HomeMy WebLinkAbout244227 04/15/15 q! iy CITY OF CARMEL, INDIANA VENDOR: 365197
j; ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $*****1,304.00"
CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 244227
NOBLESVILLE IN 46060 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 27936 110.00 POSTAGE
1110 4230200 32826 27936 1,194.00 PERFORATED ROLL
�••°°E°� °. REMIT TO: Invoice
•e� ®°° EMP Technical Group
a�. :fi.... : 15309 Stony Creek Way
.•��; •°0'0� Noblesville,IN 46060 Date Invoice#
KH•°��•I W 317-776-6700
E M P 4/3/2015 27936
TECHNICAL
GROUP
Bill To Ship To
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel,IN 46032 Carmel,IN 46032
ATTN:ACCOUNTS PAYABLE Attn:Blaine Mallaber
PO#32826
P.O. Number Terms Ship UPS# Fed Ex# Ship Via F.O.B.
32826 Net 30 4/2/2015 n/a n/a Fed Ex Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
24 LB3663-CASE Perforated roll,6 roll pack,100 sheets per ea 49.75 21856 1,194.00T
roll,priced per case.
1 Shipping Shipping/Handling 110.00 21856 110.00T
669991596613983;069991596013815; 0.00
069991596014072
Thank you for your business!
Total $1,304.00
Phone# Fax# 30 DAY RETURN POLICY:
In order for items to be eligible for return,items must be in
317-776-6700 317-219-0535 like new condition with all original unmarked packaging.
INDIANA RETAIL TAX EXEMPT PAGE
Chit ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32826
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
41112015
EMP Technia Group Carmel Police Department
VENDO Berg VanAlStine SHIP :3 CIVIC squar-o
153013 Stony CIvek Way TO Carmel, IN 40032
Noblesville, IN 46 (317)52102559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .00
24 Each Perforated roll LB3663 $49.75 $1,194.00
Sub Total: $1,194.00
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Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square,
Carmel, IN 42- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,194.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THEREf/IS AN UNOBLIG�ATED BALANCE IN
THIS APPROPRIATION SUFF!1 NT TO PAY FAR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Cf�le �i'P�l
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ico
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 6 2 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
` IN THE SUM OF$
't
ON ACCOUNT OF APPROPRIATION FOR
CJ
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 I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
EMP Technical Group
Ben VanAlstine IN SUM OF$
15309 Stony Creek Way
Noblesville, IN 46060
$1,304.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 27936 43-421.00 $110.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
32826 27936 42-302.00 $1,194.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, April 09, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund i
i
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))
04/03/15 27936 shipping charges $110.00
04/03/15 27936 perforated rolls $1,194.00
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