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HomeMy WebLinkAbout251491 11/18/15 r CAA . CITY OF CARMEL, INDIANA VENDOR: 361470 d i'r ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $**"* *645.00" f. ?4 CARMEL, INDIANA 46032 305 LAKE ROAD CHECK NUMBER: 251491 MEDINA OH 44256 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 852 5023990 33213 269107 645.00 SAFETY ON BOARD MERCURY Invoice DISTRIBUTING 305 Lake Road, Medina,OH 44256 1 G Ph:330.723.4739 Fax:330.721.6799 O" Invoice Number: 0000269107 REMITTANCE ADDRESS: (^ Invoice Date: 10/29/2015 WESTERN RESERVE DISTRIBUTING, INC. `t V dba MERCURY DISTRIBUTING or CHILD SOURCE ( ,V �y 305 LAKE RD QV Invoice Due Date: 11/28/2015 MEDINA,OH 44256 Customer: CARMPD Tax ID#82-0563593 Sales Order: 0000147553 Sold To Ship To CARMEL POLICE DEPARTMENT. CITY CARMEL POLICE DEPARTMENT 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032-2584 USA 317 571 2720 Carmel, IN 46032 USA - — �..T_Customer F.O. Ship ViaTermer—� 33213 UPS ORIGIN Net 30 Days Item Description Qty Shipped Unit Price Amount IC201 DFC Safety 1 st OnBoard 35 (4 -35 lbs)with adjustable 4 $ 84.0000 $ 336.00 base and up front adjust 3702098 TITAN 5 CARSEAT 509 2PK 4 $ 57.7500 $ 231.00 LASTITEM -------------------------------------------------------------------- Tracking Numbers: 1ZA7T6670395299767, 1ZA7T6670396159326, 1ZA7T6670397013356, 1ZA7T6670397177144, 1ZA7T66 Subtotal 567.00 Freight 78.00 Sales Tax 0.00 Discount 0.00 PLEASE NOTE NEW REMITTANCE Payment/Credit Amount 0.00 ADDRESS ABOVE Balance Due 645.00 City ® (� Carmel INDIANA RETAIL TAX EXEMPT PAGE ,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT M3 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584VOUCHER, 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 Child Source C2mol Police Department VENDOR SHIP 3 CIVIC SqlJM 701 WoostGr Pike TO Cawnel, IN a= Modlni, Ob 442M (W)667942 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account GO-W2.09 9 Each shipping $78.00 $78.00 4 Each Safety Ist OnBoard 35 IC0888RV $86.00 $338.00 4 Each Than 5 Cameal 3702008__ $57.75 $231.00 r5 .� Sub Total: $845.00 _ ,; d n ..yL% zl F Send Invoice To: r CwmGl Police Dep@Am©rat Attn: Pat Young 3 Civic Square Cannel, IN Qom- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cwmel Police Dept. � ��, PAYMENT ".00 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERT XJHATTHERE IS AN UNOBLIGATED BALANCE IN SHIP SHIP REPAID. / THIS APPRO� AT// ENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. hie$of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE II' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL-NO. 3213 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER WARRANT ` ALLOWED 20___ |NTHE SUM QFS � . ONACCOUNT OFAPPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# | hereby certify that the attached invoima(a), or hiUkgks (are) true and correct and that the materials or services itemized thereon for which charge iamade were ordered and received except ' ' 20___ __...................- ............................... ............. SWmmue ' Title Cost distribution ledger classification U ,claim paid m6torvehicle 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)) 10/29/15 0000269107 car seats $645.00 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 Child Source IN SUM OF $ 7001 Wooster Pike Medina, OH 44256 $645.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Gift Fund PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33213 I 0000269107 I -852.00 I $645.00 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 Friday,Yovember 13, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund