HomeMy WebLinkAbout260340 06/28/16 CITY OF CARMEL, INDIANA VENDOR: 370126
ONE CIVIC SQUARE UNCLE BILL'S PET SUPERSTORE CHECK AMOUNT: $***"**420.00*
•� ate; CARMEL, INDIANA 46032 3720 GEORGETOWN RD CHECK NUMBER: 260340
9MTUN��` INDIANAPOLIS IN 46224 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 33983 00229000 420.00 BLUE BUFFALO DOG FOOD
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
VOUCHER NO. WARRANT NO.
UNCLE BILL'S PET SUPERSTORE ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
3720 GEORGETOWN RD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46224 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$420.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
ACCT# DATE INVOICE# DESCRIPTION
b
d Members DEPT# INVOICE# Fund# AMOUNT BoarDEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
f-;33�983°6 00229000 43-576.00 $420.00 certify that the attached invoice(s),or
6/21/16 00229000 K9 food $420.00
L.----� I hereby ce
1110 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
"-/�fZ4___
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
INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33983
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUSTAPPEARONINVOICES,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
6/13/2016 370126
UNCLE BILL'S PET SUPERSTORE Police Department
VENDOR 3720 GEORGETOWN RD SHIP 3 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS, IN 46224-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
5589
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department., 1110 Account., 43-576.00 Fund: 101 General Fund
1 Each Blue Buffalo Dry Dog Food $420.00 $420.00
Sub Total $420.00
CA
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Send Invoice To: s. " L
Police Department a
3 Civic Square
Carmel, IN 46032-
C-71,
6032-C-, =✓ � PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT F PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $420.00
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 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. ORD RED BY
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CONTROL NO. 33983 CLERK-TREASURER