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Home My WebLink About181581 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