HomeMy WebLinkAbout249915 09/23/15r�
CITY OF CARMEL, INDIANA VENDOR: 354275
® _ ONE CIVIC SQUARE T B A & OIL WAREHOUSE, INC CHECK AMOUNT: $ ..."310.21'
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 249915
INDIANAPOLIS IN 46218-2724 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 33040 03NK1621 310.21 A/C COMPRESSOR
TBA North Invoice
309 Gracile Dr. No. 03NK5617
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II V II I I II I III II II I I II
Page 1
11:48:30 Sep 04 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03NK5617 09/04/15 03VJ2743001 NET 10TH 030
BILL TO,% SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: JASON / Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/04/15, 11:48:30 000001 ONLINE ORDERS N NORTH A 1 ACX
*** ACX Reference No: AY7894 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED CITY PRICE PRICE PRICE CORE PRICE
2010 Chevrolet Tahoe
5.3L VS FLEX
RAF ATD1194P-'POLICE TAHOE NONE EA 1 0 1 104.89 0.00 46.66 0.00 46.66
RAR 580422P POLICE TAHOE NONE EA 2 0 2 Z 102.14 0.00 60.37 0.00 120.74
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
167.40 309.17 167.40 0.00 0.00 0.00 167.40 0.00 167.40
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
----------------------------------------------------------
TBA North V Invoice
309 Gracile Dr. No. 03NK9485
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II IIII IIII II III II I II III I II
Page 1
11:22:19 Sep 11 2015
7718
R NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS W E
03NK9485 09/11/15 03VJ7418001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: JASON / Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/11/15, 11:22:17 000001 ONLINE ORDERS N NORTH A 1 ACX
*** ACX Reference No: AY8847 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD999P BRAKE PAD SET R U EA 1 0 2 93.19 0.00 41.46 0.00 82.92
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
82.92 186.38 82.92 0.00 0.00 0.00 82.92 0.00 82.92
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
----------------------------------------------------------
TBA North Invoice
309 Gracile Dr. No. 03NK5798
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II V II I I I I I I I I II II I I (I
P � � 3✓yr�o 5-11Page 1
14:37:44 Sep 04 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03NK5798 09/04/15 03VJ2954001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
car 118 09/04/15, 14:37:43 000001 ONLINE ORDERS N NORTH A 1 ACX
*** ACX Reference No: AY7943 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2010 Chevrolet Tahoe
5.31-V8 FLEX
GPD 6511414 NEW COMPRESSOR U EA 1 0 1 291.53 0.00 209.51 0.00 209.51
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
209.51 291.53 209.51 0.00 0.00 0.00 209.51 0.00 209.51
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
----------------------------------------------------------
TBA North ( Invoice
309 Gracile Dr. No. 03NK1621
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II VIII I IIII II II IIIIIIIIIII
Page 1
10:16:47 Aug 31 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03NK1621 08/31/15 03VI8064001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: JASON / Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
33040 08/31/15, 10:16:44 000001 ONLINE ORDERS N NORTH A 1 ACX
*** ACX Reference No: AY6969 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
2012 Chevrolet Impala
3.6L V6 FLEX
-0:,15,12228 22798744 COMPRESSOR KIT-A U EA 0 0 1 472.88 0.00 310.21 0.00 310.21
-d:• TX:'010 1 ✓
TOTAL PURCHASE .TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
310:21 472.88 310.21 0.00 0.00 0.00 310.21 0.00 310.21
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
----------------------------------------------------------
TBA North Invoice
309 Gradle Dr. No. 03NK4357
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II III) V II I I I I IIII II III I II
Page 1
08:28:32 Sep 03 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03NK4357 09/03/15 03VJ1273001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: JASON / Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/03/15, 08:28:32 000001 ONLINE ORDERS N NORTH A 1 ACX
*** ACX Reference No: AY7578 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD1159P AT POLICE PAD SET U EA 3 0 3 94.88 0.00 42.21 0.00 126.63
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
126.63 284.64 126.63 0.00 0.00 0.00 126.63 0.00 126.63
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
----------------------------------------------------------
ity
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C�irmei
INDIANA RETAIL TAX EXEMPT PAGE
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,
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
TBA With PollcG Dopmfto t
VENDOR SHIP 3 Civic Squm
SM Grmdlo Ddwo TO C@1ol, IN
Col, IN 4M (317)671.E
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UN�I}TgOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account
sy t�q,p
9 Each A/C compressor §3390.21 MOM
Sub Total: $390.29
o °•pap `��� � °�
ar 115
Send Invoice To:
Cumol Police Dapzrtmont
Attn: Pat Young
3 Civic 1 quam
CWMGI, IN 2' PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $310.29
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY JHAT ILHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIAT N� FFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �I.,
SHIPPING LABELS. P®llco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 3®4® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
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
r
ity
®� C
����� INDIANA RETAIL TAX EXEMPT PAGE
CCERTIFICATE 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,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATEWARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
919M15
f1�L A Nooth C GI P®IICG DGpaAmont
VENDOR SHIP 3 CIVIC Iagu@
G adlo Ddvo TO CmrmG1, IN 46=
camGI, IN 4I 2 (M)67i
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account
g�qUNIT
OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-WO.00
9 Each A/C compressor $200.50 $209.50
Sub ToteI: $200.50
���,.• °°q° . ���� it
i � •�, Cl °
KZ/
ra ^0
0
Send Invoice To: �� !i.—✓ ��j
CafmGI PoUcG DGp21tmGn4
Attn: Pd Young
3 Civic 8qum
Comol, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT - $20.5u
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY HAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP I ON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. ��pr P®II�rGTHIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE J�hlof
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 33054 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.----.-
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
r
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 highuvay 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))
08/31/15 03NK1621 Repair Parts $310.21
09/03/15 03NK4357 Repair Parts $126.63
09/04/15 03NK5617 Repair Parts $167.40
09/11/15 03NK9485 Repair Parts $82.92
09/17/15 03NK5798 Repair Parts $209.51
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
TBA North
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$896.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33040 03NK1621 42-370.00 $310.21 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
11 0 03NK4357 42-370.00 $126.63
materials or services itemized thereon for
1,Yi0 03NK5617 42-370.00 $167.40 which charge is made were ordered and
1>10 03NK9485 42-370.00 $82.92 received except
33054 03NK5798 42-370.00 $209.51
Friday, Se ember 18, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
TBA North Invoice
309 Gradle Dr. No. 03NK6817.
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II l it l l I I I II II I II II I I II
Page 1
14:34:09 Sep 08 2015
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03NK6817 09/08/15 03VJ4215001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY OF CARM LWATER ntact: /317-733-2853 Route: NORTH Direction:
ORDER DATE CSR SHIPPED VIA CARTONS OPER
SHOP 09/08/15, 14:34:06 200003 MATT SEGERSON N NORTH A 1 202
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
****Ship in morning****
HAS LF110F HASTINGS OIL FILTER U EA 12 0 12 5.99 0.00 1.55 0.00 18.60
HAS LFI 15F HASTINGS OIL FILTER U EA 4 0 4 5.99 0.00 1.55 0.00 6.20
HAS LF232F HASTINGS OIL FILTER U EA 6 0 6 6.43 0.00 1.61 0.00 9.66
HAS LF637F HASTINGS OIL FILTER U EA 4 0 6 10.73 0.00 3.17 0.00 19.02
TX: 010 2
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
53.48 198.80 53.48 0.00 0.00 0.00 53.48 0.00 53.48
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
C( t
(� J
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354275
TBA WAREHOUSE-INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 9/15/2015
Invoice Invoice Description
Date Number, (or note attached invoice(s) or bill(s)) Amount
9/15/2015 03NK6817 $53.48
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
Date Officer
VOUCHER # 153041 WARRANT# ALLOWED
354275 IN SUM OF $
TBA WAREHOUSE-INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
03NK6817 01-6500-04 $53.48
Voucher Total $53.48
Cost distribution ledger classification if
claim paid under vehicle highway fund