HomeMy WebLinkAbout257286 04/05/16 CITY OF CARMEL, INDIANA VENDOR: 366725
ONE CIVIC SQUARE RANGE SYSTEMS CHECK AMOUNT: $*****8,285.24*
CARMEL, INDIANA 46032 5121 WINNETKA AVE N CHECK NUMBER: 257286
NEW HOPE MN 55428 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 33711 18440 8,285.24 60 DURA-BLOCK
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/04/16 I 18440 I Dura Bloc x 60 I $8,285.24
1110 210
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
RANGE SYSTEMS
5121 WINNETKA AVE N
IN SUM OF$
NEW HOPE, MN 55428
$8,285.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
�PO#J-Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
3371 18440 I 43-570.00 I $8,285.24 1 hereby certify that the attached invoice(s), or
1110 210
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
Monday, March 14, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
oINDIANA RETAIL TAX EXEMPT Page 1 of 1 .
V
® " } y� CERTIFICATE NO.0031201.55 002 0 PURCHASE ORDER NUMBER
lluu
33.711
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC.SQUARE 35.-60009.72 THIS NUMBER MUST APPEAR ONINVOICES,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 REQUIREDREQUISITION NO. . VENDOR NO. DESCRIPTION.
3/1/2016 366725
RANGE SYSTEMS Carmel Police
VENDOR :5.121 WINNETKA AVE N SHIP 3,Civic Square
TO Carmel, IN 46032-
.NEW HOPE,MN: 55428
CONFIRMATION BLANKET' . 'CONTRACT. PAYMENTTERMS FREIGHT
QUANTITY. . UNIT OF MEASURE DESCRIPTION. UNIT PRICE EXTENSION
Departinent: 1110 Account: 43-570:00. Fud? 1.Qr`Contiri°uingEducation -
1 Each 60 Dura-Bloc with shipping and handling $8,285.24 $8,285:24
Sub Total
$8,285.24
Send Invoice To:
Carmel Police
3 Civic Square
Carmel;IN 46032-
. PLEASE INVOICE IN DUPLICATE
DEPARTMENT.. , ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT .
��Z PAYMENT $8,285.24
SHIPPING INSTRUCTIONS ' l 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND.VOUCHER HAS THEPROPER SWORN
`SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE r
`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE
CONTROL NO. 33711 CLERK-TREASURER
RANGE ►
SYSTEMS
Range Systems, Inc.
Customer Payment Guidance
Customer Payment Remit to Postal Address:
Range Systems, Inc.
5121 Winnetka Avenue North
Suite 225
New Hope, MN 55428
Electronic Funds Transfer (EFT, ACH) Information:
Company Name: Range Systems, Inc.
Physical Address: 5121 Winnetka Avenue North, Suite 225
New Hope, MN 55428
Federal Tax ID: 41-1811798
Name and address of Financial Institution for payment:
Platinum Bank
7667 Tenth Street North
Oakdale, MN 55128
ABA routing: 096017670
Account to be credited with funds: 101784
Contacts:
Range Systems: Cindy Tellinghuisen, CFO
+ 763-398-5518
Platinum Bank: + 651-332-5200 (Main Number)
Range Systems • 5121 Winnetka Avenue North • New Hope • MN • 55428
Tel: (888) 999-1217 Fax: (763) 537-6657 www.range-systems.com
RMGEM Invoice
SYSTEMS
New Hope, MN 55428 Da . -
New Hope, MN 55428 3/4/2016 18440
Carmel Police Dept. Carmel Police Range
Pat Young Sgt. Ryan Jellison
3 Civic Square 9609 Hazeldell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
317-727-9862, 317-571-2599
P.O. N.mb.r - • . Proec
33711 Net 15 F 7BL 3/4/2016 Lift Gat. ..
RB1008 DURA-BLOC, 36" X 12" X 9" 60 ea 101.20 6,072.00
NSN: 9320-01-565-6452
001 Shipping & Handling Charges VIA UPS 1 2,213.24 2,213.24
FREIGHT ETA 03/08/16 Carmel Police
Range [373536133]
We accept Visa, Mastercard, Discover and American Express. Total $8,285.24
GSA Contract#GS-07F-0139K Balance Due (US Dollars) $8,285.24
DUNS#965573421
Tax ID#41-1811798
Cage Code:08QN6 REMIT TO:
Phone# 763-533-9200 Range Systems, Inc.
Fax # 763-537-6657 5121 Winnetka Avenue North, Suite 225
www.range-systems.com New Hope, MN 55428