218104 03/13/2013 CITY OF CARMEL INDIANA VENDOR: 364239 Page 1 of 1
f ONE CIVIC SQUARE INDY TRUCK SALES
CARMEL, INDIANA 46032 PO BOX 51077 CHECK AMOUNT: $185.76
INDIANAPOLIS IN 46251 CHECK NUMBER: 218104
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 785277 185 . 76 REPAIR PARTS
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Nny
P.O. Box 51077, Indianapolis, IN 46251
Phone: 317-787-0200
Toll Free: 800-783-6869
INTERNATIONAL
ID
RETURN POLICY
I ALL RETURNED ITEMS MUST BE RECEIVED WITHIN 30 DAYS. BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE.
THERE WILL BE A 10% HANDLING CHARGE ON ALL RETURNED PARTS.WE ARE NOT ALLOWED TO ACCEPT RETURNS ON
ELECTRICAL ORiSPECIAL ORDER ITEMS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER ITEMS.
DATE ENTERED YOUR ORDER NO. :DATE SHIPPED INVOICE DATE INVOICE
04 MAR, 13 BOB V. 04 MAR 13 04 MAR 13 NUMBER 785277 09 : 10
P : ' ACCOUNT NO. 1427 H PAGE 1 OF 1
L I
CITY OF CARMEL FIRE DEPT P
IT 21CIVIC SQUARE T
CARMEL, IN 46032
' I
SHIP VIA ` SLSM. B/L N0. TERMS F.O.B. POINT
f
ILL CALL : _, 9010 CHARGE INDIANAPOLIS, IN
PART N0, DESCRIPTION LIST NET AMOUNT
0 ZBL8605688 404FKIT, ENGI 139 . 32 92 . 88 185 . 76
OPEN 24 HOURS
MONDAY - FRIDAY
i SATURDAY
UNTIL 3:00 PM
f - WRECKER
o .l TOWING
i
BODY SHOP
FAB SHOP
TRUCK
` LEASING/RENTAL
ALL CORE ,BEING RETURNED MUST BE "Xa�
IKE KIND ;FOR LIKE KIND! *. 185 . 76 !(�
;IJRI FT
!' NO CASH REFUNDS GIVEN FREIGHT 0 . 00
REFUND CHECK WILL BE MAILED SALES TAX 0 . 00
r. CUSTOMER'S SIGNATURE
X
TOT 185 . 76
I;
DISCLAIMERS OF WARRANTIES
Any warranties on the product sold hereby are those made by the manufacturer. The seller hereby expressly disclaims all warranties, either express or implied, including
any implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in
connection with the'sale'of said products.
"� CUSTOMER COPY
VOUCHER NO. WARRANT NO,
ALLOWED 20
Indy Truck Sales
IN SUM OF $
P.O. Box 4-2:rM 51077
Indianapolis, IN 4ft242 yes/
$185.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
1120 I 785277 I 42-370.00 I $185.76 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
MAR 112013
Fire Chief
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))
785277 Car 4541,4562 $185.76
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