HomeMy WebLinkAbout230583 03/26/14 s Cay
y `'�" CITY OF CARMEL, INDIANA VENDOR: 366725
® it ONE CIVIC SQUARE RANGE SYSTEMS CHECK AMOUNT: $****10,000.00*
_� CARMEL, INDIANA 46032 5121 WINNETKA AVE N CHECK NUMBER: 230583
+,,roN. NEW HOPE MN 55428 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 31516 14025 10,000.00 DURA BLOC
RMU3= Invoice
SYSTEMS
5121 Winnetka Ave N `
New Hope. MN 55428 3/7/2014 14025
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Carmel Police Dept. Carmel Police Range
Pat Young Sgt. Ryan Jellison
3 Civic Square 9609 Hazeldell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
317-571-2599, 317-727-9862
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11 M;11-7
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31516 Net 15 BB 3/7/2014 Lift Gat. . .
no EFT11--i-111 114-140150
RB1008 DURA-BLOC, 36" X 12" X 9" 100 ea 89.00 8,900.00T
NSN: 9320-01-565-6452
001 Shipping & Handling Charges VIA R&L Pickup 1 1,100.00 1,100.00T
Request # 5117755 ETA 3/11
Out-of-state sale, exempt from sales tax 0.00% 0.00
Total $10,000.00
FBalance Due $10,000.00
Phone # 763-533-9200 Fax # 763-537-6657 www.range-systems.com
(�° C.armel
INDIANA RETAIL TAX EXEMPT PAGE
Cily
®,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3`15`16
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
M . 16
00 tows ..'Ca n6! pail.�a° rapPtmp,
VENDOR SHIP ` Cl�l� l quNrl ...
Wi %nnotka avenue North TO I p yd �IM- 61,-IN-AM
Noir Hopp, NN 66428 #, t��1'���'9 °V
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANT,W gpUNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-670.00
1 Eadi Durr-Bloc 881008 $10,000.00 $10,000.00
Sub Total: $10,000.00
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Send Invoice To:
C@rmal Police Dapzt`tFi ent l J
Attn: Pat Young
3 CIVIC squam
Camel, IN 4M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Palle Dept. �t �j PAYMENT $10430•00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY;TTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAATI FFEIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY g Q
SHIPPING LABELS. lei 8Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 7;
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 5 1 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
cc
Board Members
Pol 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Range Systems
IN SUM OF $
5121 Winnetka Avenue North
New Hope, MN 55428
$10,000.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31516 I 14025 I -570.00 I $10,000.00 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
Wednesday, March 19, 2014
Chief of Police
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))
03/07/14 14025 dura-bloc for range $10,000.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and 1 have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer