220801 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 359187 Page 1 of 1
ONE CIVIC SQUARE TENNANT SALES&SERVICE CO
CARMEL, INDIANA 46032 P 0 BOX 71414 CHECK AMOUNT: $326.86
CHICAGO IL 60694-1414 CHECK NUMBER: 220801
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 911669909 326 . 86 REPAIR PARTS
069007711300 Remit Payment To Tel 1-800-553-8033
Tennant Sales and Service Company Fax 1-763-513-2142
PO Box 71414
JNTENNA CHICAGO IL 60694-1414
USA Invoice
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CITY OF CARMEL CITY OF CARMEL ... .... ..........
STREET DEPT STREET DEPT ...Amoun -:326:86
3400 W 131ST ST 3400 W 131ST ST Currency US Dollars
WESTFIELD IN 46074-8267 WESTFIELD IN 46074-8267 Document Date 05/22/2013
Payment Terms
........ Net 30 Days
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Final due date 06/21/2013
CITY OF CARMEL
STREET DEPT
3400 W 131 ST ST Customer t4iUmi"bet:-. 511:2774
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WESTFIELD IN 46074-8267 PO Number
SIGNED WORK ORDER
Contact KEVIN SMITH
317-733-2001
Date .Service: 0512212013
Serial Number 528 31990
Service Notification 303660715
Service Order 14736337
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Notes
Inspect machine and found that the wiring is chopped up and switches are
bypassed the scrub head will not go down , Bypassed the power to the
switches to the brush head down no improvement due to the age of the
machine and the condition will recommend to the customer that a new or
used machine be purchased to scrub parking decks and the garage areas
1 H TRIP Site Visit N
Price 93.00 93.00
Net Value 93.00 93.00
2 H LABORREGULAR LABOR, REG RATE N
Price 110.00 220.00
Net Value 110.00 220.00
Subtotal 313.00
ShopSupp&Disposable 13.86
Total 326.86
Please include invoice number with payment. All modifying agreements must be in writing and signed by both parties. The items specified have been produced in compliance with the
Fair Labor Act of 1938, as amended. Customer must obtain authorization before returning goods by contacting Tennant at telephone numbers shown above. Selected items and
conditions appear hereon. All orders are subject to additional terms and conditions which are available on Tennant's website at www.tennantco.com/legailterms_conditions or available in
printed form upon request.
Page 1 of3
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tennant Sales and Service Company
IN SUM OF $
P. O. Box 71414
Chicago, IL 60694-1414
$326.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT" Board Members
2201 I 911669909 I 42-370.001 $326.86 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
h�rsd ay 30, 2013
Street Commis o er
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))
05/22/13 911669909 $326.86
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