225048 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 367049 Page 1 of 1
ONE CIVIC SQUARE PHOENIX TRUCK&BUS
s CARMEL, INDIANA 46032 CHECK AMOUNT: $607.69
3758 W MORRIS ST
INDIANAPOLIS IN 46241 CHECK NUMBER: 225048
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350000 S4208 245 . 04 EQUIPMENT REPAIRS & M
1205 4350000 S4840 362 . 65 EQUIPMENT REPAIRS & M
COPY
Phoenix'fruck&Bus y0s �' INVOICE S 4208
Phoenix 3738 W:MORRIS STREET
Truck and Bus INDIANAPOLIS,IN. 46241 Date 07/18/13
PHONE-:1-317-429-0924
FAX: 1-317.429.0923 Date Open 07/18/13
\X/\\�\C%.PI-IOENIXI'RUCIL\NDBUS.COi\I
Page: 1 of 1
Sold To : 571-2448 Ship To : 571-2448
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
ATTN: JEFF BARNES ATTN: JEFF BARNES
CARMEL IN 46032 USA CARMEL IN 46032
Written By Terms Customer Po# Promised Cellphone Ship Via
BSMITH CHGWHL Lm� JBAR NES
Unit# Plate# Year Make Model Mileage/Hrs VIN Engine
0/0.0
Qty Description Price Amount
6.000 RL70683OWBS ALL PRO LIGHT 40.84 245.04
SubTotal 245.04
'r
'.t
D
Dcr07 2013
I
By
I authorize the above repair work,including sublet work,to be done along with necessary materials. You and your employees may operate above listed Parts........ 245.04
vehicle for purposes of testing.inspection or delivery atmy own risk An express Mechanic's Lien is acknow-ledged on above listed vehicle to secure the
amount of repairs thereto. You will not be held responsible for loss or damage to abov a listed vehicle,or articles left in above listed vehicle I acknowledge
receipt of a copy hereof
REMIT TO.**'*'*'* PHOENIX TRUCK AND BUS 3758 W Morns St Indianapolis,IN 46241 —******Terms Net 30 days from receipt of invoice date The
AUthorized By TOTAL 245.04
r
,�3�<F
PHOENIX PT&BP,1.1-C. I Z° INVOICE S 4840
TRUCK&.BUS. P O BOX 6457,DEPT 273
INDIANAPOLIS,IN.46206
PARTS PHONE:1-317-800-7945 Date 09/11/13
FAX: 1-317-429-0925 Date Open 09/11/13
W\VW.PHOENIXTRUCI�ANDBUS.CO\4
Page: 1 of 1
Sold To : 571-2448 Ship To : 571-2448
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
ATTN: JEFF BARNES ATTN: JEFF BARNES
CARMEL IN 46032 USA CARMEL IN 46032
Written By Terms Time Customer Po# Promised Cellphone Ship Via
TYLER CHGWHL 11:35:22 JEFF
Unit# Plate# Year Make Model Mileage/Hrs VIN Engine
0/0.0
Qty Description Price Amount
2.000 GR064G11 LED WORK LAMP 84.37 168.74
1.000 GR063F61 CUBE LED WORK LAMP 193.91 193.91
SubTotal 362.65
D OCT 07 2013
By
I authorize the above repair work,including sublet work,to be done along with necessary materials You and your employees may operate above listed Parts........ 362.65
vehicle for purposes of testing,inspection*or delivery atmy own risk. An express Mechanic's Lien is acknow-]edged on above listed vehicle to secure the
amount of repairs thereto.-You will not be held responsible for loss or damage to abov a listed vehicle,or articles left in above listed vehicle I acknowledge
receipt of a copy hereof.'
REMIT TO:"""" PTBBP LLC P 0 BOX 6457,DEPT 273 Indianapolis,IN 46206 """""'Terms Net 30 days from receipt of invoice date Thank You.
Authorized By TOTAL (!362.65
PHOENIX
TRUCK & BUS
PARTS
September 3, 2013
CITY OF CARMEL
ONE CIVIC SQUARE
ATTN:JEFF BARNES
CARMEL, IN 46032
To Whom It May Concern:
Please be informed that Phoenix Truck and Bus has been renamed Phoenix Truck and Bus Parts LLC (PT&BP).
In an effort to reconcile our records please find the enclosed package which includes a statement of outstanding
invoices with your organization as of the end of business on 08/30/2013.
Our Accounts Receivable department will be in contact with you in the very near future to review this information so
that any errors or omissions may be corrected, as well as to review the status of any outstanding invoices.
From this point forward we ask that these changes are made in your vendor file.
Business Name : Phoenix Truck and Bus Parts LLC
Remit to Address : PO Box 6457 Dept 273 Indianapolis, IN 46206
Business Phone : 317-800-7945
Business Fax : 317-429-0925
Accts Receivable : 317-916-6485
Thank you for trusting us with your business. We do look forward to growing an even more productive partnership with
you for many years to come.
Sincerely,
Mark Smith
President—Phoenix Truck and Bus Parts LLC
3758 WEST MORRIS STREET INDIANAPOLIS, IN 46241 OFFICE: 317-800-7945 FAX: 317-429-0925
WWW.PHOENIXTRUCKANDBUS.COM
i
Form w°9 Request for Taxpayer Give Form to the
(Rev.August 2013) requester. Do not
Department of the Treasury Identification Number and Certification send to the IRS.
Internal Revenue Service
Name(as shown on your income tax return)
Phoenix Truck and Bus Parts LLC
Business name/disregarded entity name,if different from above
N
N
m
m
a Check appropriate box for federal tax classification: Exemptions(see instructions):
c
0 ❑Individual/sole proprietor ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate
N
To Exempt payee code(if any)
oi ❑✓ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=partnership)0, C Exemption from FATCA reporting
- N code(if any)
d ❑ Other(see instructions)►
Address(number,street,and apt.or suite no.) Requester's name and address(optional)
U
a 3758 W Morris Street
City,state,and ZIP code
a�
Indianapolis, IN 46241
List account number(s)here(optional)
Taxpayer Identification Number(TIN)
Enter your TIN in the appropriate box.The TIN provided must match the name given on the"Name"line Social security number
to avoid backup withholding. For individuals,this is your social security number However,for a -m -
resident alien,sole proprietor,or disregarded entity,see the Part I instructions on n page 3. For other
entities,it is your employer identification number(EIN).If you do not have a number,see How to get a
TIN on page 3.
Note.If the account is in more than one name,see the chart on page 4 for guidelines on whose Employer identification number
number to enter.
4 6 -1 3 1 3 1 7 5 1 5 4 2
Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and
2. 1 am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue
Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am
no longer subject to backup withholding,and
3. 1 am a U.S.citizen or other U.S.person(defined below),and
4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct.
Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax return. For real estate transactions,item 2 does not apply. For mortgage
interest paid,acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and
generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the
instructions on page 3.
Sign Signature of
Here U.S.person► Date►
General Instructions withholding tax on foreign partners'share of effectively connected income,and
4.Certify that FATCA code(s)entered on this form(if any)indicating that you are
Section references are to the Internal Revenue Code unless otherwise noted. exempt from the FATCA reporting,is correct.
Future developments.The IRS has created a page on IRS.gov for information Note.If you are a U.S.person and a requester gives you a form other than Form
about Form W-9,at www.irs.gov/w9.Information about any future developments W-9 to request your TIN,you must use the requester's form if it is substantially
affecting Form W-9(such as legislation enacted after we release it)will be posted similar to this Form W-9.
on that page.
Definition of a U.S.person.For federal tax purposes,you are considered a U.S.
Purpose of Form person if you are:
A person who is required to file an information return with the IRS must obtain your •An individual who is a U.S.citizen or U.S.resident alien,
correct taxpayer identification number(TIN)to report,for example,income paid to •A partnership,corporation,company,or association created or organized in the
you,payments made to you in settlement of payment card and third party network United States or under the laws of the United States,
transactions,real estate transactions,mortgage interest you paid,acquisition or •An estate(other than a foreign estate),or
abandonment of secured property,cancellation of debt,or contributions you made
to an IRA. •A domestic trust(as defined in Regulations section 301.7701-7).
Use Form W-9 only if you are a U.S.person(including a resident alien),to Special rules for partnerships.Partnerships that conduct a trade or business in
provide your correct TIN to the person requesting it(the requester)and,when the United States are generally required to pay a withholding tax under section
applicable,to: 1446 on any foreign partners'share of effectively connected taxable income from
such business.Further,in certain cases where a Form W-9 has not been received,
1.Certify that the TIN you are giving is correct(or you are waiting for a number the rules under section 1446 require a partnership to presume that a partner is a
to be issued), foreign person,and pay the section 1446 withholding tax.Therefore,if you are a
2.Certify that you are not subject to backup withholding,or U.S.person that is a partner in a partnership conducting a trade or business in the
3.Claim exemption from backup withholding if you are a U.S.exempt payee.If United States,provide Form W-9 to the partnership to establish your U.S.status
applicable,you are also certifying that as a U.S.person,your allocable share of and avoid section 1446 withholding on your share of partnership income.
any partnership income from a U.S.trade or business is not subject to the
Cat.No.10231X Form W-9(Rev.8-2013)
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))
07/18/13 S4208 $245.04
09/11/13 S4840 $362.65
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Phoenix Truck & Bus Parts LLC
IN SUM OF $
�7 S8 � M"3 5fi
Indianapolis, IN 44294 11(0��f
$607.69
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 S4208 43-500.00 $245.04 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1205 S4840 43-500.00 $362.65
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, October 07, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund