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Home My WebLink About239515 11/25/14 CITY OF CARMEL, INDIANA VENDOR: 097550 .�. ® < • ONE CIVIC SQUARE FITZCO INC CHECK AMOUNT: $*******665.64* s. ?� CARMEL, INDIANA 46032 PO BOX 270107 CHECK NUMBER: 239515 MINNEAPOLIS MN 55427 CHECK DATE: 11/25/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 50321 65.64 POSTAGE 1110 4239099 32430 50321 600.00 BARRIER POUCH Customer Copy FITZCO INC PO BOX 270107 MINNEAPOLIS,MN 55427 UNITED STATES OF AMERICA PAGE 1 (952)-224-2700 INVOICE DATE 11/11/2014 INVOICE NO 50321 S 4CARMEL S CARMEL INDIANA POLICE DEPT O PAT YOUNG H 3 CIVIC SQUARE L CARMEL INDIANA POLICE DEPT I CARMEL, IN 46032 D 3 CIVIC SQUARE P CARMEL, IN 46032 O 0 TOTAL DUE 665.64 SLS1 SLS2 DUE DATE DISC DUE DATE ORDER NO ORDER DATE SHIP DATE SHIP NO HS 12/11/2014 11/11/2014 00052169 8/8/2014 11/10/2014 1Z556E750345162649 TERMS DESCRIPTION CUSTOMER PO NUMBER SHIP VIA 0/0,n/30 32430 UPS-GRND ITEM ID TX CL UNIT ORDERED SHIPPED UNIT PRICE EXTENSION 21028 1 CASE 2.0000 2.0000 300.0000 600.00 4.5ML 6.5X10.5 FITZPAK BAR POUCH SC 4.5 mil 6.5"x 10.5"FITZPAKO Barrier Pouch;Straight Cut Top 2000/CASE Lot Number 143125 2.0000 1%INTEREST PER MONTH ON PAST DUE INVOICES. TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL 0.00 600.00 65.64 0.00 0.00 665.64 PRIOR INVOICES 454.00 TOTAL DUE 665.64 INDIANA RETAIL TAX EXEMPT PAGE City of C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 3243'10 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 31ii4T_ Pii`zco, Inc. Caffnel Police Department VENDOR SHIP 3 Civic square PO Box 270107 TO Cannel, IN 464,32 I`Ainneapollos, PAN 55427 (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-NO,99 2 Each Barrier pouch 6.5x10.5 4.50mii 21028 $300.00 $600.00 1 Each Barrier Pouch 16x24 4.5rail 21014 $120.00 $120.00 ./ 5 Each Barrier p®udi 10x12 4.5mii 2102? $63.25 $316.25•-' Sub Total: $1,036.25 f �7/ Y Jx 7` ��.:aR ��"•� iii—�" \ � �� —(..''-..� \ S { �` ....✓.' Fl, f X"." 3 ;�` err C7 B& d Ae / ✓ F -- )3 j � Camel Police Department Attar: Pat Young l 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Police .De t A '\ PAYMENT $1,036.25 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. --� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT SHIP REPAID. THERE IS AN UNOBLIGATED BALANCE IN THIS APPROP ATIO U SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. gief THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE oil Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER If DOCUMENT CONTROL NO. 3 2 4 3® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 Fitzco, Inc. IN SUM OF$ PO Box 270107 Minneapolios, MN 55427 $665.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 50321 43-421.00 $65.64 1 hereby certify that the attached invoice(s), or " bill(s) is (are)true and correct and that the 32430 50321 1 42-390.99 $600.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, November 21, 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)) 11/11/14 50321 shipping charges $65.64 11/11/14 50321 lab supplies $600.00 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