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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