HomeMy WebLinkAbout229002 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 097550 Page 1 of 1
ONE CIVIC SQUARE FITZCO INC
CARMEL, INDIANA 46032 PO BOX 270107 CHECK AMOUNT: $770.73
•,,_o� MINNEAPOLIS MN 55427 CHECK NUMBER: 229002
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 48648 138 . 11 OTHER MISCELLANOUS
1110 4239099 48701 . 12 OTHER MISCELLANOUS
1110 R4239099 31417 48701 632 . 50 BARRIER BAGS
Customer Copy
FITZCO INC
PO BOX 270107
MINNEAPOLIOS, MN 55427
UNITED STATES OF AMERICA PAGE 1
(952)-224-2700
INVOICE DATE 1/13/2014
INVOICE NO 48701
S 4CARMEL S CARMEL INDIANA POLICE DEPT
O JOHN ELLIOTT H JOHN ELLIOTT
L CARMEL INDIANA POLICE DEPT 1 3 CIVIC SQUARE
D 3 CIVIC SQUARE p ATTN:JOHN ELLIOT
CARMEL, IN 46032 CARMEL, IN 46032
T T
O O
TOTAL DUE 632.62
I
SLS1 SLS2 DUE DATE DISC DUE DATE ORDER NO ORDER DATE SHIP DATE SHIP NO
HS 2/12/2014 1/13/2014 00051091 1/10/2014 1/10/2014 1Z556E750334339570
TERMS DESCRIPTION CUSTOMER PO NUMBER SHIP VIA
0/0,n/30 verbal-JOHN ELLIOT UPS-GRND
ITEM ID TX CL UNIT ORDERED SHIPPED UNIT PRICE EXTENSION
21028 1 CASE 2.0000 2.0000 300.0000 600.00
4.5ML 6.5X10.5 FITZPAK BAR POUCH SC
2000/CASE
SHIPPING NOT INCLIUDED
Lot Number
143003 2.0000
1%INTEREST PER MONTH ON PAST DUE INVOICES.
TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL
0.00 600.00 32.62 0.00 0.00 632.62
TOTAL DUE 632.62
Customer Copy
FITZCO INC
PO BOX 270107
MINNEAPOLIS,MN 55427
UNITED STATES OF AMERICA PAGE 1
(952)-224-2700
INVOICE DATE 12/26/2013
INVOICE NO 48648
S 4CARMEL S CARMEL INDIANA POLICE DEPT
O JOHN ELLIOTT H JOHN ELLIOTT
L CARMEL INDIANA POLICE DEPT 1 3 CIVIC SQUARE
D 3 CIVIC SQUARE p CARMEL, IN 46032
CARMEL, IN 46032
T T
O O
TOTAL DUE 138.11
SLS1 SLS2 DUE DATE DISC DUE DATE ORDER NO ORDER DATE SHIP DATE SHIP NO
HS 1/25/2014 12/26/2013 00051027 12/23/2013 12/23/2013 1Z556E750343977102
TERMS DESCRIPTION CUSTOMER PO NUMBER SHIP VIA
0/0,n/30 46032
ITEM ID TX CL UNIT ORDERED SHIPPED UNIT PRICE EXTENSION
21023 1 PACK 2.0000 2.0000 63.2500 126.50
4.5mi1 10X12 FITZPAKOBARRIER POUCH
FITZCOINC EMBOSSED, REINFORCED LIP, NO TEAR NOTCH
100/PACK
SHIPPING NOT INCLUDED
SHIPPING NOT INCLUDED
Lot Number
136006 2.0000
1
1%INTEREST PER MONTH ON PAST DUE INVOICES.
TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL
0.00 126.50 11.61 0.00 0.00 138.11
TOTAL DUE 138.11
INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31417
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
92lff=31
Fitzco, Inc. Carmel Police Department
VENDOR SHIP 3 Civic Squm
TO
Bhomllwo Ddyo CarmGl, IN 462
Spring Pmt, UN OM (397)571-2674
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.92
90 Each Barrier bags 90xI2x4°5 $03.25 $632.30
Sub Total: $632.50
0 00
Send Invoice To:
Carmol Pollco Depitment
Mtn: Pat Young
3 Civic Squama
Carmol, IN 4M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT $'6:2.50
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT`THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA-��UFFICIENT TO PAY FOR THE ABOVE ORDER.
TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 4hlof of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31417 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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_.-- - ---- --- - --- ------ --- -
20
Signature
-- ---- --- — 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))
01/01/14 48648 lab supplies $138.11
01/13/14 48701 lab supplies $0.12
01/13/14 48701 Lab supplies $632.50
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
Fitzco, Inc.
IN SUM OF $
PO Box 270107
Minneapolios, MN 55427
$770.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1110 48648 42-390.99 $138.11
bill(s) is (are) true and correct and that the
1110 48701 42-390.99 $0.12
materials or services itemized thereon for
Encumbered
31417 48701 42-390.99 $632.50 which charge is made were ordered and
received except
t
Thursday, February 06, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund