HomeMy WebLinkAbout234270 07/01/14 CITY OF CARMEL, INDIANA VENDOR: 365197
ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $ ....*647.00*
�•_ � CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 234270
NOBLESVILLE IN 46060 CHECK DATE: 07/01/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 23139 50.00 POSTAGE
1110 4230200 32055 23139 597.00 PERFORATED ROLL
REMITTO:
""UNE8 EMP Technical Group
Invoice
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' 15309 Stony Creek Way
Noblesville,IN 46060 Date Invoice#
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6/23/2014 23139
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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: Robert Robinson
P.O. Number Terms Ship UPS# FedEx# Ship Via F.O.B.
32055 Net 30 6/20/2014 n/a n/a Fed Ex Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
12 LB3663-CASE Perforated roll,6 roll pack, 100 sheets per ea 49.75 18266 597.00T
roll,priced per case.
Shipping Shipping/Handling 50.00 18266 50.00T
Thank you for your business!
Total $647.00
Phone# Fax# 30 DAY RETURN POLICY:
In order for items to be eligible for return,items must be in
317-776-6700 317-219-0535 like new condition with all original unmarked packaging.
I
C �° Carmel
INDIANA RETAIL TAX EXEMPT PAGE
i ®,ur CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32
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
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EIMP 70cl R1921"ISFO P C@rnoi Police DQp2rtmont
®on VanAIstinoa SHIP 3 Civic squm
VENDOR
IS= Stony Crook Vfty TO CsilMol, IN 4
Noblesville, IN 4 (317)671-M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account
,gq�yUNIITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42M2.00
92 Each Perforated roil LB3603 $45.00
Sub Total: �
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Send Invoice To:
Carmel Police Dopartmont
Attn: Pat Young
3 Civic Squ@ro
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT ennnLlniT
Carmel Police Dept.
PAYMENT Eq
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• ,
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BYf �a ,, g�R rel
SHIPPING LABELS. ChIGf
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT,THERETO. k
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 O 5 5 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
i - I
VOUCHER NO__.._ --WARRANT NO._____
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/T-ITLE 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
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))
06/23/14 23139 shipping charges $50.00
06/23/14 23139 perforated rolls $597.00
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
EMP Technical Group
Ben VanAlstine IN SUM OF $
15309 Stony Creek Way
Noblesville, IN 46060
$647.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1110 23139 43-421.00 $50.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
32055 23139 42-302.00 $597.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, June 26, 2014
-4Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund