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Home My WebLink About240258 12/16/14 CITY OF CARMEL, INDIANA VENDOR: 00352813 ONE CIVIC SQUARE CENTRAL INDIANA HARDWARE CHECK AMOUNT: $*******209.97* CARMEL, INDIANA 46032 P.O.B OX 83030 CHECK NUMBER: 240258 0CHICAGO IL 60691-3010 CHECK DATE: 12/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4239099 32166 7113361 209.97 PADLOCKS Invoice Central Indiana Hardware Invoice # : 7113361 9190 Corporation Drive since 151 Indianapolis,Indiana 46256 Order# 5083820 Tel:317-558-5700 Fax:317-558-5712 Date Dec 4 2014 Customer: Ship To: CITY OF CARMEL CARMEL COMMUNICATION CENTER ONE CIVIC SQUARE 31 1ST AVENUE NW CARMEL Indiana 46032 C �1 RH Carmel Indiana 46032 Attn: BRIAN SMITH Account Code : 6998 Quote# 4055081 - Terms _ :__Net 30_ _ _ _ _ _ __ _Purchase Order# 32166 Customer Job# Shipped Via UPS -Std Ground Salesperson Greg Dunnavant Contact Greg Dunnavant Order Name BEST PADLOCKS ATTN/BRIAN PO 32166 ON ALL PAPERWORK Unit Extended Ordered Shipped Product Description Price Price 3 3 Padlock 41B-772L L/C 626 31.09 93.27 3 3 Padlock 41B-782L L/C 626 34.90 104.70 Description Price UPS/Freight Charges - 12.00 Shipment Number Shipment Date Note 137825 Dec 4, 2014 ATTN/BRIAN PO 32166 ON ALL PAPERWORK Pre-Tax Total 209.97 INDIANA 0.00 IAmount Due 209.97 CIH FSC Certificate#SCS-COC-002586 (Only the products that are identified as such on this document are FSC Certified) Printed Dec 4,2014 3:48 PM "* Remit to: Central Indiana Hardware, PO Box 83030, Chicago, IL 60691-3010 Page 1 of 1 INDIANA RETAIL TAX EXEMPT PAGECity ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 32166 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 11/25/2014 Padlocks Central Indiana Hardware Carmel Communication Center VENDOR SHIP 31 1 st Ave NW TO 9190 Corporation Drive Carmel, IN 46032 11 Indianapolis, IN 46256 (317)571-2576 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-390.99 3 Each Padlock 41 B-782L $34.90 $104.70 3 Each Padlock 013-7721- $31.09 $93,27 1 Each (( $12.00 $12.00 dub Total: 0209.97 �f 4' IF 1 t 1,. Quote 4055081- Send Invoice To: '( , Carmel Communication Center 31 1 st Ave NIA! Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT L AMOUNT 1115 Communications PAYMENT $209.97 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN • THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY l` SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. (� CLERK-TREASURER DOCUMENT CONTROL No. 32166 A.P.V. COPY-SIGN AND RETUERN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ - f 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 Central Indiana Hardware IN SUM OF$ 9190 Corporation Drive Indianapolis, IN 46256 $209.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT; Board Members 32166 I 7113361 I 42-390.99 I $209.97 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 Friday, December 12, 2014 A hector 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)) 12/04/14 7113361 $209.97 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