220601 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 366510 Page 1 of 1
s ' ONE CIVIC SQUARE FLEETPRIDE CHECK AMOUNT: $533.28
CARMEL, INDIANA 46032 P 0 BOX 281811
ATLANTA GA 30384-1811 CHECK NUMBER: 220601
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 54281892 533 . 28 REPAIR PARTS
FloatFrjda® INVOICE PAYABLE AT:
INVOICE FLEETPRIDE
TRUCK& TRAILER PARTS 54281892 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 1 IND CHARGE SALE 1 05/21/13 54281892
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
TRUCK103 302461 353
UANTITY MFG. PART NUMBER DESCRIPTION UNIT PRICE AMOUNT
ORD. SHIPPED CODE
2 2 68 X60793B 16.5 X 7 BALANCED DRUM (EA) 98.35 196.70
2 2 650 KIT-EX4707Q EXC-BRAKE SHOE BOXED KITS (EA) 60.91 121.82
4 4 915 C4707Q CORE MERITOR 16.5X7 Q+ (EA) 25.00 100.00
2 2 2700 A13236Q2123 DUST SHIELD AY (EA) 57.38 114.76
Parts & Service: $******533.28
Freight: $*********.00
Taxes: $*********.00
i
FLEETPRIDE Phone: 361-883-4358 INVOICE TOTAL $******533.28
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 05/21/13 15.36.16 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))
05/21/13 54281892 $533.28
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
$533.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
r
2201 I 54281892 I 42-370.00 $533.28 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
o rsd ay 30, 2013
tre�tCCommis io er
S ree ommissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund