamerica.com
We invoice you for the supply of goods/services subject to our general terms and conditions.
Remit payment: CRANE AMERICA SERVICES, 62831 Collections Center Dr, Chicago, IL 60693
Payment Terms: Within 30 days Due net
Item Material Description Qty Unit Discount% Price Total USD
10 Inspection-2013 Periodic 1 EA 295.00 295.00
2013 Annual Crane & Hoist Inspection
Service order #5125638
Value of Goods: 295.00
Non-Taxable: 295.00
Invoice Value: 295.00
Incoterms: Ex works Indianapolis
Ship via: CAS
BUYER ACKNOWLEDGES THAT BUYER RECEIVED, HAS HAD THE OPPORTUNITY TO REVIEW,AND AGREES TO THE TERMS AND
CONDITIONS SET FORTH ABOVE,AS WELL AS THOSE TERMS AND CONDITIONS OF SALE CONTAINED ON THE REVERSE.
H WO�CF
A WHOLLY OWNED SUBSIDIARY OF DEMAG CRANES&COMPONENTS
Page 1 of 1
cmAKE Avlo_�MCA
I &a 1=1 W 00 C-3 CA Isi d.
TERMS AND CONDIT8ONS OF SALE
1. PARTIES. 'Seller" re.1 -s to CRAN� AMERICA SERVICES, !NG Buyet" refers to the pl_,Chaaor Snzi'bpfLeal&,d the same as cand0lalon
eu.,,making
ct>ntiied oyl the face nerfic", and payable Lipon it,;invoice.
2 TERMS AND ACCEPTANCE OF ORDER. At services perlortned i-SeNices")af,d all orders and sales 9. LIMITED WARRANTY; DISCLAIMERS: LIMITATION OF LIABILITY AND REMEDIES. Seller
oigmas supplied by Seiler i'Goods)shall be sj6ju,,,t to these terms and conditions warrants that the Services performed by Seller are free from defects in workinareihi�,for a benod of ono
Cr frOd"date Of date a'nerfoanincP. Exclusions:Seiler ma,,es,no warrarlteswilh respect to Goods
-1., 'nly thosl�warranties provide,,,,h,�thr, -ccds�to he
ACCEPTANCE BY BUYER IS EXPRESSLY LIMITED TO THE TERMS AND CONDITIONS CONTAINED 0 ii,he erfit!ed to u :Llfa,tu e,s of, .1 G
HEREIN AND ON THE FACE HEREOF AND ANY INFORMATION OR DOCUMENTS EXPRESSLY extent sticnwarrantieti are assignable,lo Buyer, Seri,.:..h�ai p.c.i,i�al!reasonably ova-.a,!O info,nation is
INCORPORATED BY REFERENCE-SELLER HEREBY OBJECTS TO ANY CONTRARY,DIFFERENT Buyer regarding Such manufacturer warranties.
OR ADDITIONAL TERMS OR CONDITIONS THAT MAY NOW OR IN THE FUTURE APPEAR ON
BUYER'S ACKNOWLEDGMENT OR OTHER FORMS.OR ANY ALTERATIONS IN THE TERMS AND THE FOR GOtNG LN,ARRANTIES ARE EXCLUSIVE AND �'N LIEU OF ANY AND A_ OTHER
CONDITIONS OF THIS DOCUMENT,UNLESS EXPRESSLY AGREED TO IN WRITING BY SELLER.IF
BUYER HAS PREVIOUSLY MADE SELLER AN OFFER WITH RESPECT TO THE SERVICES OR WARRAN-1PS. EXPRESS OR llv!�LED, ARISING BY LAV,,' OR CUSTOM NiCt,tJOING, BUT NOT
GOODS,THIS DOCUMENT OR ANY OTHER ACKNOWLEDGMENT OR CONFIRMATION BY SELLER LIMITED T' ANY PAPL-ED Vk(ARRANTY OF MERCHAN I ABI_-,-'OR FITN=SS POK A
SHALL NOT OPERATE AS AN ACCEPTANCE OF BUYER'S OFFER, BUT RATHER SHALL BE PU R PC 3 F, AJ 0 F`lN'H 1 G H ARE HEREBY EXPRESSLY D IS CL.'11f,10,E D.
DEEMED TO BE A COUNTEROFFER.
If Seller's virris are not icl;eotable,Buyer shall irrin adialely nod"y Seiler of its ohiections ar.c Buyers ;mme6atTly upon discovery,Buyer shat ll goe Se.ief written notice of any alleged defects.Seller shail be
tol so ,y.feet antl li delivery of an ackno,.,,4adgment or 4ccepiacf; of*,ho Goods al,Jdo the given rcr ls,,able opoorilinity to inspect any alleged-,00itivis Serve es or Goons Pfilv.ded
t_he,Ser,,]dP5,whichever occurs first,s h x constitute suver's,"on'setit to the term-henuol" by Built",<'rilos the clarmpd defects,BUYER'S SOLE AND EXCLUSIVE REMEDY PURSUANT TO ANY
Any,elft,ente to Buyer,L,,6or or other conrimin,cabofl •for convertrence onivand ndt at,jnt;cr poi Fnon of CLAIM AGAINST SELLER OF ANY KIND ARISING OUT OF OR CONNECTED WITH THE SERVICES
t,,; erns thtidaof uriess ext,'rossly stated In he ftver.t o`any coll'tiv.hLY.,pen ll:sm terms se,for-i herein
Id the faire, - hereof,tho:teter shall control. AND GOODS a�ROVIDED BY SELLER.INCLUDING,BUT NOT LIMITED TO,A CLAIM IN CONTRACT,
NEGLIGENCE OR TORT(INCLUDING.STRICT LIABILITY),SHALL BE,AT SELLER'S OPTION,THE
3.QUOTATION. Prices.niely-ment te.rrns,and dates W delivery referenced in Suitors quotations or offers PROPER PERFORMANCE OF CONTRALTED SERVICES OR A CREDIT OF ALL OR A PORTION OF
"re "n1v a'd snall in b or Se e.-roles tint j�,tl Sal er has confivried
at THE PRICE PAID FOR THE SERVICES AND GOODS.
_,A t 10 nc-Fose,tnzi P,:LaL d,o Goi-Is a,old,� it)
-v of'fro r,�o 0,0, tf.r,ir.a!e it -his prim,ion o a!natsr?aI facto-in s aiji-eeri'len,to p,%Adu�oe Services and G.ws of the price
4 PRICING,RISKS AND TRANSPORTATION. 'ese-es taken ite e, g Scher into n se,IF,-herewith p,-r��d the b
or S;-f,;.,es s d 'I:is quota!"Xi or t ipfieo!anj "o",r.del"o"yof II
Coods or c NOTWTHS!TANDING ANYTHING CONTAINED HEREIN'10 THE CONTRARY, SELLER WILL NO
UNDER ANY CIRCUMSTANCES BE LIABLE FOR ANY INDIRECT. INCIDENTAL, SPECIAL OR
Tne Good,s all be sii P 0.8 Seller s plan,,Ur'•,s cx fss.y stated;n unces QUO u2'.�lltnol CONSEQUENTIAL DAMAGES!INCLUDING,BUT 140T LIMITED TO LOSS OF PROFITS,REVENUE
it ,.r de a-to avu.[onai"Osts,including but not irriltod to,carnage anc dish-ri txasls insurance,:axes, OR BUSINESS) ATTORNEYS FEES, OR CLAIMS ARISING OUf OF THIRD PARTY ACTIONS,
P' REGARDLESS 6F WHETHER SUCH THIRD PARTY ACTIONS,OR ANY OTHER CLAIMS.LOSSES.
sind costs eissocialad vah the importaboniexportatiDn of the Goods,which are itift store resoone;ibilily slid
f,nso or P-ve, in Ilhe e,ent It So Pssfy assumes an', costs assoc,a.led,itih the 14 OR DAMAGES.WERE REASONABLY FORESEEABLE TO BUYER OR SELLER,RESULTING FROM
lcr very.
e of any nurr�L�,ajom OR IN ANY WAY RELATED TO SELLER'S PROVIDING THE SERVICES OR GOODS,WHETHER FOR
I�Cl"i5o '_so ccs,� tne borne by Buyer Re.ganAess of whothe, sts"Urnes a,,��� tile INJURIES TO PERSON,PROPERLY OTHERWISE
costs,a�l risk of damage-loss or the h"', be bl-IfTfie i","3,ly&.F %SD LABOR&SITE SERVICES. it!the event that Seller has been engaged to Provide labor or other
? Pr shalt notil").Seller if,,compleie tietail as to shoining and deliver,dates and,)Ia-.eF Shcuid Bliyef s services such as installation,start-up I tions and or repairs to existing egjipment at the request of
Ins el.
a
N
rsit�cl,on,be deLnitu en,t Se.e-Sh.Z,tl haVE Ine F�In'to clitsignatc, lh�-rnethod And folite of tne Bt�,nidihll:r shaft be given tree an access at the vimi-kve to most a cienfly complete reoui,ed
week rt i
,itilt, freight srr to insure atBuversexpe�lse*f?an insure irseleided bySeiIar,1mif;P armi site Buyer's designated work site.Buyer&a pm,ido suitable Power supply for 0-4amn
I -,s[ed I
Ciocds�o ship.Pa�,. o',,�;��may,at is eiscilo,,, J�di,er the Goo,ls it )n.of',,ore insts0d,ents.All and confine 0�the act in,ient i Seller has b en toque oservice,Nowarranty sfiaii-ist when a
,lm irlFtallmem",shelf d,_ ly o,ced alto p,,,:d far when due egitIrd to malfuncli.,z,occurs to p ere of equipirstitwhere cause I, sl�ecf�cscone anor
delrverrps service Ll r:parrs proposed or odov:diild Buyer sf novf,no tith:of Warranty lot episir of malfunctions
o1sco.ortcl rpon operation o:tuli.pirnoi-subsequent to an inspection service
1,L"oods t-a'a- Can.,fc,s prrterif Pre to be iteot naci,on nsiruftnzis of3ger,or I �ooi be
i s,omc-t car ,
f�,�Yod Seller's oonr.the',',00d�vwfl,be siorcd'at Livcr a expense1 risk at 11. NOWSOLICITATION, Buyer aprefes that dt,rlg Ciane Anlenc,3 Serv:--KI's iterron-anct,of wort,
"Cos no,rlavc rle'efe��isary storade spacx,ai_11,olant Seller is niltlied mfere,cfiol and to,a oe,osl of one I I t Year thereafter Buyer sha:nc:d;rrfay nr indirectly sclicit ew cis
1 1 sqlll' fi.se.,s of Bu re ox,. -s approadf,,offer entiploym.r.'ril to,o F,,,61oy if,any capacg',any t3inpioyee of C�ar,�.Amo,:ca
ass: •t I in any -vay;,qh Clans Arriter.ca Scr,nc��',,net orm,;, e of the"',k fit Ii,,qucilltm,
5 TERMS OF PAYMENI. rs for a Services pe-Iorned o,
purpose paragaph the tor.,li "employee" mecins iny individUai ac.,.volv err 'r o" ("ar�-,
erjr,a at ene time of Grder is Icceoted and assoc.ated in rhtj wi,-., win Crane'A,-a,r,ca
n'-s of a�,,��. V-11 �'iil:ois of il,f,c oaie Pavinent is to be madis in the specified - . -ormance of the vmd<qilersinced'herein The tlerrnv�.I I this caragnp!ishat I be hN ouip o,:,,e
x1n,all asloclLuO'l 2,v,k c to ur-oav�,dy Suy-tr 66ye's obligoLO i to Pay does not cease -erv,,e s per,
buyer,its,,:rants,subsidiaries affiliates,successors arid
I ht:611 0, 1 is at the free disposal o. Sdle,at trt�spec red
any a au is s, "d%lding, bit not lm:f-d I,,, S 1 r 1 erd
";F,I')r �t,�os al,� .rd or for any'illeol-u o tmages or cifT. 12.SECURiTY INTEREST. UnIcLis��d until lhz, �v-t Ser,�;es are it ioe 1ye i
I uij�,,�iid hot ir-t
grants S,64 t a security interest t, �ne Good z Jno Flo as otr��
writ'l-oy Sp IF, I filis event
s Ti� of Boyer to Seiler howsver arising. Buy e: awr"�,zti", Sci,or It, '0 ecessl� o,:V��i
3 iot,,!� f 01ol due Seller may,af its option,d6if staternii"'s and other similar Cccu,e,1tz,req*6,red zo pede,"t�he secunry flter,Sl s"3dt lro
�n i t
or the got,prior to hiat,ing an sin: " ls�k
c IISNU16 lo, I irrevocninly grants Belief a pcN,,,r of attorney to exeduf�at,,., of Bive,
I F as�&�sed. theretc,
rnld i i,,j S, in a "'t eql, o o greater ttan Sellers fxas.of born vir,i,'()env
of tl hN not l� st,c 13.INDEMNIFICATION BY BUYER� Bin,or shF.; don �v rold harl":, 'It"I 11 on'e,
teime of this sinreernno! Ptivrne'll w,
er n yea Wert ccll�ction of oti�,,tdue ac of 1',�v Ile
'jrectofs a
3 `,olio, di tend Seller,its office's,c gent;,or eh.1.L,;cyes,agai"st no
I Settle,'s a:", 'i. eital �,ls�ce.aled L:1 L;",t lobs,
ye,including attorneys t.ein;.arising out of anypfirf,37,al irp.ry ct dealt or dar,'soe tc n,lo,s
sre„e,Fu,�,,f B%�j i
.11 Ccstd.:;tod of prooerho arising- of.coninricteo wan or incicerldal'o Boyers piovisior of Go is or
6,DELIVERY.DELAY owe of oc c s')-y all 1,pr-jrlets too Se?v,cas n�,dfulni 10 by Seiler,I wherho,L's not said cta�Is or tic.,r-s ain), ':uiaed
opoq ncqIgenL:(.t or alieliad nfig;igfince of Be�: aroi,�ded ilowe,p, I, ......sr",,ll"i";,p,
s oxl)u?S��y �O n,'! bi, While 0o,".0 "T'I-)',k, P� Wrielf,
6, tor, ',d,a ��fliury ID ctl.11h ol I)r'Sont'S or dam,,,._�o at loss of destraction of'��opoftly by me
datc il��Iho:'not a in,cel?is, it ma �gureor,,.! v �Gb, 'r i�eriofn z, .11
3,,eent betrolt-,��it cr's 17 ZIS 1,it"Cont-st-A,-,s'reasonable conrol, nci,�,ng h,,' I oIo �Ictl; ogligenceof See: ;,
imi;ewe fires, rug stnKes, labo ::s uses fteial-i rinithargoes, Iran suorl')ti-, l 14.DEFAULT. if Buyer actfaulls Ill pf�rforming any pills obligarcris to Seller Linder thts agreemoll.,or a ,
rioile of lbo, lraC::i!y to Stt�Ajre fuel. mater:ais, s-loplies, equipment. or powe, 01111E�-,ag-emeres Belief may,at Its option and wunout incurring any liability Ill-,ab,eliic�to cancel tr,s
Sllilalqels tier eo, C, lidloZZ,exPorl or!lanstl susponsons or'e6tpotiorl" -cel any or i:.other agreonnen 1 v -aal avo
stir nerA andior to ca is will �4;ry ir,end pursue all available F
Cc of ,I a' also aved:f&tver fads to tmeiy be,lorn, �,s obiqlat o i�, it t�,�
oq,,L,,No routedics,
0�if BuLre, to subn_�,or late,mocifie" tormawor.nacess.ary for lite h�hrr ifn,'. vi� ,,,I I)f,
Be n of Goods�-pufo:wa-,c,i of
�n" "pry a 0, D 15. INSOLVENCY. Buyer shall insolvent or cease business of be the subect of any
grr cri de ,or r to cance!I nu in mages d i raptly ae init.re,(�fly I it,:n Lila b 1 e to
R, u,' hteol,i,�!E-d proccr_r�,j�,under to cankruDicy nsoh,emy or reorWinizatm,statue or such act shall,at the:
de-1,e - -
t,_tart V_smrxng-in
G"
a lro,r
v n dolr,,,a it S,'.�r conser,�s n.,it ,vP a p-ly
f,
S e c l, -,"y "a ami raven itfife t,ig di,,c .'oler
l:!f,a'e the igr� �s LO 3,;yer as If o GondF, !,,-,cn r uic*
16.GOV� KING LAW JURISDI:�t�,'%N A., iw or 0, 1�,llu.� ;0, �Q
lat l>i "."th ofigir'n i� Buye, leq��Ilstq a delay :,L a"A"),
�als c x;�,sn,&re, -e S
iii�luued in,,,,a contract tiqo Sei;L,cor.sttms there'd t writing,Biiyii!shall pay for erecuor)co��a if, b t lal�,� it oto of nc_,,jm_A.r:;de 2 1
.a.
d eb r,Ohio t�evi�ed God,Cria.dlar 13C2 taga,diess ofme laws the*
Ile and any iddhicia:CCS'Mitultln(i froo,the det Y fill
u�de,ouncipil-L; onfncls at iffw.Any act on arising from or related to In s contract
7 INSPECTION OF GOODS. st'al: of Bijer shall instruct its ageru or rc o,enl of the Goods,to toe sa e et Pods snail bemSt.toted and itgared;r,any federal or state court located ir.Moragirrineiry
A�'cl,irls for County, 0�The patties hereby lnevocatTv cd lsc,'[to Ins,!jf:St.;_I;on Of file Courts of f.40-otgorl
.E,spect the Goods prnt,;,� Un raceipt irdlor of apm�cable',vork cy Sellitt CoUriv,
(, ofl
ak�<,xj�j:,:4H!s it):her 'c'viC,),i nc�,�jlhnq Weir failure;,_,sontrorm to Itie wrirrar-tr it,
'11a 17.NOTICES.Any required noticc�z sha:!be delivered by narld 0�Sent by L o,ttie,,tacsimile,express m.4
au"en-ent,sun ec�I', o i-EIM".Inu fight of leiect Oil or te-cadon of acy�pla,wi�tire.
if the Go,os !ails If, Seller noi:�.�.�,any clan, let,
"i-ed'f;ail Buyer'it,aqc"'. 111-It-'t L. o for its eq�jwaarlt),_or carded or raQisterod mail at the provided on the face
oo)riae,fi noo-'of I'll", be red e active on the eaf ier cif Five(5)his,ness days after having beer.sent or the,
nf'he Goods at Ser,:��f,or(b;Buyf�r its acem ci recipolil neroof,and shall -di6e,
. done any 0:1,1er act wlin reicc-on 6F revocation of
O'the ocd�.ni'i:i 1-.0"Y"t !rloas 0- date of ac u2:receipt Either party change address for notice-by giving written not.ce to the other
"CCopUinco [L1,,coot f,�! m"Isr"..'able tests and ln��lte cua,tt%e�t, Ali cla;,ni,' ,halscever hy Buyer pan,oft change ar free t.n durl i'xj da"nis of�ninri��gesl,irt.coptiru Liniv 1--der 0"a'To,ty r:,ov son of th's
11; t tie., wii'm solo ten (1 day plen",-t sac h,part,Ili L)orfo,wa,tcP. Titers r no o,
18.MISCELLANEOUS.These to-isond condik,cir,'�ei for ha entire undartit,+iding and agreerriLn! f
r acceptarce.Roje�ction ma,only be.tor c,ects suos�awt.alfv inevakle of G�ods c)I
err;es ano the Buyers slof,and exa.usive rernen-�to-lesser detects shot!be,tibse provided cf o�,der the part es m respect of lite subject rt,;�,Iter lip, _f,No provisions shall be waived,nha.gd,le-�tnatod.of
it, resc,,_,dod.,except by a writir.0 signisi by this party to be chafticd o%i any such waiver,charge,terarinatior
o arratruy provision,)''hi,agfeemer.t, or rescis sion No waiver ofany breach of any pri5viston of this ioreement shiaP coriststute ii wah✓er of any
8,CANCELLATIONICHANGES. B5hitir iriav not escinin this agreennent.c- ,har,ge or canoc:ar.order, similar or d ssire'llar pio,:sjorl prior to subsequent breach or shi7",
of constitute an airientiment or modification
by Belie. ,this Fqr�_,ernenl.11 any provs oi of this agreement siall be herd to be uncrfo,,cab e or maptificable
u.jns�jy aC-as,-,u,vi wrhin,j if makes a wnthm dquesZ of canceilat,,�l on the
such ho i,,�snai not the eno,,cabifi of titl;o'her olo,Lsion of vi is acteatnent.No contract for the
lire oi(jt,-.or"in"Pod,,,, foreof,alE�j Sellor ilorez�i if)Writing�u sild, ic, Buyer qlhz�1 J-1 fic 1�1 y
purchasat,.o Gnarls F, in Sister h-tre ponormten6c of by Sellet'ritay no, as"! nod Is'B�
"-spunsibie or pay-ne"t to Seter of il)e following cf
an�ci:adon chtl�ges (I)irfjln�,ursement a'j; Wilk g'e"nent nthe - lig
oboe expenses(Ihcludirl,)ovemead cosis zilrluZuIaLe to direct ex;ierise)inclnec or committed it,by the �ctjl�hsf vnor written consent of Seller.!he provisions of jik�a rwl.,e shia oind and.L.rc
d -
date.Caf-ce,xii nsounst:s received,fit!Seller's arilicipated profit on the entire enoer or cancelled portion to ne benefit of the parjes heinelf-i add their respect've heirs.exemutors,a mmistratafs,successors end
assigns-�.Ierilcf iri)ariv and ail"Icidental 3.66 cortsequept:4 damagel;, and fir)I-a cancellaliort request is
,v-,d� tance,a nr.tiir�,um cancellation marf
11010 than th,rw days alli date or c,oe accrip le e,f 25% 19.EXPORT CONTROL APPROVAL(Export Approval). Crar,c America Seances,Inc,retains the rohl:
thee ,,rice or pc.or tilcrow For ltUrposesof ti,s Pi
to void ,,j vAll veld Rny drjer It it t,,arras of inn,ryntiLon rncicfiting that the Y :ate da;q o-d-ed are c-bu
delii,tarf3i.1-91y COLIntly that is subject to export or stiles lnohib.lions of eithar.riF unitkid Stale&Gcrma5y
or dhe Lk;ioi Union.
Revised May 2009
VOUCHER NO. WARRANT NO.
Crane America Services ALLOWED 20
IN SUM OF $
88048 Expedite Way
Chicago, IL 60695-0001
$295.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
i
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 90124058 I 43-501.001 $295.00 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
° Thur y, F#ary 21, 2013
qcllf�L
S > r t " i I ione�r
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))
02/07/13 90124058 $295.00
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