HomeMy WebLinkAbout305476 11/28/16 ?�%'"�• CITY OF CARMEL, INDIANA VENDOR: 370260
.� ® ;�• ONE CIVIC SQUARE MATT WHIRLEY
CHECK AMOUNT: $********25.00*
9. =a CARMEL, INDIANA 46032 11245 HYLAS DRIVE CHECK NUMBER: 305476
.y��ioN.�, NOBLESVILLEIN 46060 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4344100 REIMEI 25.00 CELLULAR PHONE FEES
Voucher No. Warrant No.
370260 Whirley, Matt Allowed 20
11248 Hylas Drive
Noblesville, IN 46060
In Sum of$
$ 25.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1091 Reimb 4344100 $ 25.00 1 hereby certify that the attached invoice(s), or
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
November 15, 2016
'PA"A"VUAJ
Signature
$ 25.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Car-MCI 0 Clay
NIGINAL
darks&Recreat'an
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
10/9/2016 Verizon Wireless 1091 4344100 Cellular Phone Fees $25 Cell Phone Charges for October
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $25.00
Employee Name(print) Matt Whirley
NOVNOU z`u16
Check Address 11248 Hylas Drive
payable to: City, St,Zip Noblesville, IN, 46060
Signature: Approved by:
Date: 1�110�(a Date: ►1110 1 b
Business Services Division,Revised 7-7-08
FILE: Shared\Forms\Business Services\Employee Exp Reimb Request
'LOVO—Vb9-998-1 Ilea'ino ido of-auguo jo auogd Aq sluawhed aminj algeue 01 paulejal aq ll!m ejagwnu 6ulnoi pue JUn033e Nue8:33liON
909CLE'00000000' ?-ETOO0000IOOOOZEh'ChZQQ90TO2.6OT66E2.hE
1111I"I'I""I I'I'I"I'[fill IIIIII I"'I I'I"III"'I
9099-3009L Vd `A3llb'A HSIH3l
90993 X08'0'd
El El •
0 LIT L$ juawhed glInn dils 1!waj sly}uwnlaj aseald
'ssalanM uozuaA of algehed�oago ai BW
9 LOZ 'to aegwanON Aq ana lunowd li3lol LOL9-0909ti BNIO'3lS1l1AS 31SON
A3ldIHM M3HiVA
L60166£LVE jagwnN ao!onul
10000—LCKVL889 aagwnN lun000y
9LOZ '60 aagol30 algia II!8 AUOZIJGA
------------------------------------------------------------------------------------------------------------------
t t t t • t .l 1 s ll: t t
wogsan0 qaM agl uo Led auogd wool Aud
,Aepol 1!All•dde uozuaA LW a41
gbnoagl lioddnS ssamu Lllsea osis ueo
noA,:IoddnS/woo'nezA'o6 bu!sn siaMsue
pu!1 use noA'sao!Aap moA gl!M dlag paou
jo'p!q moA Inoge suo!lsonb aneg noA ll
0I.'LE I.$ 9 LOZ `b0 aagwanoN Aq on(] sa6aeg3 Mol BulIUO 00 aw11 BADS
'i snnaN ssalalj�uozua
0LIE L$ se6aegO luenn0 pool
80'9$ saad)R s96JegoJng leluawwanog'saxel
8L'b$ sl!paa0'8 sa6ae40 Jam pue
sa6jegomS
bZ'LE$ sa6ieU0 juawdmb3
00'96$ sebig3 AlgluoW
00'$ pJeNuo3 aauele8 LOL9-0909b NI'311IAS3180N
bL'L£L$— noA i UuU1—luawAed 80 STRH 8bZL L
VVLEL$ N/mlep JoL HDeq Bas)aoueleg sno!Aaad A31dIHM M3HiVVV
60100—OL dos fuewwnS il!a pno 3NIlA3H
ss8appea6uey3/wo3•MZA
L60 L66£Lti£ jagwnN ao!onul le ssaappe anoA a6uegg
1111 ,•® ® LOLOSb'9'HIHOMOV
LOOb X08 Od
ana alta ; aagwnN lun000y lun000y anoA aft
AUOZIAGA
CITY OF CARMEL, INDIANA VENDOR: 367180
® ONE CIVIC SQUARE ADORAMA CHECK AMOUNT: $*****1,263.50*
. �: CARMEL, INDIANA 46032 42 WEST 18TH ST CHECK NUMBER: 305483
�MC1oe.ia NEW YORK NY 10011 CHECK DATE: 11/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 34166 1935511 650.75 LAB SUPPLIES
1110 4239099 34388 19356588 612.75 MYSTAIRE HEPA FILTER
REMITTANCE ADVICE--DETACH AND RETAIN FOR YOUR-RECORDS
VOUCHER NO. WARRANT NO. - Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ADORAMA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
42 WEST 18TH ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NEW YORK, NY 10011 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$650.75 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO.# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
341'66 I 193.5511 42-390.99 $650.75 1 hereby certify that the attached invoice(s),or 10/26/16 193.5511 lab supplies $650.75
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
Monday, November 21,2016
Tim Green
Chief of Police
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
Page: 1
888-874-1586 INVOICE
19305511 10/26/2016
BILLING ADDRESS: SHIPPING ADDRESS: Order No: 18368734-3 An it m listediteish s owing"back-order"is on orderwith the
CITY OF CARMEL CITY OF CARMEL Order Date: 10/26/2016 supplier and is temporarily out of stock.These items
will ship soon.Most backordered items ship within ten
Att:ACCOUNTS PAYABLE Aft:ACCOUNTS PAYABLE
Customer No: 7820810 business days.We never charge additional shipping as
ONE CIVIC SQUARE ONE CIVIC SQUARE Customer PO: 34166 a result of a back-order.Please feel free to contact
CARMEL, IN 46032 USA us for additional information at www.adorama.com/email.
CARMEL,IN 46032 USA Terms: Net 30
(317)571-2559 (317)571-2559 Note:Please be prudent when throwing away packaging
material or boxes.It is possible to miss some contents.
Checking off contents against the packing list is always a
SKU# Item QtyOrd Ship B/O Price Total good idea.If something is indeed missing please make a
claim within five days to be compliant with our policies.
SA33606 SAFARILAND CAPSHURE SWABS POLY BX/50 10 10 28.00 280.00 We want to buy your used photo equipment:
Mfg Item#:3-3606 In the last year alone,Adorama spent millions
buying 35mm,medium/large-format,scopes,video
SA8006078 SAFARILAND NIK TEST H BOX OF 10 TESTS 1 1 18.50 18.50 and digital equipment.Our satisfied customers
Mfg Item#:800-6078 happily cashed in or traded their equipment and
enjoyed our above market value payout.Adorama
SA8006089 SAFARILAND NIK TEST I BOX OF 10 TESTS 1 1 18.50 18.50 pays top dollar for individual items,rare pieces,
collections and estates.For more information,call
Mfg Item#:800-6089 1-800-223-2500 or visit us at www.adorama.com/sell
SA8006090 SAFARILAND NIK TEST O BOX OF 5 TESTS 1 1 18.50 18.50 and use our online quoting system.
Mfg Item#:800-6090 No Hassle Return Policy:
SA8006084 SAFARALND NIK TEST P-BOX OF 10 TESTS 1 1 18.50 18.50 We want you to be completely happy with your purchase
from Adorama.Please see the general Return/Exchange
Mfg Item#:800-6084 guidelines and policy posted on our website at
-SA1006165• NIK P SAFETY TEST U BOX OF 10 TESTS 2 2 18.50 37.00 www.adorama.com/policy.
Mfg Item#:1006165
SA1161559 SAFRILND NIK BATH SALTS TESTS 5 5 6.95 34.75
Mfg Item#:1161559
SODVM60PR SONY DVM60PR 60 MINUTE TAPE PREMIUM 5 5 2.19 .00
Mfg Item#:DVM60PRR
SAVCN0120Y SAFARILAND VERSACONE#1-20 YELLOW 1 1 75.00 75.00
Mfg Item#:VCN-0120Y
SAVCN2140Y SAFARILAND VERSACONE#21-40 YELLOW 1 1 75.00 75.00
Mfg Item#:VCN-2140Y
SAVCN4160Y SAFARILAND VERSACONE#41-60 YELLOW 1 1 75.00 75.00
Mfg Item#:VCN-4160Y
Ship Via: Drop Shipped Salesman 00405-Carole
Tracking: PO#2511369-001-01 Ordered By: JOHN ELLIOTT
Printed By: IROSENBLUM 11/02/16 08:14 AM
Page: 2
888-874-1586 INVOICE
19305511 10/26/2016
Any item/s showing as"back-order"?
BILLING ADDRESS: SHIPPING ADDRESS:
Order No: 18368734-3 An item listed as"back-order"is on order with the
CITY OF CARMEL CITY OF CARMEL Order Date: 10/26/2016 supplier and is temporarily out of stock.These items
Att:ACCOUNTS PAYABLEwill ship soon.Most backordered items ship within ten
Att:ACCOUNTS PAYABLE Customer No: 7820810 business days.We never charge additional shipping as
ONE CIVIC SQUARE ONE CIVIC SQUARE Customer PO: 34166 a result of a back-order.Please feel free to contact
CARMEL,IN 46032 USACARMEL, IN 46032 USA Terms: Net 30 us for additional information at www.adorama.com/email.
(317)571-2559 (317)571-2559 Note:Please be prudent when throwing away packaging
material or boxes.It is possible to miss some contents.
Checking off contents against the packing list is always a
SKU# Item QtyOrd Ship B/O Price Total good idea.If something is indeed missing please make a
claim within five days to be compliant with our policies.
Sub Total: 650.75 We want to buy your used photo equipment:
In the last year alone,Adorama spent millions
Thank you for being a repeat Customer.
Shipping: .00 buying 35mm,medium/large-format,scopes,video
Tax: 0 0 and digital equipment.Our satisfied customers
This order was careful) rocessed b our sales re650.75
happily cashed in or traded their equipment and
y p y y p Invoice Total: 6 5 0.7 5 enjoyed our above market value payout.Adorama
FUSCo,Caroleann. Total Paid: 0 0 pays top dollar for individual items,rare pieces,
collections and estates.For more information,call
For help with this order or to place another order, call Balance: 650.75 1-800-223-2500 or visit us at www.adorama.com/sell
FUSCo,Caroleann at(888)874-1586 and use our online quoting system.
or email at caroleannf@adorama.com. No Hassle Return Policy:
We want you to be completely happy with your purchase
from Adorama.Please see the general Return/Exchange
guidelines and policy posted on our website at
www.adorama.com/policy.
To email Customer Service please go to www.adorama.com/email
Total Qty.Shipped: 24 Ship Via: Drop Shipped Salesman 00405-Carole
Tracking: PO#2511369-001-01 Ordered By: JOHN ELLIOTT
Printed By: IROSENBLUM 11/02/16 08:14 AM
ARILAND
� F Packingslip
GROUP p
Safariland,LLC
Packing list Id: P50101034911
13386 International Parkway
Sales order Id: S010-1030003
Jacksonville,FL 32218
US Customer Id: 3000049
Tel:800-347-1200 Date: 11/9/2016
Packing list id
Purchase order number
III IIIIIIIII IIIIII IIIIIIIIIIIIIII I II I I
Sold to: Ship to:
Adorama Camera Incorporated City of Carmel
42 W 18th St 1 CIVIC SQ
New York,NY 10011-4621 CARMEL,IN 46032-2584
— us- — - -- - — - -
us -- — — - - - — —
(212)741-0401 XT 24
Purchase order No. : . Payment terms k, Shipping method, Incoterms Tax-exempt no
2511369-001 Net30 UPS Ground FCA-Jacksonville,FL
Quantity
ORD.. SHP BCK Part number' 'Variant Color Size. Config Serial Batch: . Tarrif code Origin De3cnpUon, U(VI
10.00 10.00 0.00 1005368 US Capshure Swabs PK-
3-3606 W/Plastic Stem- 50
Box Of 50
1.00 1.00✓0.00 1006167 US Nik Test I- PK-
800-6089 Liebermans 10
1.00 1.00 0.00 1006168 US Nik Test 0-Ghb PK-5
800-6090
1.00 1.00 0.00 1006162 US Nik Test P- PK-. .
800-6084 Propoxyphene 10,
2.00 2.00(V 0.00 1006165 US Nik Test U- PK-
800-6087 Sodium 10
Nitroprusside
5.00 5.00 0.00 1161559 US Nik Bath Salts EA
6419 Test
1.00 1.00 L.-/O..C 0 1008166 US Versacone 1-20 SET
` /VCN-0120Y Yellow 20
— - -1:00 -1.00 �//0.00-1008171 - —- — -- -- -- - —— -- - -—us- Versacone 21=40—SET- —
VCN-2140Y Yellow 20
Case# >
CASE5082804
CASE5082805
Pulled by: Boxed by: Shipped by: KCanelas
1
1
Page 1 of 1 Printed:11/9/2016 9:25:47 AM
W.
AFARILAND� Packing slip
GRUP
Safariland,LLC
1Packing listld: P50101035376
3386 International Parkway
Jacksonville,FL 32218 Sales order Id: SO10-1030003
US Customer id: 3000049
Tel:800-347-1200 Date: 11/14/2016
Packing list id
Purchase order number
III II IIIIIIIIIIIIIIIII IIIIIIIIIIIIIII _.,
Sold to: Ship to:
Adorama Camera Incorporated City of Carmel
;:3fa F 42 W 18th St 1 CIVIC SQ
New York,NY 10011-4621 CARMEL,IN 46032-2584
u5 US
(212)741-0401 XT 24 —
Purc'os2`orderNo PayFnentterms„: Shippmg`method':: Iricoterms. Tax'exemptno
2511369-001 Net30 UPS Ground FCA-Jacksonville,FL
X ”
t
SH'P =: BCK Part numbfer Variant Color Size` Config Sepal, Batch T.arrif--code Oiigtn Descnption - UM%z
1.00 1.00 0.00 1006156 u5 Nik Test H- PK-
800-6078 Methadone 10
Case# , +
CASE5083809
Pulled by: Boxed by: Shipped by: KCanelas
Page 1 of 1 Printed:11/14/2016 11:48:54 AM