HomeMy WebLinkAbout224461 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 358637 Page 1 of 1
ONE CIVIC SQUARE CUMMINS CROSSPOINT
CARMEL, INDIANA 46032 PO BOX 663811 CHECK AMOUNT: $22.80
INDIANAPOLIS IN 46266 CHECK NUMBER: 224461
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 001-50663 22 . 80 TRANSPORTATION EXPENS
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TERMS: NET 30 unless otherwise specified.A SERVICE
%ON .0.120j..int CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL
BE CHARGED ON PAST DUE ACCOUNTS. Please check this
Ce invoice for accuracy. If a discrepancy is found,call your servicing
location immediately&we will promptly respond.
INDIANAPOLIS BRANCH INVOICE NO
3621 W MORRIS STREET
INDIANAPOLIS, IN 46242-0917 001-50663
(317)244-7251
Remit To:75 Remittance Dr-Stel701
Chicago,IL 60675-1701
SOLD TO SHIP TO
CARMEL UTILITIES CARMEL UTILITIES
760 3RD AVE SW 9609 HAZEL DELL PARKWAY
CARMEL, IN 46032 INDIANAPOLIS, IN 46280 PAGE 1 OF 1
CONTACT JEFF COOPER ON ACCOUNT CHARGE"'
IIT
DATE CUSTOMER ORDER NO: DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE
13-SEP-2013 28
CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. EQUIPMENT MODEL
13342 UNITED PARCEL GROI
REF.NO. SALESPERSON PARTS DISP. MILEAGE/HOURS PUMP CODE UNIT NO.
OE-100-533382 86997
saw Maw=
1 1 3902425 WASHER,SEALING CECO 4.70 4.70
1 1 3929751 GASKET,ACC DRIVE COVER CECO 9.72 9.72
THANK YOU VERY MUCH FOR YOUR BUSINESS.
A MINIMUM 15%RESTOCKING FEE WILL BE ASSESSED ON
PARTS ACCEPTED FOR RETURN.
NO RETURNS ALLOWED ON OPEN ELECTRONIC
COMPONENTS,OR SPECIAL ORDER PARTS WHICH ARE NOW
RETURNABLE TO THE VENDOR.
NOTE: LUBE PUMP IS MOUNTED INSIDE BLOCK,DO NOT SHOW
ANY HOSE FROM OIL PAN TO LUBE PUMP
llllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll lllllllllllllllllllllllllllll l!
TRACKING# lZ4408990355922607 FREIGHT INDIANA OUTGOING: 8.38
SUB TOTAL: 22.80
SEP 18 2013
b
50
MATERIAL SAFETY DATA SHEETS REQUIRED BY OSHA HAZARD COMMUNICATION STANDARDS ARE AVAILABLE AT ALL BRANCHES.
THIS INVOICE FOR ENGINES, PARTS,COMPONENTS, REPAIR AND/OR SERVICE IS TOTAL AMOUNT:US$ 22,80
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
i
pf�SCri`""' `"v State Board of Accounts Ci;;J Form, No. 201 (rev 1995)
ACCOUNTS P,YAE3LE 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 cf units;
price per unit, etc.
Payee
358637
CUMMINS CROSSPOINT Purchase Order No.
PO BOX 663811 Terms
INDIANAPOLIS, IN 46266 Due Date 9/19/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2013 001-50663 $22.80
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have au//diced same in accordance with IC 5-11-10-1.6
Date Officer
IN SUM OF S
3586 13 7
CUMMINS CROSSIPOINT
PO BOX 663811
INDIANAPOLIS, IN 46266
Carmel Wastewater Utility
0i',JAC-COUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
001-50663 01-7500-02 $22.80
Voucher Total $22.80
Cost distribution ledger classification if
claim paid under vehicle highway fund