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Home My WebLink About232019 04/30/14 t CITY OF CARMEL, INDIANA VENDOR: 362793 ® l ONE CIVIC SQUARE INTAPOL INDUSTRIES CHECK AMOUNT: $*******278.98* r. =a CARMEL, INDIANA 46032 100 AMITY STREET CHECK NUMBER: 232019 '•4,��N.�. JERSEY CITY NJ 07304 CHECK DATE: 04/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356001 31437 0212294 278.98 UNIFORM Invoice Invoice# 0212294 Order Date 4/11/2014 ® Order Number 148208 100 Amity Street, Jersey City, NJ 07304 Due Date 5/11/2014 Telephone: 201-432-5555 Salesperson Customer No. Sold To: CARMEL POLICE DEPT. Ship To: ATTN: PAT YOUNG CARMEL POLICE DEPT. 3 CIVIC SQUARE ATTN: PAT YOUNG CARMEL, IN 46032 3 CIVIC SQUARE CARMEL, IN 46032 P.O. Number Ship Via F.O.B Terms Tracking Numbers 31437 UPS Ground Origin Net 30 IZO569210344055910 Quantity Item Code Description Price Each Backordered Amount 0 G4473-XLR Taylor's Leatherwear Pittsburgh Coat 319.99 0 0.00 1 SD777-0400-XL Police Motorcycle Helmet with Patent Leather 259.99 0 259.99 Visor CUSTOM=NAVY/WHITE SILVER 0 106BRNV-40R Police Motorcycle Breeches Year Round 5 Way 99.99 0 0.00 Stretch 1 FREIGHT 18.99 18.99 Invoice Total $278.98 i INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31437 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1116/2014 Intepol Indugtdos Camol P®Ilco Dop@rtmort VENDOR SHIPS CIVIC lBgU= TO 77 Amity&root C@mol, IN 4 - jomcy City, iJ 07m- (317)5714574 CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Each Imported Pittsburgh Leather Ike G44731 -XL 0319.90 $310.90 1 Each Polico MotorvAe Helmet SD70®Ve -7 1/2 $234.94 $234.04 •✓2 Each i oto fie Breeches Year Round 100SR372212 -40u29 $129.00 $259.98 °K A 10 2SW dI lfWtk e To: Comol P®lico Dopdmorr4 Atte: Pat Yung 3 Civic Squaro e PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT /h PROJECT I PROJECT ACCOUNT AMOUNT gg,� qq nnys�e ��,,ggryry A PAYMENT II�� uu .€�G�I Pollco Dopt. �!J'tSEiYI.01 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENTTIDNLES TZTZ ft O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �• •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLEn��901JAnAn 93sc��. v AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. , 1437 I CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 4 3 7 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._--____ ALLOWED 20 IN THE SUM OF$ ' i 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)) 04/11/14 0212294 Motorcycle Helmet $278.98 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 Intapol Industries IN SUM OF $ 100 Amity Street Jersey City, NJ 07304 $278.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31437fl 0212294 I 43-560.01 I $278.98 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 Tuesday, April 22, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund