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HomeMy WebLinkAbout234293 07/01/14 (9, CITY OF CARMEL, INDIANA VENDOR: 366760 ONE CIVIC SQUARE GREAT LAKES EMERGENCY PRODUCTSCHECK AMOUNT: S*****1,752.00* CARMEL, INDIANA 46032 3444 BREEZE POINTE CIRCLE CHECK NUMBER: 234293 LINDEN MI 48451 CHECK DATE: 07/01/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356002 31983 13527 1,752.00 SPRAY HOLDER BASKET Great Lakes Emergency Products, LLC Invoice © 3444 Breeze Pointe Ct. 'Tinslltlm Date Invoice# Linden, MI 48451 6/16/2014 13527 Bill To Ship To Carmel Police Dept. Carmel Police Dept. Three Civic Square Three Civic Square Carmel,IN 46032 Carmel,IN 46032 P.O. Number Terms Rep Ship Via F.O.B. Project 31983 net 21 L.O. 6/16/2014 Quantity Item Code Description U/M Price Each Amount 80 38-44HS 38-OC Spray Holder Basket Weave Black Hidden 21.525 1,722.00 Snaps MK-3 Shipping Shipping Cost 30.00 30.00 :I:Total $1.752.00 INDIANA RETAIL TAX EXEMPT PAGE City . ® Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 3q 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 5r4V D14 Ors@t Lzihoo ErnorgGRcy Productg Carmol Pollco Dopartnuan4 VENDOR SHIP a CIVIC squ@m MM Broozo P®Into Court TO C&MGl, IN MW Undon, P4I 4151 CONFIRMATION BVUNIT CONTRACT PAYMENTTERMS FREIGHT QUANTITYOF MEASURE DESCRIPTION UNIT PRICE EXTENSION I` Account 43-M.02 1 Each shipping charges $30.00 $30.00 1 Each 38-OC SprayHolder Basket Weave Black 38-4-4HS $1,722.00 $1,722.00 Sub Total: $1,752.00 5 r I .r U a� �n r \ r Ouato 014090 Send Invoice To: /� �_U� Cumol Pollco Dap2rtmont Attn: P2t Young 3 CIVIC Squm Carmel, IN 462= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �5PAYMENT $1,752.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PR PER�fSWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY T ERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRI ����R_T�HE ABOVE ORDER. SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL ��aa ,q SHIPPING LABELS. C T oq Pollco •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / �- AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V CLERK-TREASURER DOCUMENT CONTROL NO. 31983 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 _ — IN THE SUM OF$ 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__ 20 --------------------------------------------------_ -------------_-----...... ................_...........--........-............. ...-.._..- Signature ------ -- Title Cost distribution ledger classification if claim paid motor vehicle highway fund i 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)) 06/16/14 13527 OC spray holders $1,752.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Great Lakes Emergency Products IN SUM OF $ 3444 Breeze Pointe Court Linden, MI 48451 $1,752.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members 31983 I 13527 I 43-560.02 I $1,752.00 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 Thursday, June 26, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund