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HomeMy WebLinkAbout238035 10/15/2014 ,a d f4gMf CITY OF CARMEL, INDIANA VENDOR: 368612 ® ONE CIVIC SQUARE 41MPRINT CHECK AMOUNT: $*******465.01* CARMEL, INDIANA 46032 101 COMMERCE ST CHECK NUMBER: 238035 PO BOX 320 CHECK DATE: 10/15/14 OSHKOSH WI 54901 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4355100 32355 3562443 465.01 PROMO ITEMS A INDIANA RETAIL TAX EXEMPT PAGE ruy, CERTIFICATE NO.003120155 002 0 C ®f Carine� PURCHASE ORDER NUMBER h1 (� FEDERAL EXCISE TAX EXEMPT �I . 0 t-a(.J 35-60000972 ZQ 35!5 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 0113 201�{ a+ VENDOR .I ' �' ` SHIP ISO 3a© TO ash Koch I LZ 1 5y�D CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT a QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION �co m�+i DrOA m C,+�r,I e-1s pt r ��5 I a •@ . 3 a®• r Send Invoice To: �p o" Gvie_ sgocre- rM�ll i N 41�03� PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT �.Ovl� ' �l0 /�35�5� �� PAYMENT 4'765,01 I A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. noroU I l�n� ('� 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 T RIATION 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 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. 3 2 3 5 5 VENDOR COPY Invoice 3562443 Page 1 ' �-rpr �re 101 Commerce St 41i1 � PPO Box 320 Oshkosh, WI 54901 www.4imprint.com Toll Free 877-446-7746 Free Fax 800-355-5043 Shipping Address AMANDA BENNETT Amanda Bennett CARMEL CITY ATTORNEY'S OFFICE Carmel City Attorney's Office 1 CIVIC SQUARE 1 Civic Square CARMEL IN 46032 CARMEL, IN 46032 USA Tel: 317-571-2472 Invoice Number 3562443 Account No. 3064458 Invoice Date September 26,2014 Account Rep. Kathi Spangler Your Order No. 32355 Our Order No. 9548984 Item Closed-Back Table Throw-8' Colors (Throw,Trim): Red, Red QtyI Item# Description Unit$ Price$ Total$ 1 2213 Closed-Back Table Throw-8' 199.0000 199.00 199.00 1 Set-Up Charge Set-Up Charge(Per Order Line) 0.0000 0.00 0.00 1 Misc. Charge Add for Carry Case 0.0000 0.00 0.00 Freight 7.52 7.52 206.52 Item Directors Chair-Bar Height Colors (Fabric,Frame): Red,Wood Qty Item# Description Unit$ Price$ Total$ 1 100358-BH Directors Chair-Bar Height 239.0000 239.00 239.00 1 Set-Up Charge Set-Up Charge(Per Order Line) 0.0000 0.00 0.00 Freight 19.49 19.49 258.49 Total Net 465.01 _._ ____Tota1Tax.J.__Tax____—6-00 Grand Total 465.01 Please ensure that payment is received by Oct 26 2014. Total Due 465.01 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 4imprint Purchase Order No. 101 Commerce St., PO Box 320 Terms Oshkosh, WI 54901 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) f1r%A9AA1 Dr-rnotmonal materials per the- attac-hed $465.01 Total 1 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. WARRANT NO. ALLOWED 20 IN SUM OF $ 101 Commerce St., PO Box 320 Oshkosh, WI 54901 $ $465.01 ON ACCOUNT OF APPROPRIATION FOR Law - 1180 435-5100 - Promotional Fund Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I I hereby certify that the attached invoice(s), 39355 3562443 435-51QO . 465.01 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 I 3 20M/ (� qj&gnaM Cost distribution ledger classification if Title claim paid motor vehicle highway fund