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Home My WebLink About229454 2/25/2014 s ��AMF CITY OF CARMEL, INDIANA VENDOR: 365197 Page 1 of 1 ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK AMOUNT: $1,040.00 �f r NOBLESVILLE IN 46060 CHECK NUMBER: 229454 CHECK DATE: 2/25/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 31488 21105 1, 040 . 00 PERFORATED ROLL Invoice REMIT TO: 11, 15309 Stony Creek Way Date Invoice# Noblesville,IN 46060 317-776-6700 2/13/2014 21105 TECHNICAL GROUP Bill To Ship To Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel,IN 46032 Carmel, IN 46032 ATTN:ACCOUNTS PAYABLE Attn: Robert Robinson P.O. Number Terms Ship Via UPS# FedEx# F.O.B. 31488 Net 30 2/11/2014 Fed Ex Ground n/a n/a Factory Quantity Item Code Description U/M Price Each Class Amount 20 LB3663-CASE Perforated roll,6 roll pack, 100 sheets per ea 49.75 16770 995.00T roll,priced per case. Shipping Shipping/Handling 45.00 16770 45.00T Thank you! Tota $1,040.00 Phone# Fax# 317-776-6700 317-219-0535 INDIANA RETAIL TAX EXEMPT PAGE CI'tyo' f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 39468 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 EMP Technical Group C2rn'mel Police Department VENDOFP@n V&Alotllia SHIP 3 Civic squm IM Stony Gruels Way TO Camel, IN 4M Noblesville, IN 4i (W)679 2674 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT i Account g�I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-M2.00 20 Each Perforated roll LE3093 $49.75 $995.00 j Sub Total: $995.00 -�- 1%ter kv)'�—'�M �t 9✓ i ! fff Z Send Invoice To: Cw mei Police Depavkment Attn: Pat Young 3 Civic Squaa Carmel, IN 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT --F-, ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. ,\ --.. �,�j PAYMENT '00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY T/HAATT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPR CIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. IeP of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE liV AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 3 1 4 8 8 CLERK-TREASURER A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE I VOUCHER NO._.._�_.....-___WARRANT NO.—_-____ ALLOWED 20 IN THE SUM OF$ S e ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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)) 02/14/14 21105 perforated rolls $1,040.00 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 EMP Technical Group Ben VanAlstine IN SUM OF $ 15309 Stony Creek Way Noblesville, IN 46060 $1,040.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31488 I 21105 I 42-302.00 I $1,040.00 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 Friday, February 14, 2014 • V Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund