HomeMy WebLinkAbout239715 12/03/14 %� 44q*• CITY OF CARMEL, INDIANA VENDOR: 365197
(g ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $*******821.79*
s. ,?� CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 239715
•M«oN. NOBLESVILLE IN 46060 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 32453 25747 821.79 CAR ADAPTER
REMIT TO: Invoice
EMP Technical Group
®•r�'o°• I'
E'�'° 6' 15309 Ston Creek Wa
��:i�• '�• Y Y
6; .:;• Noblesville,IN 46060 Date Invoice#
rCU °-- 10.: 317-776-6700
E M P 11/25/2014 25747
TECHNICAL
GROUP
Bill To Ship To
Carmel Police Department Information&Communications Systems
3 Civic Square 31 1st Ave.NW.
Carmel,IN 46032 Carmel,IN 46032
ATTN:ACCOUNTS PAYABLE Attn:Greg Bedell
P.O. Number Terms Ship UPS# FedEx# Ship Via F.O.B.
32453 Net 30 11/24/2014 n/a n/a Fed Ex Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
3 PJ622 BROTHER MOBILE,POCKETJET 6, ea 257.00 20180 771.0017
200-DPI,INTEGRATED USB/IRDA,
ENGINE ONLY,NO BATTERY,NO DOC.
SET,NO ACCESSORIES
S/N:U62863K4Z858420; 0.00
U62863K4Z858421;U62863K4Z858427
3 L133690 BROTHER MOBILE,CAR ea 16.93 20180 50.79T
ADAPTER,CIG.PLUG FOR POCKETJET
3,3'LENGTH,REPLACES 205579
Tracking:069991594498188 0.00
Thank you for your business!
Total $821.79
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.
Co INDIANA RETAIL TAX EXEMPT PAGE
it ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32453
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
EMP Tochnical Group Carmel Police Depaftent
VENDORP'@n VanAlsfine SHIP 3 Civic Square
15 TO Stacy Cl*ek Way Cam*, IN 46032
Noblesvlh, IN 46NO (317)571-9-559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-670.99
3 Each Car Adapter LE3690 $16.93 $50.79
3 Each Pocket Jet 6 Engine PJ622 $257.00 $771.00
r - Sub'Total: $821.79
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Send Invoice To: ✓ I ' J
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Carmel Police Department
Attn: Pat Young
3 Civic squam
Carmel, IN 450 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. ` �- PAYMENT $821.79
:>
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPRO-RIA,9N
SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY !!! f
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE , hlef Of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32453 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
'i
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
$821.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32453 I 25747 I 44-670.99 I $821.79 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
Wednesda , November 26, 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
y
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
11/25/14 25747 e-ticket printer&car adapter $821.79
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
i