HomeMy WebLinkAbout234006 6 /25/2014 CITY OF CARMEL, INDIANA VENDOR: 365197
ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $*******277.00*
s =� CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 234006
NOBLESVILLE IN 46060 CHECK DATE: 06/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 32055 23022 277.00 PERFORATED ROLL
��°� • Invoice
I= REMIT TO:
g; A.". '��i: 15309 Stony Creek Way Date Invoice#
Noblesville,IN 46060
f F.MP
317-776-6700 6/13/2014 23022
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:Scott Spillman
P.O. Number Terms Ship UPS# FedEx# Ship Via F.O.B.
31990 Net 30 6/11/2014 n/a n/a Fed Ex Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
1 HON-190OG... Honeywell Xenon USB Scanner KIT ea 262.50 18127 262.50T
(Replacing 4600GSF051 Scanner Kit)
1 HON-422061... Honeywell USB Toe A,8.58.Cable 3800, ea 14.50 18127 14.50T
3900,4600,4800 Series
Thank you for your business!
Total $277.00.
Phone# Fax#
317-776-6700 317-219-0535
INDIANA RETAIL TAX EXEMPT PAGE
City oCarmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31
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
41-1720-104
EMP Technical Group Carmel Police Department
Berg VanAlstino SHIP 3 CIVIC ftlflffi
VENDOR
18309 Stervy Clock Way TO Carmel, IN 46032
Nobleeyiife, IN elffiffi (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44.670.99
1 Each Xenon 1900 Area-Imaging Scanner 1000a aSR-2USB $262.50 $262.50
1 Each USE Cable -8.5 length 4220816101E $14.50 $14.50
Sub Total; $277.00
< 41
°°
'
Send Invoice To: I I T t}
Carmal Poilce Departmen
Attn: Pat Young
3 Civic Square
Canytel, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. � `'1 PAYMENT $277.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY'HAT6THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP IATIDN�SU6FFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL4lef
SHIPPING LABELS. ��Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
i 20
Signature
----.....-------- Title
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
EMP Technical Group ALLOWED 20
IN SUM OF$
Ben VanAlstine
15309 Stony Creek Way
Noblesville, IN 46060
$277.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32055 I 23022 I 42-302.00 I $277.00 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, June 20, 2014
Chief of Police
Title
I
Cost distribution ledger classification if i
i,
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
i
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
06/19/14 23022 Scanner/Cable $277.00
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