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Home My WebLink About239806 12/03/2014 CITY OF CARMEL, INDIANA VENDOR: 362664 ONE CIVIC SQUARE T3 MOTION, INC CHECK AMOUNT: $*******158.68* CARMEL, INDIANA 46032 2990 AIRWAY AVE AUITE A CHECK NUMBER: 239806 COSTA MESA CA 92626 CHECK DATE: 12/03/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 24359 14.30 POSTAGE 1110 4232000 32443 24359 144.38 FRONT TIRE T3 MOTION, INC Phone: 714-255-0200 970 CHALLENGER STREET BREA CA 92821 United States Invoice:24359 [ INVOICE T t Page: 1 of 1 "-------_---------.�-___�-...--__� —.Y� Date: 10/3/2014 Sold To: Ship To: City of Carmel City of Carmel Attn:Teresa Anderson 3 Civic Square 3 Civic Square Carmel IN 46032 Carmel IN 46032 PO Number: 32443 Terms: Due Upon Receipt F-.O.B: ORIGIN Sales Rep: Doug Rodgers Ordered:8/27/2014 Ship Via: UPS Ground Packing Slip: 16934 Ship Date: 10/1/2014 SO 18201 US Dollars Line Quantity Part Number/Description Revision Unit Price Ext Price; 1 1.00 022-00001 00 144.38000 EA 144.38 Line Ref. 1 SUB ASSY, FRONT TIRE Warehouse Code:Main PO Number: 32443 2 1.00 SH-001-001 14.30000 EA 14.30 Line Ref. 2 SHIPPING &HANDLING Warehouse Code:Main PO Number: 32443 Payment Schedule ^ Total: 158.68 USD Due Date _ _ _Amount 1 10/4/2014 _ 158.68 Total 158.68 ARForm:001:00 City. ® f�° Carmel INDIANA RETAIL TAX EXEMPT PAGE ,Jjr CERTIFICATE NO.003120155 002 0 I PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 32443 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 90-0, 14 Ta Motion, Ine'o Carmel Police Department VENDOR SHIP TO 3 Civic Square Airmay Avenue Camial, IN 45 Costa Mesa, DA T2625 (317)571-21%9 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-320.00 1 hash trent tire $144.38 $144.33 Sub Total: $144.3 N If Send Invoice To: 4 `_1'# ''0 k -`!✓la�. Camel Police Department Attu: Pard Young 3 Civic Square Carmel, IN 45032- PLEASE INVOICE IN DUPLICATE . DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carrel Police Dept. ' PAYMENT $144.3B • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRINATION U.FICIENT TO PAY FOR THEABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / l/ ZfSHIPPING LABELS.THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE PhaF�n9%a AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. , CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 4A,3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ I i 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 T3 Motion, Inc. IN SUM OF$ 2990 Airway Avenue Costa Mesa, CA 92626 . $158.68 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members i 1110 24359 43-421.00 $14.30 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 32443 24359 42-320.00 $144.38 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, November 26, 2014 /-X'Z1 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)). 10/03/14 24359 shipping charges $14.30 10/03/14 24359 tire $144.38 I hereby certify thatthe 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