242619 02/24/15 0�,q,F. - CITY OF CARMEL, INDIANA VENDOR: 367753
d i ONE CIVIC SQUARE TENERGY CHECK AMOUNT: S"""""506.32"
_� CARMEL, INDIANA 46032 436 KAI0TERRACE CHECK NUMBER: 242619
1.11 <N FREMONT CA 94539 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 952710 41.32 POSTAGE
1110 R4239099 32253 952710 465.00 TENERGY LITHIUM
Invoice
Tener Date 12/18/2014
gy Invoice# 952710
Tenergy Corp.
436 Kato Terrace Terms Net 30
Fremont CA 94539 Due Date 1/17/2015
United States
PO# 32253
Sales Rep Thu Anh To
Currency USA
Bill To Ship To Ship Via UPS Ground
Quartermaster, City of Camel Police Blaine Mallaber Ship Date 12/17/2014
3 Civic Square Quartermaster, City of Camel Police FOB
Carmel IN 46032 3 Civic Square Project
United States Carmel IN 46032 Memo Please ship ASAP
United States Created From Sales Order#543351
culUUMD @@� " o
30406 844949009782 125 PC Card-Tenergy Lithium 3.72 465.00
CR123Ax4 3V Propel Battery
PTC protected
Subtotal 465.00
Shipping Cost(UPS Ground) 41.32
Total 506.32
Amount Due $506.32
All returns,exchanges,and defective items require a RETURN AUTHORIZATION from TENERGY. See TERMS and CONDITIONS
(https://system.netsuite.com/core/media/media.nl?id=12570&c=671216&h=de4bal 1e88f429399dc7&_xt=.pdf)for complete details and instruction.
11G1�A!
City
® /�° /�Ili/����� INDIANA RETAIL TAX EXEMPT PAGE
1Jjr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3
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
92M 2094
TenoW Cumol Police Depsirtmong
VENDOR SHIP 31 CIVIC squaro
TO
436 K@to TorraacG Camel, IN 4
Fmmont, CA X4539 (317)57125%
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 D.N
500 Each T@neegy Llthlum CR123A 3V Propel 30214 $0.03 8465.00
Sub Total: X465.00
a� �n
D
u U
Send Invoice To: v�"'�-`'-_� T'
r- l
Carmel Police Depwtmon4
Attn: Pmt Young
3 CIVIC squm
Carmel, IN 45032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Cannel Police DBpt. PAYMENT U65.40
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THATfTHFEAE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS
SHIP REPAID. THIS APP�:wtrSUFRCIENT O'PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
ORDERED BY
SHIPPING LABELS. 12?of Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 5 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. __._.
ALLOWED 20
IN THE SUM OF$
ar i
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
f
'II 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))
12/18/14 952710 Lithium Batteries $465.00
02/19/15 952710 shipping charges $41.32
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
Tenergy
IN SUM OF $
436 Kato Terrace
Fremont, CA 94539
$506.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
32253 952710 42-390.99 $465.00
bill(s) is (are) true and correct and that the
1110 952710 43-421.00 $41.32
materials or services itemized thereon for
which charge is made were ordered and
-7 received except
Thursday, February 19, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund