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226472 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 00352499 Page 1 of 1 ONE CIVIC SQUARE SOUTHEASTERN EQUIPMENT CO CHECK AMOUNT: $19.61 CARMEL, INDIANA 46032 PO BOX 536 .oM.a CAMBRIDGE OH 43725 CHECK NUMBER: 226472 CHECK DATE: 11119/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 C78031 19 . 61 REPAIR PARTS PLEASE REMIT TO: www.southeasternequip.com SOUTHEASTERN EQUIPMENT CO.,INC. EQUIPMENT CO., INC. 1-1228 SR 7 N,GALLIPOLIS,OH 45631 P.O.BOX 536•CAMBRIDGE,OH 43725 U.S. 40 EAST, CAMBRIDGE, OH 43725 ❑ 1982 FLORENCE PIKE,BURLINGTON,KY 41005 ❑27207 N.DIXIE PKWY.,PERRYSBURG,OH 43551 ❑1356 THIRD ST.,BRILLIANT,OH 43913 ❑4951 WEST 96TH ST.,INDIANAPOLIS,IN 46268 111505 HEBRON ROAD,HEATH,OH 43056 ❑1500 INDUSTRIAL PKWY.,BRUNSWICK,OH 44212 ❑3333 W.COLISEUM BLVD.,FORT WAYNE,IN 46808 ❑8757 TYLER BLVD.,MENTOR,OH 44060 1:1404 BREADEN ROAD,MONROE,OH 45050 ❑7444 ENTERPRISE PARK CIRCLE,EVANSVILLE,IN 47715 ❑3875 WEST FOURTH ST.,MANSFIELD,OH 44903 1-126580 SR 7,MARIETTA,OH 45750 ❑1776 SOUTH CEDAR STREET,HOLT,MI 48842 ❑6415 PROMLER AVE.NW,NORTH CANTON,OH 44720 ❑6390 SHIER-RINGS ROAD,DUBLIN,OH 43017 ❑48545 GRAND RIVER,NOVI, MI 48374 Customer I N V O I C E Invoice Pg 1320903 C78031 1 4 11/11/13 Sold To Ship To CITY OF CARMEL KEVIN STREET DEPARTMENT CITY OF CARMEL 3400 W 131ST ST STREET DEPARTMENT WESTFIELD IN 46074 8267 3400 W 131ST ST WESTFIELD IN 46074 8267 317/571-2637 733 .2001 Ship Via UPS - GROUND FOB WILL CALL Br Trk Make Model Serial Equipment Meter Sls Customer P .O. 013 999 Ordr Ship B/O Description Each Amount Taken By CHRIS CURRY Shipped 11/08/13 1 1 BO 05711729 FILTER CARTRIDGE, 13 . 40 13. 40 TOTAL PARTS 13. 40 1 SHIPPING & HANDLING IN 6 .21 6.21 NON-TAXABLE GOVERNMENT . 00 ASK FOR DETAILS ABOUT THE CNH CARD. 90 DAYS NO PAYMENTS NO INTEREST ON PARTS AND SERVICE. Total 19. 61 -------------------------------------------------------------------------------- FED. ID. #34-1503254 --SEE REVERSE SIDE FOR TERMS AND CONDITIONS -- TF I NIS AND CONDI`I IONS;TERMS: NET DELIVERY UNLESS OTHERWISE STATED ON THIS DOCUMENT ThiS invoice is subject to all of the terms, provisions,conditions and limitations of the parts order, lease agreement, sales order or Rental contract coneernin;the Loods, services or equipment sold or leased as described therein. Examine this invoice carefully as it will be deemed correct unless errors arc reported to Southeastern Equipment Co., Inc within 10 days of the date hereof. IMAiL PAYMENT TO: SOUTHEASTERN EQUIPMENT CO. INC. P.O. BOX 536 CAMBRIDGE, OHIO 43725 TAX PAYER IDENTIFICATION NUMBER 34-1503254 BILLING INQUIRIES PHONE: (740)432-6303 Char e of I',/zC'o Per month whtch_anioun,t5 to 1.8 0 per,,yeat.on all balances past due. All parts returned are subject to a 15% handling and restocking charge ALL RETURNED CHECKS (NSF) WILL BE CHARGED A $50.00 FEE WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH THE FAIR LABOR STANDARDS ACT, AS AMENDED. WE WILL NOT ACCEPT FOR EXCHANGE OR CREDIT GOODS RETURNED WITHOUT OUR WRITTEN CONSENT I. TRANSPORTATION CHARGES ON ALL RETURNED GOODS MUST BE PREPAID.GOODS ACCEPTED FOR CREDITOR EXCHANGE IS SUBJECT TO A SERVICE AND REHANDLING CHARGE OF 15 PERCENT.ALL PRICES SUBJECT TO CHANGE WITHOUT NOTICE.GOODS ARE SHIPPED AT BUYERS RISK. STATEMENT OF DISCLAIMER The factory warranty constitutes all of the warranties with respect to the sale of these item/items. The seller hereby expressly disclaims all warranties, either express or implied, including any implied warranty of merchantability of fitness for a particular purpose. Seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of these item/items. SOUTHEASTERN EQUIPMENT CO. INC. LOCATIONS 27207 N.DIXIE PKWY.PERRYSBURG.OH 43551 (419)874-0331 1505 HEBRON ROAD,HEATH OH,43056(740)522-3500 8757 TYLER BLVD.MENTOR,OH(440)255-6300 3875 WEST FOURTH ST.MANSFIELD,OH 44903(419)529-4848 6=415 PROMLER AVE.NW NORTH CANTON,OH 44720(330)494-3950 1356 THIRD ST.BRILLIANT,OH 43913(740)598-3400 1500 INDUSTRIAL PKWY,BRUNSWICK.OH 44212 (330)225-6511 404 BREADEN ROAD.MONROE,OH 45050 (513)539-9214 26580 SR 7.MARIETTA.OH.45750 (740)374-7479 6390 SHIER-RINGS ROAD,DUBLIN.OH 43017 (614)889-1073 228 SR 7 NORTH GALLIPOLIS,OH.45631 (740)446-3910 1982 FLORENCE PIKE.BURLINGTON.KY.41005 (859)586-6133 4951 WEST 96ST.INDIANAPOLIS.IN.46265 (317)372-4877 3333 W.COLISEUM BLVD.FT.WAYNE,IN.46808 (260)483-8868 7444 ENTERPRISE PARK CIRCLE.EVANSVILLE.IN.47715 (812)476-7321 1776 S.CEDAR ST,HOLT,MI.48842 (517)694-0472 =48545 GRAND RIVER AVE.NOVI.Ml.48374 (248)349-9922 1280 BRUKNER DR.TROY,OH.45373 (937)416-6397 VOUCHER NO. WARRANT NO. ALLOWED 20 Southeastern Equipment Co., Inc. IN SUM OF $ P. O. Box 536 Cambridge, OH 43725 $19.61 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members 2201 I C78031 1 42-370.001 $19.61 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 Fr ay, ember 15, 2013 StreLqt�e %nis�sione oner 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)) 11/11/13 C78031 $19.61 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