HomeMy WebLinkAbout252269 1 2/08/1 5 �.G�q*f
a;; .• CITY OF CARMEL, INDIANA VENDOR: 365197
® ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $**'"1,314.00'
CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 252269
+.y,,oN,�� NOBLESVILLE IN 46060 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 33245 33429 1,314.00 PERFORATED ROLL
REMIT TO:
� :��� IIIA/®ICS
EMP Technical Group
F QrL. 15309 Stony Creek Way
:EiLL .iC Noblesville.IN 46060 Date Invoice#
317-776-6700
TECHNICAL 12/3/2015 33429
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
PO4 33245
P.O. Number Terms Ship Ship Via UPS# FedEx# F.O.B.
33245 Net 30 12/2/2015 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 1,194.00
_ priced per case__
Shipping Shipping/Handling 120.00 120.00
Thank you for your business! Total otal $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 069991599241543 like new condition with all original unmarked packaging.
I' 0 INDIANA RETAIL TAX EXEMPT PAGE
C u of
Cq.,.Tmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
` FEDERAL EXCISE TAX EXEMPT M245
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
99i�12+0'9�
EMP Technical Group Carmol Police Dopartmont
VENDOR SHIP 3 CIVIC SqU=
IM Stony Craft fty TO Cumd, IN 462
Noblosvillo, IN 4MO (W)579
CONFIRMATION B=UNIT
PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
'Account 42.n2.00
24 Each Perforated roll LE3603 349.73 $1,194.00
1 Each shipping charges $110.00 $110.00
Sub TotW: $1,304.00
� o
J
J
Send Invoice To:
Calrlmei Pollco Departmont
Attn: Pat Young
3 Civic SgUM
Camel, IN 462- PLEASE INVOICE IN DUPLICATE
DEPARTMENT tACCOUNT T PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. `3 PAYMENT $1,M4.0
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TdE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY C Fa THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS, P TIONS
SHIP REPAID. FFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ya
SHIPPING LABELS. V Chlol8 of
Polico
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 33245 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO,
ALLOWED 20
IN THE SUM OF$
C�JJ
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 rnotor vehicle highway fund
t
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))
12/03/15 33429 E ticket paper $1,314.00
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
- -r
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
EMP Technical Group
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
I hereby certify that the attached invoice(s), or
�-33�245 �33�429 �
42-302.00 $1,314.00 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
Thursday, December 03, 2015
6/Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund