HomeMy WebLinkAbout240613 01/07/2015 +u•.C�9M
R• CITY OF CARMEL, INDIANA VENDOR: 368940
ONE CIVIC SQUARE AMERICAN WEIGH CHECK AMOUNT: S"""'""100.16'
CARMEL, INDIANA 46032 3285 SATURN CT CHECK NUMBER: 240613
9g. a;r NORCROSSGA 30092 CHECK DATE: 01/07/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 SI-768068 11.31 POSTAGE
1110 R4357600 32241 SI-768068 88.85 POCKET SCALE
M5 Safum Ct
X € Norcross,GA 30092 SALES INVOICE
Tel: 77054230 SI-768068 12/15/2014
Fau 770 543 0258
Ameftan Weigh Scales, Inc.
Customer Contact Ship To
CITY OF CARMEL CITY OF CARMEL
PAT YOUNG TARA GREAVES
ONE CIVIC SQUARE THREE CIVIC SQUARE
; CARMEL IN 46032 CARMEL IN 46032
UNITED STATES UNITED STATES
Tel: (317)571-2574 Tel: (317)571-2574
Account Terms Due Date Account Rep Schedule Date
96911 NET 30 1/14/2015 BETH DENNIS 12/15/2014
Sales Order PO # Reference Ship VIA Page Printed
SO-282478 32241 BETH EMAIL UPS Ground 1 12/15/2014
5:16:18 PM
L Item Description Order Ship Price UM Discount Amount
1AMW-SC-501A AMW-SC-501 500 X .01G INCLUDES ADAPTER 1 1 $74.95 EA $74.95
2200WGT 200 GRAM CALIBRATION WEIGHT 2 2 $6.95 EA $13.90
3SH SHIPPING/HANDLING 1 1 $11.31 EA $11.31
Shipment Tracking Details
Shipment Date Delivery Method Tracking Number
12/15/2014 Not Found 1ZAOF3994245791171
Picked by: Tax Details Taxable $0.00
ooss $0.000
Pulled by:
Packed by:
Payment Details Total Tax $0.00
Shipped by:
Exempt $100.16
Total $100.16
Payment Disc $0.00
Paid $0.00
Balance $100.16
f� INDIANA RETAIL TAX EXEMPT PAGE
City ® I' Qarmel
CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL'EXCISE TAX EXEMPT W41
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
426��6�9a
C@fm®0 P ollco Dopcirtmont
SHIP 3 Civic Squmru
VENDOR
TO Cumol,ole IN 4
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
{ QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-686.00
9 Each Digital Packet Scale $74.05 $74.05
9 Each Calibration Weight $93.90 $93.90
luta Total: $9 .85
CO
1.5
Send Invoice To: ``-f"�� = "w {�� °e_✓
Comol Pollco Dop6A7mont
Aft. Pfd Young
3 Chic Squama
Czmal, IN 4&M- PLEASE INVOICE.IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT M.85
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/T HERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT ON SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 010?
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ov p®Ilco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 4 1 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT NO.__
ALLOWED 20
IN THE SUM OF$
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
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))
01/02/15 SI-768068 shipping charges $11.31
01/02/15 SI-768068 K9 training supplies $88.85
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
American Weigh Scales
3285 Saturn Court IN SUM OF $
Norcross, GA 30092
$100.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 SI-768068 43-421.00 $11.31 I hereby certify that the attached invoice(s), or
Encumbered bill(s) is (are) true and correct and that the
32241 SI-768068 43-576.00 1 $88.85
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, December 31, 2014
zv
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund