HomeMy WebLinkAbout236834 09/10/14 o
CITY OF CARMEL, INDIANA VENDOR: 368519
ONE CIVIC SQUARE FREEMAN SPECIALTIES INC CHECK AMOUNT: $*******414.00*
CARMEL, INDIANA 46032 5353 OAKBROOK PLACE CHECK NUMBER: 236834
PLAINFIELD IA 46168 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32420 100 414.00 CORNER GUARD
Invoice
Freeman Specialties, Inc
5353 Oakbrook Place Date Invoice#
Plainfield, IN 46168 9/4/2014 100
Bill To Ship To
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel,IN 46032 Carmel,IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
32420 8/14/2014 Best Way
Quantity Item Code Description Price Each Amount
14 Pawling Corp. Surface Mount Corner Guard,90 degree,4'h 26.00 364.00
1 Pawling Corp. Freight 50.00 50.00
Indiana Sales Tax 7.00% 0.00
Thank you for your business.
Total
9 ota l $414.00
�Carmel
INDIANA RETAIL TAX EXEMPT PAGE
C�it ®f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32420
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
12044 = - 7__
FlIMER 0PGCi2llti@C InC. Cu lol Police DopmItmont
VENDOR
SHIP 3 CIVIC sgUam
6=OftFoah Pleco TO Cmmol, IN 46032
Plairflold, IN 48969 (347)579
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account -09.00
1 Each sufase mount Corner guard Cis-20-4 X414.00 $414.00
Sub Total: $414.00
• �� V
-4 �.
Send Invoice To:
Cumol Police Dop@Kmont
Attn: Pat Young
3 CIVIC squm
Carmel, IN 4=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT ,q MOUNT
Carmel Police vepx. -� $4'140• '
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 PRO R SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFF%T AT HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP IA FF
SHIP REPAID. ICIENT TO PAY FO THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / p,
SHIPPING LABELS. Ill/�of polICID
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. -05%2420
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.—._._. WARRANT NO.-..__......
�-_
ALLOWED 20
IN THE SUM OF $
t
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
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))
09/04/14 100 $414.00
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
Freeman Specialties Inc.
IN SUM OF $
5353 Oakbrook Place
Plainfield, IN 46168
$414.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
32420 100 43-501.00 $414.00 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, September 04, 2014
�Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund