HomeMy WebLinkAbout234894 07/16/14 4`�..c.,A"•� CITY OF CARMEL, INDIANA VENDOR: 356465
® ONE CIVIC SQUARE JIM RUSSELL PLUMBING &HEATING CHECK AMOUNT: $......*783.00*
a CARMEL, INDIANA 46032 70 E HAWTHORN ST CHECK NUMBER: 234894
ZIONSVILLE IN 46077 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32054 218103 783.00 HALSEY TAYLER FILTER
Jul 11 14 09:45a Jim Russell PHAC 317-873-2816 p.2
Date Invoice
07/10/14 218103
Page 1
Billed To:
City of Carmel Job:SERVICE
3 Civic Square Customer Phone:317-591-2500
.Carmel, In.46032
Description of Work: Day Work
Re: Police Dept.
1. Installed 4 Halsey Tayler filters
Hours Description of Labor Name Rate Extension
1.00 Undefined Labor 315.00 315.00
Quantity Description of Material Price Extension
1.00 Undefined Material 468.00 466.00
Materials 468.00
Labor 315.00
Total $783.00
PAYMENT DUE UPON RECEIPT.
Office Copy
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
ti FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
611,9/2014
Jim Rusgell Plumbing, Hating &.Air Condltionin Calfnei Police Depar=tment
VENDOR
SHIPS Clule Square
P.O. Box 845 TO Carel, IN 0132m
Zionsville, IN 46077= (317)571®1659
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4 Each Installation of HalseyTayler filter
F
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Send Invoice To:
Cannel Police Department
Aft: Pat Young
3 CIVIC squara
Carmol, IN 46032® PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Ca9mel Police Dept. 43-501.00 PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS •;•.I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. -
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. \.\
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY - <<a�r-�...- Police
�'�.,�•_
SHIPPING LABELS. cc �4a11I@r I Q�F'
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE%A^19 I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2®5`/��• A.P.V. COPY-SIGN AND RETURN TO CLERKS OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
"3
` 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 •
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jim Russell Plumbing, Heating &Air Conditioni
IN SUM OF$
P.O. Box 846
Zionsville, IN 46077
$783.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32054 218103 43-501.00 $783.00 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
Friday, July 11, 2014
2WZr 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))
07/10/14 218103 nstallation of Halsey Tayler filter $783.00
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