HomeMy WebLinkAbout241919 02/10/15 ,1,1��.C�q�f
„/ �� CITY OF CARMEL, INDIANA VENDOR: 362614 '
® ONE CIVIC SQUARE BGI FITNESS CHECK AMOUNT: $*****3,212.10*
:., ?� CARMEL, INDIANA 46032 4340 EAST 82ND ST CHECK NUMBER: 241919
vM, l o: INDIANAPOLIS IN 46250 CHECK DATE: 02/10/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4467099 32267 433376 3,212.10 CANNONDALE W ACCESS
Work Order#: 123648
BGI Fitness-Bicycle Garage Indy INVOICEM 433376
Remit to:4340 E 82nd St., Indianapolis, IN 46250 Account#: 000100024799
www.bgindy.com/goto/learnMore Date: 1/27/2015
Time: 2:58:03 PM
Cashier: LK
Register M 1012
Page: 1 of 2
Reference: COM/PO#32267
Comment: PO#32267
Bill To: Carmel Police Department Ship To: Carmel Police Department
Carmel Police Department Carmel Police Department
3 Civic Sq 3 Civic Sq
Carmel, IN 46032-2584 Carmel, IN 46032-2584
317-571-2533
Alt=317-409-5866-Mike Pitman
JA NOTE By JA on 121914 1 $0.00 $0.00
JA 10303977 5CNDL MD BK Enforcement 29 2 1 $959.00 $959.00
Serial#EM39978
S/N: EM39978
Discount ($84.00) ($84.00)
JA 10303978 5CNDL LG BK Enforcement 29 2 1 $959.00 $959.00
Serial#EM49106
S/N: EM49106
Discount ($84.00) ($84.00)
JA 13200262 66 NTRD LT DigitalPatrol RD/BL 2 $399.99 $799.98
Red/Blue LED
Discount ($100.99) ($201.98)
JA 13200265 66 NTRD LT Police Tail Light 2 $69.99 $139.98
Works w/Digital Patrol model
Discount ($17.99) ($35.98)
JA 13200065 66 NTRD LT Siren-Standalone 2 $59.99 $119.98
Discount ($14.99) ($29.98)
JA 12100231 59 JAND Police Rack Pack 2 2 $79.99 $159.98
FPRP2
JA NOTE Do not install these items: 1 $0.00 $0.00
JA SO_10_3175712533_21 ZF-Bontrager XR1 26x2.2 Tire 2 $49.99 $99.98
Trek#430117
Discount ($10.00) ($20.00)
JA SO_10_3175712533_22 , .-ZF-Bontrager XR1 29x2:2-Tire- 2 .. $54.99
-— —-- - -- = Trek#430121=-
Discount ($11.00) ($22.00)
JA SO_10_3175712533_23 ZF Shimano VBrake Pad Set 2 $12.80 $25.60
JA SO_10_3175712533_24 ZN SRAM PC-870 8s chain 2 $25.99 $51.98
Discount ($5.19) ($10.38)
JA SO_10_3175712533_25 ZF Serfas DD Mens saddle 2 $49.99 $99.98
Discount ($10.00) ($20.00)
Continued on next page...
Work Order#: 123648
BGI Fitness-Bicycle Garage Indy INVOICE#: 433376
Remit to:4340 E 82nd St., Indianapolis, IN 46250 Account M 000100024799
www.bgindy.com/goto/learnMore Date: 1/27/2015
Time: 2:58:03 PM
Cashier: LK
Register M 1012
Page: 2 of 2
Reference: COM/PO#32267
Comment: PO#32267
Bill To: Carmel Police Department Ship To: Carmel Police Department
Carmel Police Department Carmel Police Department
3 Civic Sq 3 Civic Sq
Carmel, IN 46032-2584 Carmel, IN 46032-2584
317-571-2533
Alt=317-409-5866-Mike Pitman
Rep ......,,, Item''l ookup Code :. .k Descnptign. Quanti#Y:.o.. .. Pace _., Extended;
LK DUE 100%o Receipt 100%receipt of invoice 1 $0.00
LK 99900 Thanks for Your Business!! 1 $0.00 $0.00
Lavina Kautz, P:317-813-2251, E:
Ikautz@bgindy.com
--- -
Thanks for choosing BGII Sub Total $3,017.12
Sales Tax $0.00
BGI Pass Through of Manf Freight Charges $194.99
Total $3,212.10
I I��III 1111 II�'I II�1' IIID I'1'I 'I�I IIII
433376
INDIANA RETAIL TAX EXEMPT PAGE
City
®f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M67
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
�i2/ltai�G14 T_
EGI Fitness Camiel Police Department
VENDOR4 0 East 42nd Stmat SHIP 3 Civic Square
TO Carmel, IN 46032
Indianapolis, IN 46250 (317)671.4-25S0
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Accent 44-670.99
2 Each 2015 Cannoridale ISE accessories $1,600.05 $3,212.10
Sub Total: $3,212.10
(
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Send Invoice To:
Carmel Polico D@partr @nf =--
Attn: Pat Young
0 Civic Aum
Carmel, IN 460 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. --�:, ? PAYMENT $3,212.10
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPE SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T,HA)7TLRE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATO7 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /%j
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY i /lt�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �e�
®Police
SHIPPING LABELS. Cljie��
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE F 5
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 6 7 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. _
ALLOWED 20
IN THE SUM OF$
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
BGI Fitness
IN SUM OF$
4340 East 42nd Street
Indianapolis, IN 46250
$3,212.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE PMOUNTBoard Members
Encumbered I hereby certify that the attached invoice(s), or
32267 433376 44-670.99 $3,212.10
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
Tuesday, F bruary 03, 2015
41Z Chief of Police
Title
i
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))
01/27/15 433376 2015 Cannondale w/accessories $3,212.10
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