HomeMy WebLinkAbout257084 04/05/16 ox CITY OF CARMEL, INDIANA VENDOR: 362614
ONE CIVIC SQUARE BGI FITNESS CHECKAMOUNT: $*****1,131.09*
CARMEL, INDIANA 46032 8804 BASH STREET#E CHECK NUMBER: 257084
INDIANAPOLIS IN 46256 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 33351 37 1,062.98 REPAIR PARTS AND SHIP
1110 4342100 33351 37 68.11 REPAIR PARTS AND SHIP
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))
03/07/16 0 shipping charges $68.11
1110 101
03/07/16 0 bicycle repair parts $1,062.98
1110 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
BGI FITNESS ALLOWED 20
8804 BASH STREET#E IN SUM OF$
INDIANAPOLIS, IN 46256
$1,131.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
rPO#' Dept. INVOICE NO. ACCT#/Fund AMOUNT
L Board Members
33351— 0 43-421.00 $68.11 I hereby certify that the attached invoice(s), or
1110 101
33351 0 42-370.00 $1,062.98 bill(s) is (are)true and correct and that the
1110 101
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
o.
INDIANA RETAIL TAX EXEMPT Page'l of 1 .
C
� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER-NUMBER
re FEDERAL EXCISE TAX EXEMPT 33351
ONE CIVIC.SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,.INDIANA 46032=2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS"ANDANY CORRESPONDENCE
FORM,APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE.ORDER DATE DATE REQUIREDREQUISITION NO. VENDOR NO. DESCRIPTION
12/3112015 w 362614
BGI FITNESS Carmel Police-
VENDOR 4340 EAST 82ND ST SHIP 3-Civic Square
TO Carmel,IN 46032-
INDIANAPOLIS,.IN 46250-
CONFIRMATION
6250-CONFIRMATION BLANKET CONTRACT. - -PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE' DESCRIPTION UNIT PRICE : . EXTENSION.
De -Account:. 42-370:00_ Fund: 101 ; General Fund
.: 6� Each Inner.Tube Schrader Valve. $7.19. $43:14.
6. Each . : inner;tube 29":.Schrader Valve:. $7.19 .$43.14!.
6• .Each. • mini toe clips ; $8:79 $52:74
4 .Each -, . . MTB pedal'--alloy cage body,` $19.99:. _'. $79:96 '
2:Each Niterider digital patrol headlight $299.00 '$598.00."..
2_ Each Niterider siren - $45.00 $90'.00. -
3; Each Niterider_tail light $52.00 $156:00
Sub Total $1,062:98
Department: 1110 Account, 43-421.00 Fund: 101 General Fund
1 'Each shipping $68.1.1 $68:11
Sub Total $68.11
Send Invoice To:
Carmel Police .
3 Civic Square.
Carmel,-IN 46032-
. .PLEASE INVOICE IN DUPLICATE
DEPARTMENT' .. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,131.09.
SHIPPING INSTRUCTIONS 'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.:NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE ANDVOUCHER HAS THE PROPER 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
'THIS ORDER ISSUED IN COMPLIANCE WITH.CHAPTER 99,ACTS 194 .
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY'. ;
TITLE.
CONTROL NO. 33351 CLERK-TREASURER
BG I -- FSC
8804 Bash St Work Order#: 18
Indianapolis, IN 46256 Transaction#: 37
317-579-7933 Account#: 000100024799
888-501-5629 Page: 1 of 1
Date: 3/7/2016
Time: 11:15:44 AM
Cashier: LK
Register#: 5051
Bill To: Carmel Police Department Ship To: Carmel Police Department
Carmel Police Department Carmel Police Department
3 Civic Sq 3 Civic Sq
Carmel, IN 46032-2584 Carmel, IN 46032-2584
317-571-2533 317-571-2533
Alt=317-409-5866-Mike Pitman
Reference: COM/PO#33351
Comment: PO#33351
Rep :' 7ltem Lookup„Cod@ Descrip#Ion ; >Quantity `. Price extended
JA N(?TE By JA on 020916 1 $0.00 $0.00
JA SO_10_3176712533_27 ZF-Tube 26”x 2.0-2.4 Schrader 6 $8.99 $53.94
ILC 30600050
Discount ($1.80) ($10.80)
JA SO_10_3175712533 28 ZF-Tube 29"x 2.0-2.4 Schrader 6 $8.99 $53.94
ILC 30600055
Discount ($1.80) ($10.80)
JA SO_10_3175712533_26 ZF-Mini Toe Clip 6 $10.99 $65.94
Discount ($2.20) ($13.20)
JA SO_10_3175712533 29 ZF-Alloy Body MTB Pedal 4 $24.99 $99.96
Discount ($5.00) ($20.00)
JA 13200262 66 NTRD LT DigitalPatrol RD/BL 2 $399.99 $799.98
Red/Blue LED
Discount ($100.99) ($201.98)
JA 13200265 66 NTRD LT Police Tail Light 3 $69.99 $209.97
Works w/Digital Patrol model
Discount ($17.99) ($53.97)
JA 13200065 66 NTRD LT Siren-Standalone 2 $69.99 $139.98
Discount. ($24:99) ($49.98)
JA DUE net 30 100%net 30 1 $0.00 $0.00
LK 99900 Thanks for Your Business!! 1 $0.00 $0.00
Lavina Kautz, P: 317-813-2251, E:
ikautz@bgindy.com
f F
Sub Total $1,062.98
Thanks for choosing BG1 Sales Tax $0.00
North:317.842.4140 BGI Pass Through of Manf Freight Charges $68.11
South:317.885.7194 Total $1,131.09
www.bgindy.com Commercial Acct(LK) $1,131.09
infon@bgindy.com Previous Balance $0.00
New Balance $1,131.09
l�
1 Iloilo 1111111111 ®1 1 Change Due $0.00
37