HomeMy WebLinkAbout258124 04/29/16 CITY OF CARMEL, INDIANA VENDOR: 365197
CHECK AMOUNT: $*****1,314.00*
ONE CIVIC SQUARE EMP TECHNICAL GROUP INC
CARMEL, INDIANA 46032 P.O.BOX 743 CHECK,NUMBER: 258124
WESTFIELD IN 46074 CHECK DATE: 04/29/16
(TON O
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 33819 35889 1,194.00 PERFORATED ROLLS
1110 4342100 33819 35889 120.00 PERFORATED ROLLS
VOUCHER NO. WARRANT NO.
EMP TECHNICAL GROUP INC ALLOWED 20
P.O. BOX 743 IN SUM OF$
WESTFIELD, IN 46074
$1,314.00
ON ACCOUNT OF APPROPRIATION FOR
Police Department
WPO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
433819 35886 42-302.00 $1,194.00 1 hereby certify that the attached invoice(s), or
1110 101
33819 35886 43-421.00 $120.00 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
Friday, April 22, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/22/16 35886 E-Ticket perforated roll $1,194.00
1110 101
04/22/16 35886 shipping $120.00
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
PLEASE NOTE OUR NEW REMIT TO
REMIT TO:
EMP Technical Group Invoice
PO Box 743
e..ee.6.c Westfield,IN 46074 Date Invoice#
E M P 317-776-6700
G
ROUPICAL 4/22/2016 35886
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
PO#33819
P.O. Number Terms Ship Ship Via UPS# FedEx# F.O.B.
33819 Net 30 4/21/2016 Fed Ex Ground Factory
Item Code - Description Quantity U/M Price Each Amount
J
LB3663-CASE Perforated roll,6 roll pack, 100 sheets per roll, 24 ea 49.75 1,194.00
- , - - priced per case.
Shipping Shipping/Handling 1 120.00 120.00
Thank you for your business! Tota
$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 069991571537367 like new condition with all original unmarked packaging.
City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
of
Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
r
FEDERAL EXCISE TAX EXEMPT 13 1�5 k
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ONINVOICES,AIP
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 I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/19/2016 365197
EMP TECHNICAL GROUP INC Carmel Police
VENDOR P.O. BOX 743 SHIP 3 Civic Square
TO Carmel, IN 46032-
WESTFIELD,IN 46074-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
4195
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account: 42-302.00 Fund., 101 General Fund
24 Each LB3663 Perforated Roll-6pk $49.75 $1,194.00
Sub Total $1,194.00
Department: 1110 Account: 43-421.00 Fund: 101 General Fund
1 Each shipping $120.00 $120.00
Sub Total $120.00
jw
P g e;a
p i
'J
Send Invoice To:
Carmel Police
3 Civic Square ""
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $1,314.00
SHIPPING INSTRUCTIONS '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 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. CLERK-TREASURER