HomeMy WebLinkAbout181581 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 357701 Page 1 of 1
'i ONE CIVIC SQUARE HORIBA JOBIN YVON INC CHECK AMOUNT: $162.45
)e CARMEL, INDIANA 46032 LOCKBOX776013
6 13 S NS CENTER CHECK NUMBER: 181581
IL CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4239099 21280 90231499 33.50 LAB SUPPLIES
1110 R4239099 21280 90233688 128.95 LAB SUPPLIES
INVOICE
HORIBA JOBIN YVON, INC.
3880 Park Ave,
Edison, NJ USA 08820 -3012 >REMIT TQ... Lockbox 72:6013
Phone: (732) 494 -8660, Fax: (732) 549 -5125 6013 Solutioris Center
www.HORIBA.com /Scientific Chicago IL 60677 6000
Bill To 29379 Inforeri tior p 3 Qt
Invoice Number 90231499
Invoice Date 12/22/2009
CARMEL POLICE DEPARTMENT Purchase Order No. 21 280
ATTN: ACCOUNTS PAYABLE Purchase Order Date
3 CIVIC SQ
CARMEL IN 46032 -2584 Sales Order Number 129672
Packing List Number 801 77167
Shipping Terms FOB ORIGIN
Actual Ship Date 12/22/2009
Payment Terms WITHIN 30 DAYS DUE NET
Ship To. 29379 Due Date 01/21/2010
CARMEL POLICE?DEPARTMENT
JOHN ELLIOTT Currency USD
3�CfuIC SQ
CARMEL IN 46032'-2584:
Sales Office JY- Forensics Sales
.Invoice Details
Item Material Quantity Unit Price Amount
Description
30 EP01114 3 PAC 9.00 27.00
ONE QUART ARSON EVIDENCE CAN #S -7343
Customer Disc (Val) 1.00- 3.00
Net Value for Item 8.00 24.00
100 BD 1203 1 EA 10.50 10.50
PHENOLPHTHALEIN 2 OZ REFILL BLOOD TEST
Customer Disc (Val) 1.00- 1.00
Net Value for Item 9.50 9.50
Total Amount.... 33.50
WE CERTIFY THAT THEE GOUDS WERE PRODUCED IN COMPLIANCE: WITH ALL APPLICABLE REQUIREMENTS OF SEC 6. 7 AND 12 OF THE FAIR LABOR STANDARDS ACT AS
AMENDED. AND OF REOULATIONS OF THE U1S- DEPARTMENT OF: LABOR ISSUED UNDER SEC. 14 THEREOF.
INVOICE
HORIBA JOBIN YVON, INC.
3880 Park Ave,
Edison, NJ USA 08820 -3012 REMIT TO L oc kboz 776013
Phone: (732) 494 -8660, Fax: (732) 549 -5125 6013 •Solutions Center
www.HORIBA.com /Scientific Chicago IL 60677 6000
Bill To 29379 ;Inforrnatl�rn t
Invoice Number 90233688
Invoice Date 01/06/2010
CARMEL POLICE DEPARTMENT Purchase Order No, 21 280
ATTN: ACCOUNTS PAYABLE Purchase Order Date
3 CIVIC SO.
CARMEL IN 46032 -2584 Sales Order Number 1 29672
Packing List Number 80178573
Shipping Terms FOB ORIGIN
Actual Ship Date 01/06/2010
Payment Terms WITHIN 30 DAYS DUE NET
Shop To '29319 Due Date 02 /05/2010
CARMEL POLICE.DEPARTMENT.
JOHN ELLIOTT Currency USD
3,CIVIC SQ
CARMEL IN 46032 -25$4 Sales Office JY- Forensics Sales
In Details
Item Material Quantity Unit Price Amount
Description
140 IE1800BR 2 EA 24.00 48.00
IMPRINTZ 50ML BROWN CARTRIDGE ROUND, LOW
Customer Disc (Val) 2.00- 4.00
Net Value for Item 22.00 44.00
190 PS0610 1 EA 9.95 9.95
RIGHT ANGLE SCALES BOOKLET
Freight 75.00
Total Amount.... 128.95
WE CERTIFY THAT THESEGOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF SEC. 6. 7 AND 12 OF THE FAIR LABOR:STANOARDS ACT AS
AMiENDED.AND OF REGULATIONS AND ORDERS OF THE U S. DEPARTMENT OF LABOR ISSUED UNDER SEC. 14:;THEREOF.
0 INDIANA RETAIL TAX EXEMPT PAGE
ClitY of G.Irmel CERTIFICATE NCI. 003120155 002 0 of PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21280
IONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
December 8, 2009 lab su.•slies
VENDOR SPEE Forensics SHIP City of Carmel Police Department
19963 W. 162nd Street TO 3Ceivic Squarew
Olathe, KS 66062 Carmel, IN 46032
ATTN: John Elliott
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
1
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Quote #JR112309 -CPD
2 BD1225 Printed Swab Box 17.95 35.90 X
3 EP01113 Gallon Arson Evidence cans 15.00 45.00
3 E001114 Quart Arson Evidence cans 8.00 24.00
4 ES0310 2" Yellow Box sealing tape 6.50 26.00
4 ES01131B 3" white Box- Sealin p 8.50 34.00►K
1 13D1258 Cap -Shure Steri wb
=ha 25.0000
5 1,11668 Fiber Brush I C' 'k-,.,,,,, 5.95 29.75►
4 LP06148 Black Gel,- 4 :2so- xc °4 :t 10.00 40.00
4 CP78500 NinjPrintof); '•.'f 14.25 57.001,/
1 BD1203 Phenalph t <Zoz refill 9.50.
1 BD1247 TIP Pre t1v st for Sem ill 34.00E
2 PP1682 16oz An ept$c bha h °nd cl I I J 7.50 15.00;
1 PP1686 P.A.W. ..:,land@ -pes 7.00>)(
2 IE1800BR Brown Visc ity yress ater a. 22.00 44.00
1 1E1811 Brown 11 k osil a 24.00
1 1E1817 1E18 Gray Mi sil ,0, 24.00
3 LP0673 Command t s tic Appl a c r 12 36.00k
2 LP0676 7° Flat .a Brush p 5.00 10.00X 1. PS0610 RAS -1D Boakl -t` R 9.95
shipping n 75.00
c 10 I
Send Invoice To: City of Cannel Pall ti p e
ATTN: Teresa Anderson 1
3 Civic Square Li Li U^
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 605.10
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390-99 other miscellaneous PA
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.C.
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. fl
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY l.1P 1
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. A COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. NO._
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
PresFribed by Stale 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 ,Tobin. Yvon, Inc. Purchase Order No. 21280RF
Lockbox #776013
6013 Solut onsuCenter Terms
Chicago, IL 60677 6000
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/22/09 90231499 payment for lab supplies 33.50
1/6/10 90233688 payment for lab supplies 128.95
Total 162.45
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
imUCHER NO. WARRANT NO.
i p
ALLOWED 20
Horiba Jobin Yvon, Inc. IN SUM OF
Lockbox #776013
6013 Solutions Center
Chicago, IL 60677 -6000
162.45
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
DEPT. INVOICE NO ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
21280RF 90231499 390 -99 33.50 bill(s) is (are) true and correct and that the
21280RF 90233688 390 99 128.95 materials or services itemized thereon for
which charge is made were ordered and
received except
January 15 20 E110
b" Ii41 th
i 9 nature b
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund