HomeMy WebLinkAbout229676 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC CHECK AMOUNT: $719.96
CARMEL, INDIANA 46032 6680 E.21ST STREET
•,,,_o_.�o INDIANAPOLIS IN 46219 CHECK NUMBER: 229676
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 175550 79 . 99 UNIFORMS
1110 R4356001 31353 175550 299 . 99 JACKET
1110 4356002 183832 59 . 99 UNIFORM ACCESSORIES
1110 4356001 31455 4356001 279 . 99 NAVY JACKET
STEVEN R JENKINS CO INC invoice
1-317-352-0184
Date nvoice#
6680 E 21ST ST
6680 E 21ST ST 2/13/2014 175550
INDIANAPOLIS IN 46219-2200
Bill To Ship To
CARMEL POLICE DEPT Spencer
3 CIVIC SQUARE
CARMEL,IN 46032
P.O. Number Terms Rep
„ti,"ti' 1- ""'1 0 i Net 30 SOUT
Quant... Item Code, Description Price Each Amount
1 40000 GEN... BLauer 9915Z Jacket 279.99 279.99
1 40000 GEN... Thorogood Shoes 831-6027 9.5 99.99 99.99
Sales Tax 0.00% 0.00
$379.98
Sf jco . Com Total
STEVEN R JENKINS CO INC Invoice
1-317-352-0184
Date nvoice
6680 E 21 ST ST #
6680 E 21 ST ST 2/10/2014 183832
INDIANAPOLIS IN 46219-2200
Bill To Ship To
CARMEL POLICE DEPT Brian Roemke
3 CIVIC SQUARE
CARMEL,IN 46032
----P.O:.Number Terms Rep
Net 30 SOUT
Quant... Item Code Description Price Each Amount
1 40000 GEN... Blauer 9915Z D.Navy XL 279.99 279.99
1 40000 GEN... G&G B59 36Duty Belt 59.99 59.99
Sales Tax 0.00% 0.00
1
$339.98
SHOP sr jco . corn 'rota
INDIANA RETAIL TAX EXEMPT
cloty CcArmel
®f •CERTIFICATE NO003120155 002 0 PAGE
+► PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M
55
i 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
9P22 i4
atoy@n ft Jcnklns Co., Inc. C@nmol Pollco Dopadmont
VENDOR SHIP 3 CIVIC squ;aro
6M East 21st S4mot TO CalPmol, IN 46 032
Indimmpollo, IN 48298 (3`17)571-2674
`II CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4340.01
9 Each Blauer 99152 Ike length jacket -fad 40300 $279.99 $279.99
Sub Total: $279.99
ell . �
Send Invoice To:
Carmol Pollco Wpartmont
Atte: Pat Young
3 CIVIC 0qum
i Carmel, IN 462- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. � �� PAYMENT $279°99
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CE 11 Y�HAT THERE IS AN,UNOBLIGATED BALANCE IN
THIS APPRgFfR Tld•N�LT6 PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �hld
SHIPPING LABELS. 8�Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
iDOCUMENT CONTROL NO. 3 1 4 J 5 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.-.___-__-_-
ALLOWED 20
--- IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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--
-
xcept--
20
--------------
Signature
_ — ---- . Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
/�° / /����� INDIANA RETAIL TAX EXEMPT PAGE
City ®'Jllr I'� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
� 99{�d2a9�
Mom ft Jenhins Co., Inc. Camol Pollco DGpaltmont
VENDOR SHIP 3 CIVIC squm
TO
BM Emst 21st StmGt Cmfmo1, IN 400312
Indlanwolls, IN AM% (317)691
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 434M.01
9 Each Blauer 99152 Ike length jacket -Navy 40300 $299.99 $299.99
Guts Total: $299.99
'-fu 1� I
Senaci`�q�av"Q,�e�To�P ah@P'P �i.-.�
r
Comet Pollco Dopartment
Attn: Tomm Andemon
3 CIVIC 0quam
Carmel, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
darmel Police Dept. PAYMENT .N
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BYY`
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE oy hf pallen
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 3 5 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT NO.--.-
ALLOWED 20
IN THE SUM OF$
t
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)
J
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))
02/10/14 183832 duty belt $59.99
02/10/14 183832 Blauer Jacket $279.99
02/13/14 175550 shoes $79.99
02/13/14 175550 officer uniform $299.99
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Steven R. Jenkins Co., Inc.
IN SUM OF $
6680 East 21 st Street
Indianapolis, IN 46219
$719.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
1110 183832 43-560.02 $59.99 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
31455. 183832 43-560.01 $279.99
9 materials or services itemized thereon for
1110 175550 43-560.01 I which charge is made were ordered and
31353 175550 43-560.01 $999-99 received except
Thursday, February 20, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund