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225455 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 367139 Page 1 of 1 ONE CIVIC SQUARE M&K QUALITY TRUCK SALES �.a CARMEL, INDIANA 46032 PO Box 266 CHECK AMOUNT: $802.75 BYRON CENTER MI 49315 CHECK NUMBER: 225455 CHECK DATE: 10/23/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 245709IN 802 . 75 TRANSPORTATION EXPENS REMIT TO ADDRESS P.O. BOX 268 BYRON CENTER, MI 49315 _ . _ - _ 1 1401 HARDING CT INDIANAPOLIS, IN 46217 PHONE (317) 784-3740 FAX (317) 788-3800 TRUCKS N. NationaLease Factory warranty constitutes all of the warranties with respect to the sale of this item or items. The seller hereby expressly disclaims all warranties either express or implied, including any implied warranty of merchantability or fitness for a particular purpose.The seller neither assumes or authorizes any other person to assume for it any liability in connection with the sale of this item/items. DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE 01 OCT 13 3177165882 103 OCT 13 03 OCT 13 NUMBER 245709IN 15 : 31 S ** M U L T Is P L E C O P Y ** 0 ACCOUNT NO. 502183 H PAGE 1 OF 1 L I D P CITY OF CARMEL CITY OF CARMEL 0 1 CIVIC SQUARE 0 1 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 SHIP VIA SLSM. T71\10. TERMS F.O.B. POINT WILL CALL I RT 9F900004 CHARGE I INDIANAPOLIS, IN PART NO. DESCRIPTION LIST NET. AMOUNT OM SHIP 8.0. `0. 8-97603-282-0 ZOOZOOET; EGR VLV 42 . 21 26 . 02 26 . 02 0 8-97608-423-0 ZOOZOOET; EGR VLV 42 . 21 26 . 02 26 . 02 All returned goods 0 8-98031-396-9 ZOOZ00 VALVE; EGR 642 .45 396 . 02 396 . 02 subject to 15% 8-98031-396-4 REPLACIN PART- . FOR OVE PART- handling, restock- 4 0 0-28751-035-0 002E13 ;ENG HANGE 4 . 00 2 :46 ' 9 . 84 ing charge, must 0 8-15075-118-0 ZOOZOOP RAD SURGE 18 . 34 11 . 30 11. 30 be in original 0 8-19210-790-0 ZOOZOOTROL; -9 VPS 471 . 82 290 . 83 290 . 83 package. 8-97603-320-0 REPLACIN PART-ND. FOR kBOVE PART- 0 15161670 U59ATO TAN 54 . 25 42 . 72 42 . 72 Electrical items rt special order parts are non-returnable. TTN; .JEFF -. . FAX # 317-571-26:36 Credit will not be MUST ORDER MOST OF :PARTS . 1-2 D LEAD - issued without in- ** M U L T I P L E C O P Y ** spection of items after 30 days or without this invoice. No refunds or exchanges after 30 days or without this invoice. ALL SALES ON GMC PARTS ARE FINAL WE CAN NOT ACCEPT ANY RETURNS DUE TO PARTS 48201 802 . 75 All parts sold are MANUFACTURE POLICIES SUBLET new unless FREIGHT specified **************** t**************** t*** 6306 0 . 00 otherwise. ************************************* SALES TAX 32400 0 :0.0 CUSTOMER'S SIGNATURE X I TOTAL 22000 802 . 75 x'P'I'0-' CUSTOMER COPY 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. Payee 367139 M & K QUALITY TRUCK SALES Purchase Order No. PO BOX 268 Terms BYRON CENTER, MI 49315 Due Date 10/17/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/17/201: 2457091 N $802.75 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 d�a �e�V1+tiY1 �Y Date Officer VOUCHER # 136651 WARRANT # ALLOWED 367139 IN SUM OF $ M & K QUALITY TRUCK SALES PO BOX 268 BYRON CENTER, MI 49315 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 245709IN 01-7502-06 $802.75 1 Voucher Total $802.75 Cost distribution ledger classification if claim paid under vehicle highway fund