HomeMy WebLinkAbout240279 12/16/14 ��p" CITY OF CARMEL, INDIANA VENDOR: 368891
J�` ONE CIVIC SQUARE ENGINEER SUPPLY CHECK AMOUNT: $*******327.23*
:� CARMEL, INDIANA 46032 21430 TIMBERLAKE ROAD UNIT 349 CHECK NUMBER: 240279
9.��,_.�'r, LYNCHBURG VA 24502 CHECK DATE: 12/16/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 32213 11105807 327.23 STROBE PRISM
Remit To
EngineerSupply
21430 Timberlake Rd
Unit 349
Lynchburg VA 24502 Invoice
Toll-Free Phone:1-800-591-8907
Sold To SHIP TO
JIM BARLOW 317-571-2559 JIM BARLOW 317-571-2559
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SO 3 CIVIC SO
CARMEL IN 46032-2584 CARMEL IN 46032-2584
pyoung@carmel.in.gov pyoung@carmel.in.gov
Order Date:8-Dec-2014
Web Order No.:11105807
Master Order No.:2173190
Ship via:4-7 business days
Customer ID:127588
Shipped via: 4-7 business days Payment Method: PO PO#: 32213 j
- — — -NOT - -UNIT _ .
SKU DESCRIPTION ORDERED SHIPPED SHIPPED PRICE TOTAL
ES4130-6402-03- Seco 62 mm Premier Strobe Prism Assembly with 6" 2 2 0 $153.99 $307.98
FOB x 9"Fluorescent Orange and Black Target 6402-03-
FOB
Shipping charge 1 1 0 $19.25 $19.25
"A check mark in this column indicates a Discontinued productINVOICE TOTAL $327.23
BALANCE DUE $327.23
PAYMENT IS DUE UPON RECEIPT OF GOODS
Mail Check payment to remit address above
"Customers buying using a Purchase Order will receive a final invoice via e-mail once all items on an order have shipped.
"Any adjustment made to the order represents line items that have not yet shipped.
"Please note that any invoice that is still unpaid at 60 days after receipt of goods will be assessed a finance charge of$25 and turned over to
collections.
Thank you for shopping with EngineerSupply.com!
INDIANA RETAIL TAX EXEMPT PAGE
Chit ®f C Arme, I
1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT x2213
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
1214m4
Sngineer Supply Can-no! Police Department
VENDOR SHIP 3 Clyle Square
21430`l`li mberlake Rd Unit 349 TO Carmel, IN 46x32
Lynchburg, VA 24502 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.99
9 Each Strobe Prism Assembly E 130-8402-03 f-11B $327.23 $327.23
Sub Total.: $327.23
A� �� •� � N, "--_
"`41111 �-_ `' ��r � �/ �i�ll �• t. ��
Send Invoice To:
�` _
Carmel Police Departme"Ilt
Attn: Pat Young
3 Civic Square
Carmel, IN 460 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT TPROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $327.23
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
J
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRI)�TIO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Clue �p& Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 21',; A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
Engineer Supply
IN SUM OF$
21430 Timberlake Rd Unit 349
Lynchburg, VA 24502
$327.23
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32213 11105807 42-390.99 $327.23 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
Thursday, December 11, 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)).
12/08/14 11105807 Strobe Assembly $327.23
1 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
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