HomeMy WebLinkAbout237909 10/08/14 � CITY OF CARMEL, INDIANA VENDOR: 362140
ONE CIVIC SQUARE MCCOMB WINDOW CHECK AMOUNT: $*******278.20*
?4 CARMEL, INDIANA 46032 5425 WEST 74TH STREET CHECK NUMBER: 237909
INDIANAPOLIS IN 46268 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 32438 23751 278.20 WINDOW REPAIR
,*VOICE..,, IVC000000O0023751
McComb Window& Door Co., Inc.
5425 W.74th St. Date 9/29/2014
Indianapolis IN 46268 ,Pa`e 1
I
Bill to: Ship to:
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel IN 46032 Carmel IN 46032
Purchase;=;Order ID Customer ID I's ID.,% , ,,:: _.s All jShippingMethod Payinent;Terms LD
PO#32438 CAR110- DELIVERY
,
Quantity':- :Itein;Number,< < z: : De'scriptio_n_`' r,;; U,' f;
M �� Discount UnitPrice Ext:Price
1 PARTS PARTS Each $0.00 $278.20 $278.20
Subtotal $278.20
Indiana Brick Corporation Inv#76984 Misc fi $0.00
Tax' $0.00
Frei` ht $0.00
Trade Discount $0.00
Total $278.20
INDIANA RETAIL TAX
MPT
City ®f Carmel CERTTIFICATE NO003120155 002 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 438
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. t DESCRIPTION
meso b Window&Dour Co., Inc Carmel Police Depa went
VENDOR
SHIP 3 ClVlc Square
5A25 W 74th St, Suite MO TO Carmol, IN 461
Indianapolis, IN 462M (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.601.00
1 Each Exterior Mnn7in clip (avhile) 09F26000 $278.20 $275.20
Sub Total: $270.20
too
} i z
�t
Send Invoice To: ~r `
Carmel Police Depattment
Aftn: Pat Young
3 Clylc Square
Camel, IN PLEASE INVOICE IN DUPLICATE
j DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
j Carmel Police Dept. � $278.20
PAYMENT
�J a A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI��THATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP IA ON/SUFFICIENT FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
t C�?I 6 Police LABELS. /
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I�Irfl
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4 3 3 A.P.V. COPY-SIGN AND RETURN TO CLEM'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
1
ON ACCOUNT OF APPROPRIATION FOR
C
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.
McComb Window& Door Co., Inc ALLOWED 20
IN SUM OF$
5425 W 74th St, Suite 200
Indianapolis, IN 46268
$278.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32438 23751 43-501.00 $278.20 1 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
Wednesday, October 01, 2014
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))
09/29/14 23751 Window Repair Parts $278.20
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