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Home My WebLink About181245 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 357701 Page 1 of 1 ONE CIVIC SQUARE HORIBA JOBIN YVON INC CARMEL, INDIANA 46032 PO Box 462 CHECK AMOUNT: $442.65 EDISON NJ 08818 -046 o vo, CHECK NUMBER: 181245 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4239099 21280 90229298 442.65 LAB SUPPLIES 1 .-.1Q11.9113A BEINJ INVOICE HORIBA JOBIN YVON, INC. 3880 Park Ave, Edison, NJ USA 08820-3012 Phone: (732) 494-8660, Fax (732) 549-5125 6013 Solutions Center www.HORIBA.com/Scientific Chicago Bill To 29379 I n f ormatton :Pfig d :1:.• of 4 Invoice Number 90229298 Invoice Date 12/14/2009 CARMEL POLICE DEPARTMENT Purchase Order No. 21280 ATTN ACCOUNTS PAYABLE Purchase Order Date 3 CIVIC SO CARMEL IN 46032-2584 Sales Order Number 129672 Packing List Number 801 75662 Shipping Terms FOB ORIGIN Actual Ship Date 12/14/2009 Payment Terfris WITHIN'30-DAYS-DUE NET ShipTo Due Date 01/13/2010 CARMEL POLICE DEPARTMENT JOHN ELLIOTT Currency USD CARMELIN 46032 2584 Sales Office JY-Forensics Sales Item Material Quantity Unit Price Amount Description 10 BD1225 2 PAC 19.95 39.90 SWAB BOXES Customer Disc (Val) 2.00- 4.00- Net Value for Item 17.95 35.90, 20 EP01113 3 PAC 16.65 49.95 ONE GALLON ARSON EVIDENCE CAN #S-7342 Customer Disc (Val) 1.65- 4.95- Net Value for Item 15.00 45.00 40 ES0310 4 EA 7.35 29.40 2" X 165' YELLOW BOX SEAL TAPEEVIDENCE T Customer Disc (Val) 0.85- 3.40- Net Value for Item 6.50 26.00 50 ES0313 4 EA 9.75 39.00 3" X 180' WHITE BOX SEAL TAPE EVIDENCE T Customer Disc (Val) 1.25- 5.00- Net Value for Item 8.50 34.00 60 8D1258 1 EA 27.95 27.95 CAP-SHURE STERILE SWAB, WOOD FOR FORENS Customer Disc (Val) 2.95- 2.95- Net Value for Item 25.00 25.00/ WE CERTIFY THATTHESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENT' s OF SEC: 6, 7:AND 12 OF THE FAIR LABOR STANDARDS ACT AS' AMENDED AND OF REGULATIONS AND ORDERS OF THE U S. OEPARTMENT:OFLABOR ISSUED UNDER SEC. 14 THEREOF. IO1II3 :;ii- •tii�c .a�::`i:.a�\I INVOICE HORIBA JOBIN YVON, INC. 3880 Park Ave, Edison, NJ USA 08820 -3012 >REMIT TO:. Lockbox 776013 Phone: (732) 494 -8660, Fax: (732) 549 -5125 6013 Solutions Center www.HORIBA.com /Scientific Chicago, IL 60677 6000 Bill To 29379 Inforn7atlon Page 2 of 4 Invoice Number 90229298 Invoice Date 1 2/14/2009 CARMEL POLICE DEPARTMENT Purchase Order No. 21 280 ATTN ACCOUNTS PAYABLE Purchase Order Date 3 CIVIC SQ Sales Order Number 129672 CARMEL IN 46032 -2584 Packing List Number 80175662 Shipping Terms FOB ORIGIN Actual Ship Date 12/14/2009 Payment Terms WITHIN 30 DAYS-DUE NET Ship To: 29379 Due Date 01/13/2010 CARMEL POLICE DEPARTMENT JOHN ELLIOTT Currency USD 3•CIVIC SQ CARMEL IN 46032 -2584 Sales Office JY- Forensics Sales Invoice .Details Item Material Quantity Unit Price Amount Description 70 LP0668 5 EA 7.75 38.75 FIBER BRUSH Customer Disc (Val) 1 .80- 9.00 Net Value for Item 5.95 29.75 80 LP06148 4 EA 11.50 46.00 7.2" X 14.4" BLACK GEL LIFTER Customer Disc (Val) 1 .50- 6.00 Net Value for Item 10.00 40.00/ 90 CP78500 4 EA 15.95 63.80 NIN -PRINT 250ML SPRA Customer Disc (Val) 1.70- 6.80 Net Value for Item 14.25 57.00/ 110 BD1247 1 EA 36.00 36.00 TMP PRESUMPTIVE TEST FOR SEMINA Customer Disc (Val) 2.00- 2.00 Net Value for Item 34.00 34.00/ 120 PP1682 2 EA 8.50 17.00 16 OZ ANTISEPTIC HAND CLEANER Customer Disc (Val) 1 .00- 2.00 Net Value for Item 7.50 1 5.00 WE CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SEC. 6, 7 AND 12 OF THE FAIR LABOR STANDARDS ACT AS AMENDED, AND OF REGULATIONS AND ORDERS OF THE U.S. DEPARTMENT OF- LABOR iSSUED UNDER 'SEQ. 14 THEREOF. L y 1111.01/414/4 RC 1M11- 111A CACIYIr 1 7 o f 1 li o I� l r II j 1 e I� CERTIFICATE NO. 003120155 002 0 Iii C 1b t �9 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 21280 31541 CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/I CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIP SHIPPING LABELS AND ANY CORRESPONDENCE :ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 RCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION cember 8, 2009 lab supplies 'NDOR SPEX Forensics SHIP City of Carmel Police Department 19963 W. 162nd Street TO 3 Civic Square Olathe, KS 66062 Carmel, IN 46032 ATTN: John Elliott NFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT 1 QUANTITY 1 UNIT OF MEASURE/ DESCRIPTION UNIT PRICE EXTENSION Quote #JR112309 -CPD 2 BD1225 Printed Swab Box 17.95 35.90 3 EP01113 Gallon Arson Evidence cans 15.00 45.00 3 E001114 Quart Arson Evidence cans 8.00 24.00 4 ES0310 2" Yellow Box sealing tape 6.50 26.00 4 ES0313 3" white Box Sealing :t :ape1r'' 8.50 34.00 1 BD1258 Cap Shure Sterileigviabwood' sh aft,, 25.00 5 LP0668 Fiber Brush 5.95 29.75 4 LP06148 Black Gel Litter ,�,f7 2r 14 P. 10.00 40.00 4 CP78500 Nin -Print 4e t 4 14.25 57.00 1 BD1203 Phenolphthalein' 2'oz refill 9 .50 1 BD1247 TMP Presumptive id Test for Seminal Flu 34.00 2 PP1682 16oz An C�i b io Ba nd cle 7.50 15.00 1 PP1686 P.A.W.SYiianddW;ipes( /�'`i I *�t 7.00 2 IE1800BR Brown LZow Viscosity Tmpressiori` Material A 22.00 44.00 1 1E1811 Brown Mikrosi].` 24.00 1 1E1817 Gray Mi'k osil 3 24.00 3 LP0673 Commando Magxetic 12.00 36.00 2 LP0676 7" Flat H ir'Brush '11 5.00 10.00 1 PS0610 RAS-ID Book1°etsf r? 9.95 f shipping 4 75.00 Send Invoice To: City of Carmel Police Depar 1 I f2� ATTN: Teresa Anderson 1 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE 605.10 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT 1110 390 -99 other miscellaneous AYMENT A!P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND 4 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS r I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 7141,1 V A.f PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. VENDOR COPY Prescribed by State Board of Accounts 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 Horiba Jobin Yvon, Inc. Purchase Order No. 21280RP Lockbox #776013 Terms 6013 Solutions Center Chicago, IL 60677 -6000 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/14/09 90229298 payment for lab supplies 442.65 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer O 4 UCHER NO. WARRANT NO. ALLOWED 20 Hor-iba Jobin Yvon, Inc. IN SUM OF Lockbox #776013 6013 Solutions Center Chicago, IL 60677 -6000 442.65 ON ACCOUNT OF APPROPRIATION FOR police generafl and Board Members Po# r INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s), DEPT. I hereb certi that the attached invoices or 21280RP 90229298 390 -99 442.65 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 January 8 20 1.0 k iA.44t1-(1) 10 T Signature 441 Chief of POlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund