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250434 10/07/15 Q CITY OF CARMEL, INDIANA VENDOR: 362878 ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $*****1,822.07* CARMEL, INDIANA 46032 2425 E 30TH ST CHECK NUMBER: 250434 INDIANAPOLIS IN 46218 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231500 33163 03NL2152 1,338.98 55 GALLON DRUM OIL 1110 4237000 03NL7907 172.88 REPAIR PARTS 1110 4237000 33174 03NM0060 310.21 AC COMPRESSOR TBA North Invoice 309 Gracile Dr. No. 03NL7907 Carmel, IN 46032 317-574-1957 FAX: 317-574-1982 II IIII III I IIII II II II III I II Page 1 09:09:18 Sep 24 2015 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 318 03NL7907 09/24/15 03VK7359001 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 09/24/15, 09:09:17 000001 ONLINE ORDERS N NORTH A 1 ACX *** ACX Reference No: AZ0904 *** ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE 2013 Chevrolet Impala 3.6L V 6 FLEX DOR 620-974 DUAL FAN ASSEMBLY NONE EA 1 0 1 339.98 0.00 172.88 0.00 172.88 TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 172.88 339.98 172.88 0.00 0.00 0.00 172.88 0.00 172.88 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. 03NL2152 Carmel, IN 46032 317-574-1957 FAX: 317-574-1982 II II II I II I II I I I i l I II II I i II `O 33 �� 3 Page 1 J 08:43:07 Sep 16 2015 �!! ER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 318 03NL2152 09/16/15 03VK0598001 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/317-571-2546 Route: NORTH Direction: YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER POLICE 09/16/15, 08:43:07 300007 BRIAN HALPER N NORTH A 1 307 ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE ALREADY DELIVERED SEND CUSTOMER THEIR COPY BUY 55GALDEXOS Buyout Template NONE EA 2 0 2 1000.00 0.00 669.49 0.00 1338.98 TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 1338.98 2000.00 1338.98 0.00 0.00 0.00 1338.98 0.00 1338.98 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. 03NM0060 Carmel, IN 46032 317-574-1957 FAX: 317-574-1982 II II II III V I I I II I I II II I I II Page 1 3� 13:42:06 Sep 28 2015 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 318 03NM0060 09/28/15 03VK9905001 NET 10TH 030 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST CARMEL, [N 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 09/28/15, 13:42:03 000001 ONLINE ORDERS N NORTH A 1 ACX *** ACX Reference No: AZ1536 *** UNIT ORDER BACK INV LIST CORE NET NET EXT ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE 2013 Chevrolet Impala 3.61-V 6 FLEX ACD 15-22228 42798744 COMPRESSOR KIT-A U EA 0 0 1 /489.08 0.00 310.21 0.00 310.21 TX: 010 1 TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 310.21 489.08 310.21 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. ---------------------------------------------------------- INDIANA RETAIL TAX EXEMPT PAGE cily of Carmel �1 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION �194D9� TBA North Carmol Pollco Dopadmont VENDOR SHIP 3 CIVic squm Gmdlo Drldo TO Cufflol, IN 4 Carmol, IN 4 (397)671 9 CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT QUANTITccount Y gg gg�� s/UNIT ��OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ,,pp 2 Each 55 gallon drum oil $000.00 $9,338.00 Sub Total: $9,338.00 t! ..tea & o ° %l Up< t nA � .; tea . t oY e 1l ✓t Send Invoice To: Cool Attn: Pat Young 3 Civic Squm Carmol, IN 4Q PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. 1 PAYMENT 0=.w 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 THATTFYERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATIO SUFFICIENT O PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL .pp SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. �� CLERK-TREASURER ' DOCUMENT CONTROL NO. ' A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE City ® /�° Carmel INDIANA RETAIL TAX EXEMPT PAGE 1JLr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER PV } FEDERAL EXCISE TAX EXEMPT 33M 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION X95 73A North Cool Polico 1 owatmont VENDOR SHIP 3 CIVIC Oquam Gmdlo DrIwG TO Cumol, IN AM Czrmol, IN 4M (317)8579 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-NO.00 I Each A/C compressor $310.29 $390.29 Sub Total: $310.29 r zzl to g� 16 4 ,--1 _�� • Imo\Car 80 � Qg 4 Send Invoice To: —_^ C@mol Polleo Dopgrtrnont Attn: Pit Voung 3 CIVIC squm Cumol, IN 46=- PLEASE INVOICE IN DUPLICATE Police ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel r o l ce Q . 00.21 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. • I HEREBY CERT THAT THERE IS AN UNOBLIGATED BALANCE IN HIPPING INSTRUCTIONS THISAPPR P IAT6NSUFFICIENTTOPAY 9R�HEABOVEORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /� SHIPPING LABELS. / Cblof®L Pollco •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 33174 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)) 09/16/15 03NL2152 repair parts $1,338.98 09/24/15 03NL7907 repair parts $172.88 09/28/15 03NM0060 repair parts $310.21 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 $1,822.07 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33163 03NL2152 42-315.00 $1,338.98 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1110 03NL7907 42-370.00 $172.88 materials or services itemized thereon for 33174 03NM0060 42-370.00 $310.21 which charge is made were ordered and received except Fr ay, October 02, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund