HomeMy WebLinkAbout238803 11/05/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 365197
ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECKAMOUNT: $*****1,221.00"
CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 238803
NOBLESVILLE IN 46060 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 25316 27.00 POSTAGE
1110 4230200 32493 25316 1,194.00 PERFORATED ROLL
REMIT TO: Invoice
14-"e:, ?� EMP Technical Group
E'.e ee .e••o: 15309 Stony Creek Way
@:B, Noblesville,IN 46060 Date Invoice#
mjudllah oo: 317-776-6700
F.M P 10/28/2014 25316
TECHNICAL
GROUP
Bill To Ship To
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel,IN 46032 Carmel,IN 46032
ATTN:ACCOUNTS PAYABLE Attn:Blaine Mallaber
P.O. Number Terms Ship UPS# FedEx# Ship Via F.O.B.
32493 Net 30 10/24/2014 n/a n/a Fed Ex Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
24 LB3663-CASE Perforated roll,6 roll pack,100 sheets per ea 49.75 19791 1,194.00T
roll,priced per case.
Shipping Shipping/Handling 27.00 19791 27.00T
069991594116693(1 of 4)
Thank you! Tota
$1,221.00
Phone# Fax# 30 DAY RETURN POLICY:
In order for items to be eligible for return,items must be in
317-776-6700 317-219-0535 like new condition with all original unmarked packaging.
INDIANA RETAIL TAX EXEMPT PAGE
City
CERTIFICATE N0.003120155 002 0®� Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32493
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
IWAM14 — F
EMP Technical Group Carmel Palle Department
vENDo Ren VanAlz tine SHIP 3 Civic Square
15399 Story Cr@ck Way To Gabel, IN 40032
Noblesville, IN 4 (31 r)571-2559
CONFIRMATIONBLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-302.00
24 Each Perforated roll LB3663 $49.75 $1,194.00
Sub Total: $1,194.00
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Send Invoice To:
Carmel Police Department
Attu: Pat Youno
3 Civic Square
Carmel, IN 46032' PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,194M
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS -.11 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. \
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ! \ Chief
-
SHIPPING LABELS. \ Chi�`'ig o Poll"
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE- ' 44
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ----
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 9 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
it
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
VOUCHER NO. WARRANT.NO.
ALLOWED 20
EMP Technical Group
Ben VanAlstine IN SUM OF$
15309 Stony Creek Way
Noblesville, IN 46060
2
ON ACCOUNT OF APPROPRIATION FOR _
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 25316 43-421.00 $27.00 I hereby certify that the attached invoice(s), or
32493 25316 42-302.00
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
Wednesd y, October 29, 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))
10/28/14 25316 Postage $27.00
10/28/14 25316 Perforated Roll $1,221.00
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