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HomeMy WebLinkAbout248313 08/1 2/1 5 1�^CQN*
�/ �,. CITY OF CARMEL, INDIANA VENDOR: 365197
ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $*****1,314.00*
s. ?�; CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 248313
+.�..._,,, NOBLESVILLE IN 46060 CHECK DATE: 08/12/15
v ��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 30882 120.00 POSTAGE
1110 4230200 33013 30882 1,194.00 PERFORATED ROLL
•ems;'°•••�; REMIT TO:
Lmdz=
o, EMPTechnical Group
Invoice
. o 15309 Stony Creek Way
Noblesville,IN 46060 Date Invoice#
E M P 317-776-6700
TECHNICAL 8/6/2015 30882
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#33013
J
P.O. Number Terms Ship UPS# FedEx# Ship Via F.O.B.
33013 Net 30 8/5/2015 Fed Ex Ground Factory
Item Code Description Quantity U/M -Price Each Amount
LB3663-CASE Perforated roll,6 roll pack, 100 sheets per roll, 24 ea 49.75 1,194.0OT
riced er case. _ _
Shipping Shipping/Handling 120.00 120.00T
Thank you for your business!
Total $1,314.00
Phone# Fax# Tracking 30 DAY RETURN POLICY:
In order for items to be eligible for return,items must be in
317-776-6700 317-219-0535 069991597604333 like new condition with all original unmarked packaging.
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT33013
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
EMP Technical Group Carmel Pollee Department
Ben VanAlstlne SHIP 3 Civic Square
VENDOR
153 9 Stony Croom Way' TO Carmel, IN 46032
Noblesville" IN 46m :
(317)571®2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-W2.00
24 Each Perforated roil iLB3663 $49.75 $1,194.00
Sub Total: $1,194.00
I �
411Y
it fig Ji F.
s
41
'�j
Send Invoice To: -I I
177
Carmel Police Depart ent
�✓ 1 d - `:
Attn: Pat Young
3 Civic Square
Carmel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Caramel Police Dept.
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER.
•
• C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY LJ/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �/
SHIPPING LABELS. /l Chief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
„ �®� CLERK-TREASURER
DOCUMENT CONTROL No- 33013 A.P.V. COPY-SIGN AND RETURN TO CLERKS OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
i
`Lk)
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#IrITLE 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.
EMP Technical Group ALLOWED 20
Ben VanAlstine IN SUM OF$
15309 Stony Creek Way
Noblesville, IN 46060
$1,314.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 30882 43-421.00 $120.00 1 hereby certify that the attached invoice(s), or
33013 30882 Q 42-302.00 $1,194.00 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
Friday, August 07, 2015
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))
08/06/15 30882 shipping charge $120.00
08/06/15 30882 perforated roll
$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