HomeMy WebLinkAbout237891 10/08/2014 •Coq.
�.,' M'^. CITY OF CARMEL, INDIANA VENDOR: 368735
t. ONE CIVIC SQUARE LAPEL PINS PLUS NETWORK LLC CHECK AMOUNT: $*******510.00*
,4 CARMEL, INDIANA 46032 5840 RED BUG LAKE ROAD,STE 35 CHECK NUMBER: 237891
'.y�roN.�o. WINTER SPRINGS FL 32708 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 109028 510.00 OTHER EXPENSES
Lapel Pins Plus Network LLC
I nvoice
—3Q5
5840 Red Bug Lake Road, Suite 35
Winter Springs,FL 32708
Date 9/9/2014
Invoice# 109028
Bill To Ship To
PO#31659 PO#31659 Human Resources
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
Terms Ship Date Via
31659 Net 30 9/26/2014
Qty Description Unit Price Amount
100 1.75 Custom Challenge Coins/Medallions 3.85 385.00
2 Custom Mold Fee 62.50 125.00
1 UPS International Shipping -Free 0.00 0.00
Submitted To
In
OCTOCT 0 6 2014
Clerk Treasurer
Total $510.00
Pymnts/Credits $0.00
Balance Due $510.00
Custom Challenqe Coins Plus
5840 Red Bug Lake Road, Suite 35
Winter Springs, FL 32708
1-800-252-0904
Date: 9/9/2014
Invoice Number: 109028
Your new invoice from Custom Challenge Coins Plus
Bill To: Ship To:
City of Carmel City of Carmel
PO # 31659 PO # 31659 Human Resources
One Civic Square One Civic Square
Carmel, IN 46032 Carmel, IN 46032
USA USA
317-571-2465
P.O. Number Terms Ship Date Via
31659 Net 30 9/23/2014 UPS
Qty. Description Unit Price Amount
100 1.75 Custom Challenge Coins/Medallions $3.85 $385.00
2 Custom Mold Fee $62.50 $125.00
1 UPS International Shipping - Free $0.00 $0.00
Total: $510.00
Payments/Credits: $0.00
Balance Due: $510.00
FOCSubmitted To
T 0 6 2014
Clerk Treasurer
O J�" Carmel .
IINDIANA RETAIL TAX EXEMPT FA�tCp^DJJJi� ®ll0.fCERTIFICATE NO,003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
q�1 1
\\ 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.
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR �r%S�I� '..)`�`�1 ��' ��Sc�� .. c. . 3 5 SHIP
TO
32--
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
� 'lT
I
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
a-o 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
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE OVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL --
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31659 VENDOR COPY
Prescribed by State Board of Accounts City Form No.201(Rev.199!�
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
Lapel Pins Plus Network LLC
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 510.00
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO?o/06/14 WARRANT NO.
i
ALLOWED 20
Lapel Pins Plus Network LLC
IN SUM OF $
5840 Red Bug Lake Road, Suite 35
Winter Springs, FL 32708
$ 510.00
ON ACCOUNT OF APPROPRIATION FOR
i'
i
I
301 Medical Fund
Board Members
PO#or D PT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s),
or bill(s) is (are) true and correct and that
109028 301 510.00 the materials or services itemized thereon
for which charge is made were ordered and
received except
I
I
I
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i