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220148 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 366510 Page 1 of 1 ` ONE CIVIC SQUARE FLEETPRIDE CARMEL, INDIANA 46032 P 0 BOX 281811 CHECK AMOUNT: $304.38 ATLANTA GA 30384-1811 CHECK NUMBER: 220148 CHECK DATE: 5/21/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 54057684 221 .43 REPAIR PARTS 2201 4237000 54086025 82 . 89 REPAIR PARTS 2201 4237000 54116750 -84 . 00 REPAIR PARTS 2201 4237000 54126693 84 . 06 REPAIR PARTS FlaztPrido® INVOICE PAYABLE AT: INVOICE FLEETPRIDE TRUCK& TRAILER PARTS 54126693 P.O. BOX 281811 ATLANTA GA 30384-1811 WWW.FLEETPRIDE.COM INDIANAPOLIS IN 1140 S WEST ST (317) 632-4487 STORE NO. SHIP LOC. INVOICE TYPE INVOICE DATE INVOICE NUMBER 352 IND CHARGE SALE 1 05/13/13 54126693 SOLD TO CARMEL STREET DEPT. SHIP TO CARMEL STREET DEPT. 3400 W 131ST ST CARMEL IN 46074-8267 3400 W 131ST ST (317)-733-2001 WESTFIELD IN 46074-8267 CHECK NO. SHIPPER NAME ORIG. INVOICE NO. FREIGHT BILL OF LADING TERMS PP & ADD DELIVERED NET 30 PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY CUST.NO. SALESMAN 302461 354 UANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT ORD. SHIPPED CODE *NOTE* AUTO BO TICKET 1 1 2700 R803049 AY-ASA 1.50-28 (EA) 84.06 84.06 Parts & Service: $*******84.06 Freight: Taxes: FLEETPRIDE Phone: 361-883-4358 INVOICE TOTAL $*******84.06 P.O. BOX 9156 CORPUS CHRISTI TX 78469 Fax: 361-883-3323 F1eetPride makes NO WARRANTY OF MERCHANTABILITY with respect to any goods sold. There are no warranties which extend beyond the description of any goods sold on the invoice describing them. It is expressly agreed that Applicant s sole remedy for breach of any warranty with respect to goods or work is limited to the money actually received by FLEETPRIDE for the goods or work; the remedy of consequential damages is expressly excluded. It is agreed that payment of the cash price is due within the terms stated above. A SERVICE CHARGE OF 1.5% per month (18% PER ANNUM) shall be due upon the amount of any charge which has not been paid when due. PLEASE PAY FROM THIS INVOICE. CORES MUST BE RETURNED WITHIN 60 DAYS TO BE ELIGIBLE FOR CREDIT. 348 IND FINALEDIT NTHOMAS2 05/13/13 15.44.24 All Claims and returned goods MUST be accompanied by this bill. Page 1 Of 1 RECEIVED BY FlostPride® INVOICE PAYABLE AT: INVOICE FLEETPRIDE O TRUCK& TRAILER PARTS 54116750 P.L. Box 281811 ATLANTA GA 30384-1811 WWW.FLEETPRIDE.COM INDIANAPOLIS IN 1140 S WEST ST (317) 632-4487 STORE NO. SHIP LOC. INVOICE TYPE INVOICE DATE INVOICE NUMBER 352 IND CREDIT MEMO---21 05/11/13 54116750 SOLD TO CARMEL STREET DEPT. SHIP TOCARMEL STREET DEPT. 3400 W 131ST ST CARMEL IN 46074-8267 3400 W 131ST ST (317)-733-2001 WESTFIELD IN 46074-8267 CHECK NO. SHIPPER NAME ORIG. INVOICE N0. FREIGHT BILL OF LADING TERMS DELIVERED NET 30 PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY CUST.NO. SALESMAN RET 243008 302461 356 UANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT ORD. SHIPPED CODE 4- 4- 915 C4515Q CORE MERITOR 16.5X7 (EA) 21.00 84.00- Parts & Service: $*******84.00- Freight: $*********.00 Taxes: $*********.00 FLEETPRIDE Phone: 361-883-4358 INVOICE TOTAL $*******84.00- P.O. BOX 9156 CORPUS CHRISTI TX 78469 Fax: 361-883-3323 F1eetPride makes NO WARRANTY OF MERCHANTABILITY with respect to any goods sold. There are no warranties which extend beyond the description of any goods sold on the invoice describing them. It is expressly agreed that Applicant s sole remedy for breach of any warranty with respect to goods or work is limited to the money actually received by FLEETPRIDE for the goods or work; the remedy of consequential damages is expressly excluded. It is agreed that payment of the cash price is due within the terms stated above. A SERVICE CHARGE OF 1.5% per month (18% PER ANNUM) shall be due upon the amount of any charge which has not been paid when due. PLEASE PAY FROM THIS INVOICE. CORES MUST BE RETURNED WITHIN 60 DAYS TO BE ELIGIBLE FOR CREDIT. 348 IND FINALEDIT NTHOMAS2 05/13/13 15.44.24 All Claims and returned goods MUST be accompanied by this bill. Page 1 Of 1 RECEIVED BY 001-001-0054057684 INVOICE PAYABLE AT: FAInufFiro id INVOICE FLEETPRIDE ® 54057684 P.O. sox 281811 TRUCK& TRAILER PARTS ATLANTA GA 30384-1811 WWW.FLEETPRIDE.COM INDIANAPOLIS IN 1140 S WEST ST (317) 632-4487 STORE NO. SHIP LOC. I INVOICE TYPE INVOICE DATE INVOICE NUMBER 352 I IND CHARGE SALE 05/08/13 54057684 SOLD TO CARMEL STREET DEPT. SHIP TO CARMEL STREET DEPT. 3400 W 131ST ST CARMEL IN 46074-8267 3400 W 131ST ST (317)-733-2001 WESTFIELD IN 46074-8267 CHECK NO. SHIPPER NAME ORIG. INVOICE NO. [:::FREIGHT BILL OF LADING TERMS DELIVERED NET 30 PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY CUST.NO. SALESMAN 302461 354 QUANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT ORD. SHIPPED CODE 2 1 2700 R803048 AY-ASA 1.50-28 (EA) 82.89 82.89 B/0 1 2700 R803048 ** NEW BACKORDER ** 2 1 2700 R803049 AY-ASA 1.50-28 (EA) 84.06 84.06 B/0 1 2700 R803049 ** NEW BACKORDER ** 4 4 2700 R810019 ASA CLEVIS KIT (EA) 13.62 54.48 THE FOLLOWING INTER-BRANCH TRANSFERS ARE OPEN FOR THIS INVOICE: 8582571 Parts & Service: $******221.43 Freight: $*********.00 Taxes: $*********.00 FLEETPRIDE Phone: 361-883-4358 INVOICE TOTAL $******221.4 3 P.O. BOX 9156 CORPUS CHRISTI TX 78469 Fax: 361-883-3323 F1eetPride makes NO WARRANTY OF MERCHANTABILITY with respect to any goods sold. There are no warranties which extend beyond the description of any goods sold on the invoice describing them. It is expressly agreed that Applicant's sole remedy for breach of any warranty with respect to goods or work is limited to the money actually received by FLEETPRIDE for the goods or work; the remedy of consequential damages is expressly excluded. It is agreed that payment of the cash price is due within the terms stated above. A SERVICE CHARGE OF 1.58 per month (188 PER ANNUM) shall be due upon the amount of any charge which has not been paid when due. PLEASE PAY FROM THIS INVOICE. CORES MUST BE RETURNED WITHIN 60 DAYS TO BE ELIGIBLE FOR CREDIT. 348 IND IND_D9X JBIERMAN 05/09/13 10.04.57 All Claims and retu ned goods MUST be accompanied by this bill. Page 1 of 1 Customer Copy RECEIVED BY FAleetFride© INVOICE PAYABLE AT: INVOICE FLEETPRIDE TRUCK& TRAILER PARTS 54086025 P.O. BOX 281811 ATLANTA GA 30384-1811 WWW.FLEETPRIDE.COM INDIANAPOLIS IN 1140 S WEST ST (317) 632-4487 STORE NO. SHIP LOC. INVOICE TYPE INVOICE DATE INVOICE NUMBER 352 IND CHARGE SALE 05/09/13 1 54086025 SOLD TO CARMEL STREET DEPT. SHIP TO CARMEL STREET DEPT. 3400 W 131ST ST CARMEL IN 46074-8267 3400 W 131ST ST (317)-733-2001 WESTFIELD IN 46074-8267 CHECK NO. SHIPPER NAME ORIG. INVOICE N0. FREIGHT BILL OF LADING TERMS PP & ADD DELIVERED NET 30 PURCHASE ORDER NO. REQUISITION/JOB NUMBER ORDERED BY CUST.NO. SALESMAN 302461 354 UANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT ORD. SHIPPED CODE *NOTE* AUTO BO TICKET 1 1 2700 R803048 AY-ASA 1.50-28 (EA) 82.89 82.89 Parts & Service: $*******82.89 Freight: $*********.00 Taxes: $*********.00 I FLEETPRIDE Phone: 361-883-4358 INVOICE TOTAL $*******82.89 P.O. BOX 9156 CORPUS CHRISTI TX 78469 Fax: 361-883-3323 FleetPride makes NO WARRANTY OF MERCHANTABILITY with respect to any goods sold. There are no warranties which extend beyond the description of any goods sold on the invoice describing them. It is expressly agreed that Applicant s sole remedy for breach of any warranty with respect to goods or work is limited to the money actually received by FLEETPRIDE for the goods or work; the remedy of consequential damages is expressly excluded. It is agreed that payment of the cash price is due within the terms stated above. A SERVICE CHARGE OF 1.5% per month (18% PER ANNUM) shall be due upon the amount of any charge which has not been paid when due. PLEASE PAY FROM THIS INVOICE. CORES MUST BE RETURNED WITHIN 60 DAYS TO BE ELIGIBLE FOR CREDIT. 348 IND FINALEDIT NTHOMAS2 05/10/13 15.35.34 All Claims and returned goods MUST be accompanied by this bill. Page 1 Of 1 RECEIVED BY 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)) 05/08/13 54057684 $221.43 05/09/13 54086025 $82.89 05/11/13 54116750 ($84.00) 05/13/13 54126693 $84.06 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 FleetPride IN SUM OF $ P. O. Box 847118 Dallas, TX 75284-7118 $304.38 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 2201 54057684 42-370.00 $221.43 1 hereby certify that the attached invoice(s), or 2201 54086025 42-370.00 $82.89_ bill(s) is (are)true and correct and that the 2201 54116750 42-370.00 ($84.00) materials or services itemized thereon for 2201 54126693 42-370.00 $84.06 which charge is made were ordered and received except /Fridihay 17, 2013 Street Commis i er $tme, ('nmmissiop- Title Cost distribution ledger classification if claim paid motor vehicle highway fund