HomeMy WebLinkAbout240850 1/7/2015 CITY OF CARMEL, INDIANA VENDOR: 00353276
ONE CIVIC SQUARE V W R INTERNATIONAL CHECK AMOUNT: $ ....'245.28*
CARMEL, INDIANA 46032 PO BOX 640169 CHECK NUMBER: 240850
PITTSBURGH PA 15264 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4239099 32258 8059903984 143.55 EQUIPMENT
1110 4342100 80599903984 101.73 POSTAGE
VW R (R)
PO Box 117 ORIGINAL INVOICE
Wayne,PA INVOICE DATE INVOICE# PURCHASE ORDER# ORDER DATE
19087 12/19/2014 8059903984 32258 12/18/2014
CUSTOMER ACC# SALES ORDER# TERMS
BILL. TO: 80027596 8016061895 30 days net
MDG2012 00001139 1 MB 0435 1 PAYMENT DUE DATE 01/18/2015 PLEASE PAY THIS AMOUNT .$ 245.28
CARMEL POLICE DEPT
PAT YOUNG SHIP TO:
3 CIVIC SQ PO#32258
CARMEL IN 46032-2584 CARMEL POLICE DEPT
3 CIVIC SQ
CARMEL IN 46032-2584
E-mail address changes to cmd_na@vwr.com
1 of 2
Unless governed by a separate written agreement,sales are subject to VWR standard terms and conditions. Visit www.vwr.com for complete details
Reference: __ __ _ __- _ _ Reference 2: - _ _ Credit Card-: N/A
ORDERED BY DATE SHIPPED WHSE VIA CURRENCY DUNS# TAX CODE
john elliot - 3175712515 12/19/2014 8013 THE EXPEDITING COMPANY USD 15-098-2189 56-2445503
LINE# CUST LINE# CATALOG NUMBER AND DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE EXTENSION TAX
1 60825-406 1 1 CS 29.37 29.37 0.00
VWR TUBES CULTURE 12X75 CS1000
Packing Slip: 8016061895 8402 c=' \
COO: US ,J—
VCS
US HTS: 7017.90.5000 \ `\
2 EM-CX1055-6 \ �' ( -� 13 66.13 0.00
CHLOROFORM ACS REGT 500ML
Packing Slip: 8016061895 8402
COO: US
3 52858-076 1 1 EA 15.97 15.97 0.00
PARAFILM RL= 21N X 250FT
Packing Slip: 8016061895 8402
COO: US
VW R ��r
PO Box 117 ORIGINAL INVOICE
Wayne,PA INVOICE DATE INVOICE# PURCHASE ORDER# ORDER DATE
19087 12/19/2014 8059903984 32258 12/18/2014
CUSTOMER ACC# SALES ORDER# TERMS
80027596 8016061895 30 days net
BILL TO:
PAYMENT DUE DATE 01/18/201 5 1 PLEASE PAY THIS AMOUNT $ 245.28
CARMEL POLICE DEPT
PAT YOUNG
3 CIVIC SQ
CARMEL IN 46032-2584 2 of 2
Reference: Reference 2: Credit Card: N/A
ORDERED BY DATE SHIPPED WHSE VIA CURRENCY DUNS# TAX CODE
john elliot - 3175712515 12/19/2014 8013 THE EXPEDITING COMPANY USD 15-098-2189 56-2445503
LINE# CUST LINE s CATALOG NUMBER AND DESCRIPTION ORDERED SHIPPED U/M UNIT PRICE EXTENSION TAX
US HTS: 3920.10.0000
4 12578-201 1 1 PK 20.98 20.98 0.00
VWR PAPER WEIGHING 6X6 PK500
Packing Slip: 8016061895 8402
COO: US
US HTS: 4823.90.8600
5 30617-674 2 2 EA 5.55 11.10 0.00
SPINBAR ROUND 3/4X5/161N
Packing Slip: 8016061895 8402
COO: US
US HTS: 8505.11.0000
Merchandise Total 143.55
Freight Charges 74.23 0.00
Hazardous Charges 27.50 0.00
TAIL
EXEMP
City
®� Carmel
RTIFI A,RENO.003X 015500 PAGE
a CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
921144
VWR intom@kIona166C Cruel POilco Depaetment
VENDOR
SHIP 3 CIVIC squm
P.O. ®Ott MOM TO Cumol, IN 4l 2
Pliti;buFgh, PA 162M-9169 (317)579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTIONNIT PRICE RICE EXTENSION
Account 42 .M
2 Each SPINBAR Round 30097-874 $5.55 $11.10
1 Each MR Paper weighing 0X8 12578-201 $20.98 $20.98
1 Each Para01m RL 52!58r-0rr.Z0 $15.97 $15.97
9 Each VIlIfiR Tubes CutlOre 825_�40 $28.37 $29.37
1 Each Chloroform ACS Rego 500ML � -Cxt:05v0 $80.13 $00.13
wTjr6,0
� .....
., �1 • Sub Total: $143.35
A� 1 ��••
° L
0(1n)
Send Invoice To:
Cumol Police Department
Attn: Pat Young
3 CIVIC Squam
Carmol, IN - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $143.55
• 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 APPROPRIA�TIPN SUFFI ENT TO PAY FOR.THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 4,0 0P 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 2 5 8 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 8059903984 shipping charges $101.73
01/05/15 8059903984 lab supplies $143.55
I
i 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
VWR International LLC
IN SUM OF $
P.O. Box 640169
Pittsburgh, PA 15264-0169
$245.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 8059903984 43-421.00 $101.73 I hereby certify that the attached invoice(s), or
Encumbered bill(s) is (are) true and correct and that the
32258 8059903984 42-390.99 $143.55
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, December 31, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund