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Home My WebLink About245988 06/03/15 0u` CITY OF CARMEL, INDIANA VENDOR: 00353046 ® w ONE CIVIC SQUARE SIMPLEXGRINNELL LP CHECK AMOUNT: $*****5,295.00* ;, /?� CARMEL, INDIANA 46032 DEPT CH 10320 CHECK NUMBER: 245988 9gj��TON � PALATINE IL 60055-0320 CHECK DATE: 06/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 32809 40792687 5,295.00 REPLACE FIRE PANEL INVOICE NO. ICE DATE CUSTOMER PO Sim /exaMbne// 40792687 p 32809 D-U-N-S 09-4738007 _ FED. ID se-zsoeesl _ TERMS INVOICE TYPE INDIANAPOLIS NET30 Standard Invoice 11820 Pendleton Pike INDIANAPOLIS IN 462363979 Phone: (317) 826-2130 BILL TO: 331-000449945 PROJECT: 331-984133001 Carmel City Police Station Carmel City Police Station 3 Civic Sq 3 Civic Sq Attn Teresa Anderson Attn Teresa Anderson CARMEL IN 46032-0000 CARMEL IN 46032-0000 INVOICE SUMMARY TOTAL P.O. - 5,295. 00 INVOICE SUBTOTAL - $5,295.00 INVOICED TO DATE - 5,295. 00 LESS RETAINAGE - $ DUE THIS INVOICE - 15,295.00 SUBTOTAL - $5,295.00 REMAINING TO INVOICE - $0.00 SALES TAX - $0.00 TOTAL INVOICE - $5,295. 00 Please direct inquiries to our local branch office listed above. PAY THIS AMOUNT D $5,295.00 INVOICE DETAIL LABOR PROGRESS CARMEL CITY POLI TOTAL LABOR THIS INVOICE: $1,985.36 MATERIAL Fire Alarm Material $3,309.64 TOTAL MATERIAL THIS INVOICE: $3,309.64 Comments 0 INDIANA RETAIL TAX EXEMPT PAGE f �,arinel CERTIFICATE NO.003120155 002 0 . City ® PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32,803 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 311215 pley Grinnell Carangal Police Department VENDOR SHIP 3 CIVIC SgUare Dept Cil 103620 TO Cannel, IN 46M2 Palatine, IL 60055-0320 (317)571=659 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION AccOUnt 43-601.00 1 Each replace fire panel $5,295.00 $5,205.00 Sub Total: $5,295.00 Jlj ,6��} t a�µ� _ .. S fir' � � i 911 1T�-5`" .%�•--" ![�M1� - j1,�i1 A k 141}•• 1 tilt i 3pi, Reference 331418302 Send Invoice To: Carmel Police Department Attn: Pat Young 3 Civlr, squm Carmel, IN 46032° PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police Dept. .uu PAYMENT 'y A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFYTHAJ/'THERE IS AN UNOBLIGATED BALANCE IN THIS APPROP�I TION SUFFICIENT TO PAY FOR THE ABOVE ORDER. j •SHIP REPAID. i•' // BO •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY pa �y SHIPPING LABELS. Chief of Police � , ,�✓ ` �J •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 328 09 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR f f I 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 — — T~ Title , I Cost distribution!edger classification if claim.paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Simplex Grinnell IN SUM OF$ i Dept CH 10320 Palatine, IL 60055-0320 $5,295.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32809 I 40792687 I 43-501.00 I $5,295.00 1 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 Thursda , May 28, 2015 XZ-- Chief of Police 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)) 04/24/15 40792687 replace fire panel $5,295.00 1 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