HomeMy WebLinkAbout180835 12/30/2009 ,.e .44, CITY OF CARMEL, INDIANA VENDOR: 354296 Page 1 of 1
ONE CIVIC SQUARE HOBBY LOBBY STORES
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a CARMEL, INDIANA 46032 P sox ssoo7a CHECK AMOUNT: $499.99
\74, OKLAHAMA CITY OK 73196 -0070 CHECK NUMBER: 180835
CHECK DATE: 12/3012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 21267 9107794 499.99 CHRISTMAS TREE
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7707 SOUTHWEST 44th STREET PAGE: 1 of 1
OKLAHOMA CITY, OKLAHOMA 73179
FED. I.D. #73- 1032203 FAX (405) 745 -1512
Account Inquiries (877) 303 -4938 DATE: 11/30/2009
acctsrec@hobbylobby.com
8
1 CITY OF CARMEL- MAYOR'S OFFICE
L ATTN: JENNY CHASTAIN
1 CIVIC SQUARE ACCOUNT NO. 9107794
T CARMEL IN 46032
0 CARD NO. 79000017550
DATE °DESCRIPTION CUSTOMER P.O., _AMOUNT DATE: DESCRIPTION CUSTOMER 0 AMOUNT.
9110109 Charge 24717784 5.99 274�,tl
10/01/09 Charge 24846686 17550
11/02/09 Charge 25072957 111124790000 1-95 x%04.
11/07/09 Payment 1100
11/09/09 Charge 25120633 111124790000 267--99
11110/09 Charge 25130812
11/19/09 Charge 25201226 7550 499 99 7
2L•
CURRENT 31 -60 DAY t ff
S 61 DAYS r 91+ DAYS PREVIOUS 6ALAIVCE 'NEW CHARGESIRET P14YMENT /ADJ NEW BALANCE
917.41 0.00 5.99 0.00 140.98 917.41 134.99- 923.40
J
INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO. 003120155 002 0 1 Of 1
PURCHASE ORDER NUMBER
��11// Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21267
3TS CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
CA RM EL, 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
November 19, 2409 Christmas tree
VENDOR Hobby Lobby SHIP City of Carmel Police Department
TO 3 Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE II DESCRIPTION UNIT PRICE EXTENSION
1 Christmas tree 499.99
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Send Invoice To:
e
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT i PROJECT ACCOUNT AMOUNT
1110 390 -99 other miscellane PAYMENT
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 AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. ,...e,.....
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. s /y
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Ad/,,,i,( t /.T/
SHIPPING LABELS. d
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chi. &f of Police 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
4 j CLERK- TREASURER
DOCUMENT CONTROL NO. A` COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribec{,by State Board otAccounts City Form No. 201 Rev, 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Hobby Lobby Purchase Order No. 21267F
P.O. Bo x 960070 Terms
Oklahoma City, OK 73196 -0070 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/19/09 _payment for Christmas tree 499.99
Total
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
Clerk Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
xbby Lobby IN SUM OF
P.O. Box 960070
Oklahoma City, OK 73196 -0070
499.99
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s),
DEPT. I hereb certif that the attached invoices or
21267F 390 -99 499.99 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
December 17 20 09
�11 .42 oar" 4 las
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund