HomeMy WebLinkAbout232358 05/07/14 �i Coq
"''�' CITY OF CARMEL, INDIANA VENDOR: 362878
{ ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $""`"2,048.84•
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 232358
'i,,�roN. ? INDIANAPOLIS IN 46218 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03LZ7431 265.42 REPAIR PARTS
1110 4231500 31967 03MD7042 1,518.00 OIL DRUMS
1110 4237000 03MES149 168.28 REPAIR PARTS
1110 4237000 06ME6024 97.14 REPAIR PARTS
TBA North Invoice
309 Gradle Dr. No. 03ME6024
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 III IIII IIIIIIIIIIII IIIIIIIIIIIIIIII II
Page 1
09:20:27 Apr 30 2014
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03ME6024 04/30/14 03TY0504001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept:002 CARMEL POLICE CITY GARAGE Contact:JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
04/30/14, 09:02:04 000001 ONLINE ORDERS N NORTH A 1 ACX
***ACX Reference No: AR4181 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ACD 18A2322 19169879 KEEP 4 CARMEL U EA 2 0 2 98.90 0.00 48.57 0.00 97.14
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE '
97.14 197.80, 97.14 0.00 0.00 0.00 97.14 0.00 97.14
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
TBA North Invoice
�. 309 Gradle Dr. No. 03ME5149
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII II IIII III II I II III II III
Page 1
09:50:35 Apr 29 2014
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
3f8 03ME5149 04/29/14 03TX9482001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 13151'
CARMEL,IN 46032 CARMEL,IN 46074
Dept:002 CARMEL POLICE CITY GARAGE Contact:JASON I Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
04/29/14, 09:50:05 000001 ONLINE ORDERS N NORTH A 1 ACX
***ACX Reference No: AR3993***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD1159P AT POLICE PAD SET U EA 4 0 4 94.88 0.00 42.07 0.00 168.28
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
168.28 379.52 168.28 0.00 0.00 0.00 168.28 0.00 168.28
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
TBA North Invoice
309 Gradle Dr. No. 03MD7042
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982
Page 1
10:33:39 Apr 16 2014
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03MD7042 04/16/14 03TW9954001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dent: 002 CARMEL POLICE CITY GARAGE Contact: ,JASON 0IL55GAL/317-733-4600 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
04/16/14, 10:33:37 400005 TOM SMITH N NORTH A 1 405
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
OIL DIST WILL DEL
OIL DEXOS5W3055GAL 55 GALLON DRUM NONE EA 2 0 2 1492.00 0.00 759.00 0.00 1518.00T
I
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCTAM INVOICE TOTAL PAYMENTS BALANCE
1518.00 2984.00 1518.00 0.00 0.00 106.26 1624.26 0.00 4.26
2.08% service charge on past due accounts(25% per annum). 1 D�
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
TBA North Invoice
309 Gradle Dr. No. 03LZ7431
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII VIII
I Page 1
14:19:37 Feb 172014
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LZ7431 02/17/14 03TS4167001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARNI EL,, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: ,JASON/317-733-4600 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
STOCK 02/17/14, 14:19:37 300001 PERRY WILHITE N NORTH A 1 301
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD1159P AT POLICE PAD SET U EA 4 0 4 94.88 0.00 42.07 0.00 168.28
ACD 18A2414A 19241847 ROTOR U EA 2 0 2 91.09 0.00 48.57 0.00 97.14
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
265.42 561.70 265.42 0.00 0.00 0.00 265.42 0.00 265.42
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
INDIANA RETAIL TAX EXEMPT PAGE
Cityof Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31967
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
4t2WD14
TBA No th Carmel Polico Department
VENDOR SHIP 3 CIVIC Square
9 Gradle Drive TO Carmol, IN 4 032
Carmel, IN 46W2 571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42%315.00
2 Each 55 gallon drum oil $759.09 $1,518.00
Slit,Taal: $1,518.00
rl
j .Ilt I tl''.I
�r F � 1 }I
v I _,IR
Send Invoice To:
Cann-Al Pollc@ Depai-'hiclit ✓f,J ?J/
Attn: Put Young
3 Civic Square
Cannal, IN =16M= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT $1,518.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF TIDE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER6SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T AT-70
SHIP REPAID. ,E IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIO SU f ICIENT TO AY FOR THE ABOVE ORDER.
• �•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL / i u
SHIPPING LABELS. chic4/of f ollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3196,17 A.P.V. COPY-SIGN AND RETURN 1'O CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
r
ON ACCOUNT OF APPROPRIATION FOR
I
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 •- -
I
Cost distribution ledger classification if
IV claim paid motor vehicle highway fund
L, - - –
VOUCHER NO. WARRANT NO.
ALLOWED 20
TBA North
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$2,048.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
II�
1110 03LZ7431 42-370.00 $265.42 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
31967 03MD7042 42-315.00 $1,518.00
materials or services itemized thereon for
1110 03ME5149 42-370.00 $168.28 which charge is made were ordered and
1110 06ME6024 42-370.00 $97.14 received except
Thursday, ay 01, 2,014
/Z 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))
02/17/14 03LZ7431 repair parts $265.42
04/16/14 03MD7042 Oil $1,518.00
04/29/14 03ME5149 repair parts $168.28
04/30/14 06ME6024 repair parts $97.14
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