183946 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 9 of 1
0 ONE CIVIC SQUARE STEVEN R JENKINS CO INC
CARMEL, INDIANA 46032 6680 E. 21ST. STREET CHECK AMOUNT: $1,016.20
roe
INDIANAPOLIS IN 46219 CHECK NUMBER: 183946
CHECK DATE: 3129/2010
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 21833 1,016.20 NEW CAR EQUIPMENT
Steven R Jenkins Co Inc. Invoice
6680 E 21st Street Date Invoice
Indianapolis IN 46219 SHOP 3/13/2010 155736
1- 317 -352 -0184 srjco.com
Bill To Ship To
C,ARMEL POLICE DEPT
3 CIVIC SQUARE
ATTN: TERESA ANDERSON
CARMEL. IN 46032
P.O. Number TERMS Rep VIA
21833 JGL
Quantity Description Price Each Amount
20 HAVIS SHIELD CSWI ROCKE "I' SWITCHES 1160 272.00
20 HAVIS SHIELD EB15 -118 EQUIP BRACKETS 18.64 372.80
20 HAVIS SHIELD C-MCB MIC BRACKETS 9.25 185.00
10 HAVIS SHIELD C- E-B30- FOR -LP 18.64 186.40
Sales Tax 0.00% 0.00
www.srjco.com Total $1,016.20
Ulty U armel 11VLJIAIYA MEIAIL IAA CAGMI,I 1 of 1
®t CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21833
310M CIVEC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIP:
=ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CApMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE
RCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
bruary 25 2010 new car equipment
FENDOR Steven R. Jenkins SHIP City of Carmel Police Department
6680 East 21st Street T O 3 Civic Square
Indianapolis, IN 46219 Carmel, IN 46032
ATTN: Jason Ogle
NFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
19 Headlight Flasher '08 Impala Fed S 656106 40.00 760.00
20 CSW1 rocker switches 13.60 272.00
20 EB15 -118 equipment bracket (havis shield) 18.64 372.80
20 C MCB mic brackets (havis shield) 9.25 185.00
10 C-- EB30 FOR 1P 18.64 186.40
6 Federal Signal PA300 rwi'th,)Priori -t_y� 175.00 1,050.00
W
City of Carmel Police- epartmen-t 1
Send Invoice To:
ATTN: Teresa Anderson/
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 2,826.20
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1.1.10 670 -99 other equipment 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
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of P01 ice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 1 8 3 3 CLERK- TREASURER
)OCUMENT CONTROL NO. VENDOR COPY
Prescribed by State Board otAccounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service reAered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Steven R. Jenkins Co., 'Inc. Purchase Order No. 21833P
6680 East 21st Street Terms
Indianapolis, IN 46219 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/13/10 155736 paMent for new carequipment 1 016.20
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
S tev:_.n R. Jenkins Co. Inc. IN SUM OF
6680 East 21st Street
Indianapolis, IN 46219
1,016.20
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
21833P 155736 670 -99 1,016.2o 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
March 25 20 10
b.
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund