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222899 08/13/2013
CITY OF CARMEL, INDIANA VENDOR: 358637 Page 1 of 1 ONE CIVIC SQUARE CUMMINS CROSSPOINT CARM , INDIANA 46032 PO BOX 663811 CHECK AMOUNT: $190.27 EL IND INDIANAPOLIS IN 46266 CHECK NUMBER: 222899 CHECK DATE: 8/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 00145442 84 . 34 OTHER EXPENSES 651 5023990 00146085 98 . 68 OTHER EXPENSES 651 5023990 00146098 7 . 25 OTHER EXPENSES ® TERMS:NET 30 unless otherwise specified.A SERVICE CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this "C invoice for accuracy. If a discrepancy is found,call your servicing location immediately&we will promptly respond. m INDIANAPOLIS BRANCH 3621 W MORRIS STREET INDIANAPOLIS, IN 46242-0917 001-46085 (317)244-7251 REMIT TO:P.O.BOX 663811 INDIANAPOLIS,IN 46266 SOLD TO SHIP TO CARMEL UTILITIES CARMEL UTILITIES 760 3RD AVE SW 9609 NORTH RIVER ROAD CARMEL, IN 46032 INDIANAPOLIS, IN 46280 PAGE 1 OF 1 CONTACT TONY HARVEY ***ON ACCOUNT CHARGE*** HT DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 25-JUL-2013 S13678 CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 13342 CUSTOMER PICK UP REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-530022 86997 1 1 3959052 GASKET,OIL PAN CECO 37.47 37.47 1 1 3914385 GASKET,GEAR COVER CECO 27.84 27.84 1 1 3937111 SEAL,OIL CECO 33.37 33.37 REMIT TO:BOX 663811, INDPLS,IN 46266 THANK YOU VERY MUCH FOR YOUR BUSINESS. A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON PARTS ACCEPTED FOR RETURN. NO RETURNS ALLOWED ON OPEN ELECTRONIC COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NON- RETURNABLE TO THE VENDOR. TRACKING# SUB TOTAL: 98.68 f ° s JUL 2 6 2013 I MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. THIS INVOICE FOR ENGINES,PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS TOTAL AMOUNT: US$ 98.68 SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE ® TERMS: NET 30 unless otherwise specified.A SERVICE CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this invoice for accuracy. If a discrepancy is found,call your servicing ce (P) fig location immediately&we will promptly respond. INDIANAPOLIS BRANCH D IF � 3621 W MORRIS STREET INDIANAPOLIS, IN 46242-0917 .,UIL 26 001-45442 (317)244-7251 I }� REMIT TO:P.O.BOX 663811 .il INDIANAPOLIS,IN 46266 SOLD TO SHIP TO o CARMEL UTILITIES CARMEL UTILITIES 0 760 3RD AVE SW 9609 HAZEL DELL PARKWAY ;15o 0- 0 z CARMEL, IN 46032 INDIANAPOLIS, IN 46280 PAGE 1 OF 1 CONTACT JEFF COOPER **'ON ACCOUNT CHARGE*** HT DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE 1610DEL PUMP NO. EQUIPMENT MAKE 18-JUL-2013 TRUCK80 CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 13342 UNITED PARCEL GROI REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO. OE-100-529493 86997 1 1 3938160 GASKET,OIL PAN CECO 37.09 37.09 1 1 4025270 KIT,SEAL CECO 24.26 24.26 1 1 3164067 SEALANT CECO 14.61 14.61 REMIT TO: BOX 663811, INDPLS,IN 46266 THANK YOU VERY MUCH FOR YOUR BUSINESS. A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON PARTS ACCEPTED FOR RETURN. NO RETURNS ALLOWED ON OPEN ELECTRONIC COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NON- RETURNABLE TO THE VENDOR. TRACKING# 1Z4408990356924201 FREIGHT INDIANA OUTGOING: 8.38 SUB TOTAL: 84.34 MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. TNIC 1 1�lCF FQR ENGINES,PARTS,COMPONENTS,REPAIR AND/OR SERVICE IS TOTAL AMOUNT: US$ Rd 3d SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET MR INVOICE, WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE ® TERMS:NET 30 unless otherwise specified.A SERVICE CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this invoice for accuracy. If a discrepancy is found,call your servicing ce location immediately&we will promptly respond. INDIANAPOLIS BRANCH 3621 W MORRIS STREET EMMUM INDIANAPOLIS, IN 46242-0917 001-46098 (317)244-7251 REMIT TO:P.O.BOX 663811 INDIANAPOLIS,IN 46266 SOLD TO SHIP TO CARMEL UTILITIES CARMEL UTILITIES 760 3RD AVE SW 9609 NORTH RIVER ROAD CARMEL, IN 46032 INDIANAPOLIS, IN 46280 PAGE 1 OF 1 CONTACT TONY HARVEY ***ON ACCOUNT CHARGE*** HT DATE CUSTOMER ORDER NO. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE 25-JUL-2013 S13678 CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL 13342 CUSTOMER PICK UP REF.NO. SALESPERSON PARTS DISP. L1ILEAGE/HOURS PUMP CODE UNIT NO-. OE-100-530036 1120 . . -1 -1 3914385 GASKET,GEAR COVER CECO 27.84 27.84CR 1 1 3918673 GASKET,GEAR COVER CECO 35.09 35.09 REMIT TO: BOX 663811, INDPLS,IN 46266 THANK YOU VERY MUCH FOR YOUR BUSINESS. A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON PARTS ACCEPTED FOR RETURN. NO RETURNS ALLOWED ON OPEN ELECTRONIC COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NON- RETURNABLE TO THE VENDOR. TRACKING# SUB TOTAL: 7.25 0 s O jUL 2 6 2013 By MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES. THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS TOTAL AMOUNT: US$ 7.25 SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. RECEIVED BY(print name) SIGNATURE DATE VOUCHER # 136136 WARRANT # ALLOWED 358637 IN SUM OF $ CUMMINS CROSSPOINT PO BOX 663811 INDIANAPOLIS, IN 46266 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 001-46085 01-7500-02 r $98.68 dol-ys1ly a oj--7Soo- oa -8q"3q doi -i46o98 or-ISoob ©a - a-S Voucher Total. , Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. r Payee 358637 CUMMINS CROSSPOINT Purchase Order No. PO BOX 663811 Terms INDIANAPOLIS, IN 46266 Due Date 8/7/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/7/2013 001-46085 $98.68 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 Date Officer