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249919 09/23/15
�r CSF F CITY OF CARMEL, INDIANA VENDOR: 00352084 ® ONE CIVIC SQUARE NATIONAL PUBLIC SAFETY INFO BURE�IIIiECK AMOUNT: $..... 144.00' r. i` CARMEL, INDIANA 46032 PO BOX 365 CHECK NUMBER: 249819 '4''�TON G°` STEVENS POINT WI 54481-0365 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239002 33022 99100 144.00 DIRECTORY OF LAW ENFO A'��"" PO Box 365 {� ACKNOWLEDGEMENT �{p, w (�C P UBLIC SAF TY Stevens Point,WI, 54481 ®�®�' ` ~"° ® � ` ��®`�C ��� ® .®® ® 800/647-7579 fax 715-345-7288 info@safetysource.com Federal Tax ID Number- 39-1606401 Acknowledgement Date: 8/26/2015 Invoice Number: 0099100 PO Number: 33022 Shia To: Carmel Police Dept Carmel Police Dept Pat Young Timothy Green 3 Civic Sq 3 Civic Sq Carmel IN 46032 Carmel IN 46032 Item Description Qty Item Price Item Gross 2016 National Directory of Law Enforcement Administrators 1 $169.00 $169.00 Your order for the 2016 National Directory of Law Enforcement Administrators is set to ship on or Item(s)Total $169.00 around 3/11/2016.If you have any questions please contact us at 800/647-7579. Total Discount $25.00 Invoice Total $144.00 Thank you for your order!! Amount Paid $0.00 Balance Due $144.00 INDIANA RETAIL TAX EXEMPT PAGE City ® Carpiel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 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 i;{d99� NOl®nd Public 60*InformWon®um@u Camol Pollc©DGp&dmont VENDOR SHIP 3 Citic squm`l(I P.O. 805Z SM TO Camel, IN Stowns Point, W SUOi4M (W)571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT �I! QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-M.02 1 Each National Direca®rV of Lm Enforwnent 0144.00 $144.00 Sub Total: $144.00 f It Q a � ` 4JJr `''3 Z7 do-° GC Send Invoice To: Comol Police DopKmowt Attn: Pit Young 3 Citic squama Camel, IN 432- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT �5144.uu • 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 PROP R SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH THERE IS AN UNOBLIGATED BALANCE IN THIS APPROP A7 O F SHIP REPAID. FICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. #10f oq P®llco •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 02 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE 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)) 08/26/15 0099100 Administrators Directory $144.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 National Public Safety Information Bureau IN SUM OF $ P.O. Box 365 Stevens Point, WI 54481-0365 $144.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33022 0099100 42-390.02 $144.00 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 Monday, Se tember 14, 2015 41Z Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund