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Home My WebLink About225578 10/23/2013 ,. CITY OF CARMEL, INDIANA VENDOR: 359187 Page 1 of 1 ONE CIVIC SQUARE TENNANT SALES&SERVICE CO CHECK AMOUNT: $396.87 t? CARMEL, INDIANA 46032 P O BOX 71414 CHICAGO IL 60694-1414 CHECK NUMBER: 225578 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 911919365 396 . 87 REPAIR PARTS Remit Payment To Tel 1-800-553-8033 069006931300 Tennant Sales and Service Company Fax 1-763-513-2142 PO Box 71414 JEN NAN CHICAGO IL 60694-1414 Invoice USA _ ..... .......... _ _......... __.......... ......... _ .................. ... _. ............ ......... _ _ .............. Ship-To Invoice Number 911919365 CITY OF CARMEL - --- -- CITY OF CARMEL InVOICe Amount ` 396!.87 STREET DEPT STREET DEPT .. .. __. 3400 W 131ST ST 3400 W 131ST ST Currency US Dollars WESTFIELD IN 46074-8267 WESTFIELD IN 46074-8267 Document Date 10/01/2013 Payment Terms Net 30 Days Bill-TO Final due date 10/31/2013 CITY OF CARMEL STREET DEPT 3400 W 131 ST ST Customer Number 5112774 WESTFIELD IN 46074-8267 PO Number SIGNED WORK ORDER Contact JEFF STEWART 317-417-5053 Date of Service 10/01/2013 Serial Number 528-31 b9b Service Notification 303782171 Service Order 14890371 __ _ ... _ _ _ .... _.......... ....... _ _ _ ..................... __ _........ .-- - _ ..._ .... ..... .._ .......... __ _ _ _ ...._........... __ . Unit. Extended Tax Qty Unit Material Description PrlCe Value Notes Ordered parts and sent to customer . 1 H TRIPMM TRIP, NO CHARGE, MULT MACH N Net Value 0.00 0.00 0.50 H LABORREGULAR LABOR, REG RATE N Price 110.00 55.00 Net Value 110.00 55.00 4 PC 60004 BLADE, SAGE, 27.11- N Price 25.00 100.00 Net Value 25.00 100.00 4 PC 59639A GUIDE, TIP, SQGE N _ Price 8.60 34.40 Net Value 8.60 34.40 4 PC 5961 OA BLADE, SAGE, BACKUP, .12 X 1.5 X 27.1 N Price 2.00 8.00 Net Value 2.00 8.00 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/legal/terms_conditions or available in printed form upon request. Page 1 of3 069006932300 Remit Payment To Tel 1-800-553-8033 Tennant Sales and Service Company Fax 1-763-513-2142 PO Box 71414 JENENANI CHICAGO IL 60694-1414 Invoice USA .......... __ __............... _... _.......... __ ................... _ _................ Ship-To Invoke Number 9;11919365 CITY OF CARMEL - CITY OF CARMEL Invoice Amount ' 396.87 STREET DEPT STREET DEPT ...._ _... _. 3400 W 131ST ST 3400 W 131ST ST Currency US Dollars WESTFIELD IN 46074-8267 WESTFIELD IN 46074-8267 Document Date 10/01/2013 Payment Terms Net 30 Days Bill-TO Final due date 10/31/2013 CITY OF CARMEL STREET DEPT 3400 W 131 ST ST Customer Number 5112774 WESTFIELD IN 46074-8267 PO Number SIGNED WORK ORDER Contact JEFF STEWART 317-417-5053 Date of Service 1IU/01/2013 Serial Number 528-31990 Service Notification 303782171 Service Order 14890371 U Extended Tax Qty Unit Material Descriptrlon Price Value 1 PC 30240 BRUSH ASSY, DISK, SCB, 13.OD, PYP N Price 196.00 196.00 Net Value 196.00 196.00 Subtotal 393.40 ShopSupp&Disposable 3.47 Total 396.87 *** Repair Order is Attached Page 2 of3 VOUCHER NO. WARRANT NO. ALLOWED 20 Tennant Sales and Service Company IN SUM OF $ P. O. Box 71414 Chicago, IL 60694-1414 $396.87 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 911919365 I 42-370.001 $396.87 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 Wedn day r 013 k/VV VV t-ry Y StV%W9M iii BArer 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)) 10/01/13 911919365 $396.87 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