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Home My WebLink About224843 10/08/2013I CITY OF CARMEL, INDIANA VENDOR: 358637 Page 1 of 1 ONE CIVIC SQUARE CUMMINS CROSSPOINT CARMEL, INDIANA 46032 75 REMITTANCE DR,SUITE 1701 CHECK AMOUNT: $701.59 CHICAGO IL 60675-1701 CHECK NUMBER: 224843 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1093 4350000 147374 701 . 59 EQUIPMENT REPAIRS & M s TERMS:NET 30 unless otherwise specified.A SERVICE C.. CHARGE OF 1.5%PER MONTH(EFFECTIVE APR 19.6%)WILL BE CHARGED ON PAST DUE ACCOUNTS. Please check this }�.��j invoice for accuracy. If a discrepancy is found,call your servicing ��.��.,AA II location immediately&we will promptly respond. SFp 19 2013 o INDIANAPOLIS BRANCH 3621 W MORRIS STREET BY": ***REPRINT--- 001-47374 INDIANAPOLIS, IN 46242-0917 (317)244-7251 Remit To.75 Remittance Dr-Ste1701 Chicago,IL 60675-1701 BILL TO OWNER CARMELPARKS CARMELPARKS 1411 E 116TH STREET 1411 E 116TH STREET PAGE 1 OF 2 CARMEL, IN 46032- CARMEL, IN 46032- CHARGE AGSR DAWN KOEPPER-317 573-4026 - ......_ _.._..__.......- ._ .................------._... --._.................. — - -......._..._................... _.............._...._...................................................................................... ......_............... .................. -- — . DATE CUSTOMER ORDER N0. DATE IN SERVICE ENGINE MODEL PUMP NO. EQUIPMENT MAKE OS-AUG-2013 36055 GGHH ONAN CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SMAL NO. CPL NO. EQUIPMENT MODEL 543391 05-AUG-2013 F060938729 DFFB -._........._......... __.... .. -—-. _........_._..- ---. .. ..___._.__ .. ._.-------..._...... -----..._............_ .... — .._._......................_..__.._.............. --.._....................._..........._......_._........_._................. REF.NO. SALESPERSON.. PARTS DISP. MILEAG EfHOURS PU1.1P CODE UNIT NO. 139714 86927 /297.7 F060938729 ""N Mai 1"'I" OSN/MSNNIN F060938729 COMPLAINT QUOTE FOR PM SERVICE CAUSE PM SERVICE CORRECTION PM SERVICE COVERAGE CUSTOMER BILLABLE REMARK WE APPRECIATE YOUR BUSINESS! THANK YOU. 8 8 3377361 OIL,ENGINE VALVOLINE 3.38 27.04 1 1 LF3681 PAC, LF FLG 609 6.09 6 6 ZXRU1 50-50 EG, 1 GAL JUG VALVOLINE 7.49 44.94 1 1 140-3311 AIR CLNR (ELEMENT 140-34 ONAN 160.75 160.75 PARTS: 238.82 PARTS COVERAGE CREDIT: 0.000R Ge�` r a TOTAL PARTS: 238.82 SURCHARGE TOTAL: 0.00 LABOR: 360.00 LABOR COVERAGE CREDIT: O.00CR 10015/5 - 4,350000 TOTAL LABOR: 360.00 �J-I ✓ MISC.: 102.77 MISC.COVERAGE CREDIT: 0.000R TOTAL MISC.: 102.77 ROAD MILEAGE-POWER GROUP 95.00 SHOP SUPPLIES 4.78 ENVIRONMENTAL COMPLIANCE 2.99 TAX EXEMPT NUMBERS: IN 0119683083-001 TAXES: STATE 0.00 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 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. AUTHORIZED BY(print name) SIGNATURE DATE {�a 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 C location immediately&we will promptly respond. INDIANAPOLIS BRANCH e Pig 3621 W MORRIS STREET ***REPRINT*** INDIANAPOLIS, IN 46242-0917 001-47374 (317)244-7251 Remit To:75 Remittance Dr-Ste 1701 Chicago,IL 60675-1701 BILL TO OWNER CARMEL PARKS CARMEL PARKS 1411 E 116TH STREET 1411 E 116TH STREET PAGE 2 OF 2 CARMEL, IN 46032- CARMEL, IN 46032- CHARGE— AGSR DAWN KOEPPER - 317 573-4026 -- __....--.._._-...................................... ...................................... . .............. NT DATE CUST01.1ER ORDER NO. DATE IN SERVICE ENGINE E10DEL PUMP NO. EQUIPLIENT RAKE 08-AUG-2013 36055 GGHH ONAN CUSTOMER NO. SHIP VIA FAIL DATE ENGINE SERIAL NO. CPL NO. vEQUIPMENT MODEL 543391 05-AUG-2013 F060938729 DFFB NO.-.-...--......-_......SALESPERSON..........................-_...........__......................- _.......................................... -................_............. ..... ._C.O. ......................................... PARTS DISP. MILEAGE..HOURS PUMP DE UNIT NO. ... . 139714 86927 /297.7 F060938729 I ILI 2 OSN/MSNNIN F060938729 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 SUBJECT TO THE TERMS AND CONDITIONS OF SALE SET FORTH ON THE BACK OF THIS SUB TOTAL: 701.59 INVOICE,WHICH INCLUDES LIMITATIONS ON WARRANTIES AND REMEDIES. PURCHASER TOTAL TAX: 0.00 ACKNOWLEDGES THAT SUCH TERMS AND CONDITIONS HAVE BEEN READ AND FULLY UNDERSTOOD. TOTAL AMOUNT: US$ 701.59 AUTHORIZED BY(print name) SIGNATURE DATE I ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. Cummins Crosspoint Terms 75 Remittance Dr., Ste 1701 Chicago, IL 60675-1701 Invoice Invoice Description Date Number (or note attached invoices)or bill(s)) PO# Amount 8/8/13 147374 Generator inspection 36055 $ 701.59 Total $ 701.59 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. Cummins Crosspoint Allowed 20ey:."y 75 Remittance Dr., Ste 1701 Chicago, IL 60675-1701 In Sum of$ ` H' 3 $ 701.59 '"� t�✓�" ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center Fo#or Board Members �•. ,;x . Dept# INVOICE NO. ACCT#/TITLE AMOUNT p. 1093 147374 4350000 $ 701.59 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 4 3-Oct 2013 Y = k Signature " $ 701.59 Accounts Payable Coordinator , Cost distribution ledger classification if Title claim paid motor vehicle highway fund '�