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
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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
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