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HomeMy WebLinkAbout332727 11/21/18 �,qM* CITY OF CARMEL, INDIANA VENDOR: 00350555 ONE CIVIC SQUARE SIRCHIE CHECK AMOUNT: $*******568.29* sq` ia' CARMEL, INDIANA 46032 100 HUNTER PLACE CHECK NUMBER: 332727 ,,,ETON YOUNGSVILLE NC 27596 CHECK DATE: 11/21/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 0371857IN 30.54 POSTAGE 1110 4239099 102034 0371857IN 537.75 LAB SUPPLIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00350555 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SIRCHIE IN SUM OF$ CITY OF CARMEL 100 HUNTER PLACE 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. YOUNGSVILLE, NC 27596 Payee $537.75 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 102034 0371857-IN 42-390.99 $537.75 1 hereby certify that the attached invoice(s),or 11/6/18 0371857-IN lab supplies $537.75 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, November 16,2018 &.� U,4.Aw Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00350555 SIRCHIE IN SUM OF$ CITY OF CARMEL 100 HUNTER PLACE 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. YOUNGSVILLE, NC 27596 Payee $30.54 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 0371857-IN 43-421.0QW $30.54 1 hereby certify that the attached invoice(s),or 11/6/18 0371857-IN shipping $30.54 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 Friday, November 16,2018 &.-- E�P'M.Aww Jim Barlow Chief 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 1 rI ® Invoice Page: 1 W.F��IRCH1E Command Every Scene : 100 Hunter Place Invoice Number: 0371857-IN Youngsville,NC 27596 Invoice Date: 11/6/2018 Phone:(919)554-2244 Ship Date: 11/6/2018 Fax:(919)554-2266 Order Number: 0899449 Federal ID#26-1186682 Order Date 11/5/2018 www.sirchie.com Customer Number: 00-E46032 Extended Sales Hours Monday-Friday,8AM-7PM EST RMA Number: Sold To: Ship To: Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Blaine Mallaber Blaine Mallaber Carmel,IN 46032 Carmel,IN 46032 Confirm To: Blaine Mallaber Customer P.O. Ship VIA F.O.B. Terms 102034 UPS GROUND Origin NET 30 DAYS Item Number Ordered Shipped Back Ordered Price Amount ECT2 SYRINGE COLLECTION TUBES/12EA 10.000 10.000 0.000 22.95 229.50 NARK2005 TEST 05-DUQUENOIS-LEVINE/10 15.000 15.000 0.000 20.55 308.25 fly" c N Fye} 4kLLL tl' ;, x , C � r I These items are controlled by the U.S. Government and authorized for export only to the country of ultimate Net Invoice: 537.75 destination for use by the ultimate consignee or end-user(s) herein identified. They may not be resold, Less Discount: 0.00 transferred, or otherwise disposed of, to any other country or to any person other than the authorized ultimate Shipping&Handling: 30.54 consignee or end-user(s), either in their original form or after being incorporated into other items, without first obtaining approval from the U.S.government or as otherwise authorized by U.S.law and regulations. Sales Tax: 0.00 Questions concerning this invoice,please call Accounts Receivable at(800)815-1649 or e-mail ar0sirchie.com Invoice Total: 568.29 Please remit payment in US Dollars Claims for shortage must be made within five days of receipt of goods. Returns by written authority only. Note: 20%handling charge on returned goods. Unpaid balances 30 days old or more are subject to a 1%per month, or 18%per annum,service charge. ►� SIRCIAIE' PACKING SLIP v Command Every Scene Order Number:0899449 100 Hunter Place Invoice Number:0371857 Youngsville, NC,27596 USA Phone:(919)554-2244, (800)356-7311 Intl.Invoice Number: Fax:(919)554-2266,(800)899-8181 PO Number 102034 WWW.sirchle.com Ship Date: 11/6/2018 Ship To: Customer Number: E46032 Carmel Police Department Packed by:DK Denise Kearney 3 Civic Square Blaine Mallaber Carmel, IN 46032 Attention: Number of Packages: 1 Ship VIA F.O.B. Terms UPS®Ground Origin Item Number Item Description HazMat U/M Order Qty: Shipped Qty: BOX M 1 Dimensions: 15 x 12 x 13 in. Weight: 13 Ibs CT2 SYRINGE COLLECTION TUBES/12EA No PK 10 10 VNARK2005 TEST 05-DUQUENOIS-LEVINE/10 No BOX 15 15 Total Weight: 13 lbs Page 1 of 1