The URL can be used to link to this page

Home My WebLink About218523 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 361867 Page 1 of 1 ONE CIVIC SQUARE KEYSTONE AUTOMOTIVE INDUSTRIES CHECK AMOUNT: $192.00 CARMEL, INDIANA 46032 849 WHITAKER RD.#190 PLAINFIELD IN 46168 CHECK NUMBER: 218523 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 BB931831 192 . 00 REPAIR PARTS INDIANAPOLIS, IN INVOICE # BB931831 849 WHITAKER RD SUITE 190 Invoice LOCATION 072 PLAINFIELD, IN 46168 Phone 317-268-3466 DATE 03/19/13 =:1 1=-20:21 ® Fax 317-839-0540 PAGE 1 OF 1 "m BILL TO SHIP TO 553858 FCITY OF CARMEL FIRE DEPARTMENT CITY OF CARMEL FIRE DEPARTMENT 2 CIVIC SQ 2 CIVIC SID CARMEL, IN 46032-2584 CARMEL, IN 46032-2584 317-571-2600 317-571-2600 R\ ORDER NUMBER ORDER DATE SALES REP CU R P/0 NU ER PAYMENT TERMS .... BBF07513 03/18/13 A07D/J510 599 NET;10TH PI3t7X ... .. SHIP DATE W BY CONTACT R/O NU SHIP VIA 03/19/13 190E CUSTOMER PICKUP For Questions, contact JACOB RITCHEY, 8005254639x3468, ELKHART, IN P.RODUCF!DESGREPTfQN PRICE Lf/B/{ EXTENSION QTR QTY QTY LIST ..._ QPFN S1-E€PPED 6iQ PRICE 2003 CHEVROLET TRAILBLAZER GM2502213V + 1 1 0 127.00 96.00 EA 96.00 HL MP ASM;LH;02-09 TRAILBLAZER . EXC 06-09 LT;NOTCH FOR GRILLE GM2503213V + =1 1 0 127.00 96.00 EA 96.00 HLMP ASM;RH;02-09 TRAILBLAZER EXC 06-09 LT;NOTCH FOR GRILLE + Lifetime warranty on value line product is limited to part replacement only. All payments are due in full in accordance with the payment terms stated herein. Balances not paid by the due date are subject to a late payment fee of the greater of (i) 2% per month compounded monthly (26.8% per year) or (ii) $5.00. In addition the customer is responsible for all costs of collection, including reasonable attorneys' fees and other fees incurred in the collection process. If the foregoing charges exceed the rate that may be lawfully charged, then such charges shall be calculated at the highest lawful rate. MERCHANDISE HANDLING MISC CHARGE TAX FREIGHT DEPOSIT DEPOSIT INVOICE TOTAL TOTAL AMOUNT APPLIED ............................................... ............................................... ............................................... 192.00 0.00 0.00 0.00 0.00 0.00 0.00 i i:1.i92!_W..... Received By: 30-Day Return Policy-The original sales receipt must accompany all returns. Returns without the original sales receipt will not be accepted. A part returned undamaged within 30 days of the original purchase date may be credited at management's discretion,but no credit will be given for any part returned more than 30 days after the original purchase date. Core charges are refundable if the appropriate core is returned within 30 days. No returns will be accepted after 30 days. Refund Policy- Cash Purchases returned on the same day as delivered will be refunded by your local branch. All other refunds will be processed by Keystone Automotive Industries'corporate office and sent via U.S.mail within seven(7)working days. CUSTOMER COPY 'rescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL Nn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Athom, 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)) BB931831 C4599 $192.00 I 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 Keystone Automotive Industries, Inc. IN SUM OF $ 849 Whitaker Road, Ste. 190 Indianapolis, IN 46168 $192.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I BB931831 I 42-370.00 I $192.00 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 MAR 2 2 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund