HomeMy WebLinkAbout260167 06/28/16 M1��.F�yyF`
�., .�� CITY OF CARMEL, INDIANA VENDOR: 099370
i! ONE CIVIC SQUARE FRAME DESIGNS CHECK AMOUNT: $*****1,326.83*
r'. ,?�; CARMEL, INDIANA 46032 506 S RANGELINE ROAD CHECK NUMBER: 260167
9�'�frori"�°' CARMEL IN 46032 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4463000 33220 14706 1,326.83 RETIREE DISPLAY
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
FRAME DESIGNS ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
506 S RANGELINE ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,326.83 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
3 14706 44-630.00 $1,326.83 1 hereby certify that the attached invoice(s),or 6/17/16 14706 retiree display board $1,326.83
1110 { =:E�crnGei e( .4` 'fir 101 1110 101
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
Wednesday,June 22,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
INVOICE Invoice #
Frne Designs 14706
i
506 S. Rangeline Rd. Page 1 of 1
Carmel IN 46032
317-844-9066 Your framing will be ready on approximately December 3, 2015.
Bill To: Remit To:
Tim Green Home: 571-2519 Frame Designs
City of Carmel Work: 506 S. Rangeline Rd.
CARMEL IN 46032 Gell: Carmel IN 46032
Fax: 317-844-9066
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Account#1 Sold By: Reference # Terms Invoice Date
7719 �— I 11/04/15
_Quantity_-- Item Number _—_ _ Description _ Unit Price �Disco4q Ext. Price _
W/O 18214"Those Who Have Served" l
8I 130.86 209.36 837.52
1 W/O 18215 Header/Sign/Medallion 399.19 59.88 339.31
1 W/O 18216 installation of board 150.00 i 150.00
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Sale Amount $1,326.83
------------ -------------------------
Tax $0.00
Order Total I $1,326,831
Deposit_
Total Dui ; _ $1,326.83!
INDIANA RETAIL TAX EXEMPT
City ®f Carmel CERTIFICATE NO. 03 20155 002 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT =20
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIP:
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCI
JRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
OW2015
l3pamo I l ri Carrmol Police ftaSlla ent
VENDOR SHIP 3 CIVIC SqUaM
506 S. Rangellne Road TO Carmel, IN 4M32
Camol, IN 46 (w)571.2%9
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
,ecou it 444M.00
1 Each Retiree Display $1,326.83 $1,326.83
Sulo Total., $1,326.83
00
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Send Invoice To: w
Camol Police De ortrnmt
Attn: Pat Young
3 Civic Square
C2rmel, IN 46M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
;mel Police Dept. PAYMENT $1,326.63
• A/P 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 SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI��PROPWJERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY i' !
PURCHASE ORDER NUMBER MUST APPEAR ON ALL //
SHIPPING LABELS. Chlu h?F Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE i 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2?® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE