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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