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Home My WebLink About258521 05/10/16 u'�_,q+, CITY OF CARMEL, INDIANA VENDOR: 370534 j; ® 'I ONE CIVIC SQUARE SARIS CYCLING GROUP CHECK AMOUNT: $*****5,479.60* :. _� CARMEL, INDIANA 46032 5253 VERONA ROAD CHECK NUMBER: 258521 °�„iTON�` MADISON WI 53711 CHECK DATE: 05/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION .2.201 4239011 33507 661678 5,479.60 EVENT RACKS VOUCHER NO. WARRANT NO. ALLOWED 20 SARIS CYCLING GROUP 5253 VERONA ROAD IN SUM OF $ MADISON, WI 53711 $5,479.60 ON ACCOUNT OF APPROPRIATION FOR Street Department PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member 33507 I 661678 I 42-390.11 I $5,479.60 1 hereby certify that the attached invoice(s), or 2201 201 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 Tue ay, May 3, 2 1 OW41 Street Commissioner 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)) 04/26/16 661678 $5,479.60 2201 201 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 L SARIS5253 Verona Road Invoice Number: 661678 Madison, 53711 PH:608.274.4.6550 Invoice Date: 4/26/2016 CYCLING GROUP FX:608.274.1702 Page: 1 Bill Ship To: CITY OF CARMEL To: CARMEL STREET DEPARTMENT 1 CIVIC SQUARE BRUCE KIMBALL CARMEL, IN 46032 317-476-0841 United States 3400 W 131 ST STREET CARMEL. IN 46074 United States ShioTo Ph: Ship Via Customer ID C211965 Your Ref Ship Date 3/30/2016, P.O. Date 3/30/2016 Due Date 5/26/2016 Our Order No. 559930 Terms Net 30 Days Phone: Fax: SalesPerson Anna Pickerel Customer PO 33507 Tracking No. 1906629357 CSR ESTURGES Shipping Agent DOHRN Campaign Item Description Cross Unit Order Inv Unit Total 21881 ASSY, EVENT RACK EACH 40 40 131.99 5,279.60 QUOTED Quoted Freight EACH 1 1 200.00 200.00 Visit us at:www.sariscyclinggroup.com All Funds in US Dollars Thank you for your business. Subtotal: 5,479.60 Amount Subject to Amount Exempt from Invoice Discount: 0.00 Sales Tax USD Sales Tax USD Total Sales Tax 0.00 0.00 5.479.60 Total USD: 5,479.60 Total Paid: 0.00 Invoice Sent Via: MAIL Total Due: 5,479.60 S SALES ORDER ACKNOWLEDGEMENT �S 5253 Verona Road Page: 1 S Madison,W153711 Sales Order Number: 559930 PH:608.274.6550 CYCLING GROUP FX:608.274.1702 Sales Order Date: 3/30/2016 Requested Ship Date: 4/20/2016 Sold Ship To: CITY OF CARMEL To: CARMEL STREET DEPARTMENT 1 CIVIC SQUARE BRUCE KIMBALL CARMEL, IN 46032 317-476-0841 United States 3400 W 131 ST STREET CARMEL, IN 46074 United States CSR ESTURGES Customer ID C211965 Ship Via P.O. Number 33507 Ship Date 3/30/2016 P.O. Date 3/30/2016 Terms Net 30 Days Cust Phone SalesPerson Anna Pickerel Cust Fax Extnl Doc 33507 Cust Email Item No. Description Unit Quantity Unit Price Total Price 21881 ASSY, EVENT RACK EACH 40 131.99 5,279.60 QUOTED Quoted Freight EACH 1 200.00 200.00 FREIGHT Visit us on-line at:www.saris.com Subtotal: 5,479.60 Amount Subject Amount Exempt Invoice Discount: 0.00 to Sales Tax from Sales Tax 0 5,479.60 Total Sales Tax: 0.00 Total: 5,479.60 S PICKING/PACKING SLIP April 20, 2016 5253 Verona Road Page: 1 Madison,Wl 11 Sales Order Number: 559930 PH:608274.65574.6550 Sales Order Date: 3/30/2016 CYCLING GROUP Fk:608.274.1702 559930 Requested Ship Date 4/20/2016 EDI Cancel Date Bill To: C211965 Sold To: C211965 Ship To:C212032 CITY OF CARMEL CITY OF CARMEL CARMEL STREET DEPARTMENT 1 CIVIC SQUARE 1 CIVIC SQUARE BRUCE KIMBALL CARMEL, IN 46032 CARMEL, IN 46032 317-476-0841 United States United States 3400 W 131ST STREET CARMEL, IN 46074 United States Ship Date 3/30/2016 CSR ESTURGES Cust Phone SalesPerson Anna Pickerel Cust Fax Ship Method Cust Email Ship Agent Customer PO 33507 Ship Sery Terms Net 30 Days Residential No Send Docs Via MAIL Shipping Instructions ADD LINE Order Type Government Status Released Location Qty to Qty Qty Item No. Description UOM for Pick Pick Picked Packed 21881 ASSY,EVENT RACK EA 01 40 77 } ax Cust Part# .N FG QUOTED Quoted Freight EA 01 1 FREIGHT Cust Part-'#:J':; NOTES: ORDER PICKED BY: CHECKED BY: INDIANA RETAIL TAX EXEMPT Page 1 of 1 C ity ®� Carmel CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33507 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/19/2016 370534 Event Racks SARIS CYCLING GROUP Street Department VENDOR 5253 VERONA ROAD SHIP 3400 W. 131st Street TO Carmel, IN 46074- MADISON,WI 53711 - (317)733-2001 PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 4136 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department., 2201 Account., 42-390.11 Fund: 201 Motor Vehicle Highway 1 Each Event Racks $5,479.60 $5,479.60 Sub Total $5,479.60 r 4 p N -- ,- -- Uhh 1 Lt.- 14# - - , t xs Send Invoice To: � -fi Street Department ' s 3400 W. 131 st Street pni Carmel,IN 46074- -z'' I? . (317)733-2001 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $5,479.60 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 UNOBUGATED 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 LABEL *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE ' CONTROL NO. 33507 CLERK-TREASURER