HomeMy WebLinkAbout183920 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 261500 Page 1 of 1
ONE CIVIC SQUARE RAY O'HERRON CO INC CHECK AMOUNT: $662.62
PO BOX 1070 CARMEL, INDIANA 46032
DANVILLE IL 61834 CHECK NUMBER: 183920
CHECK DATE: 3129/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 21856 599.40 FIRE EXTINGUSHER
1110 4342100 1006894 63.22 POSTAGE
1.
,k
Page: 1
0 sari NERRON Invoice
M Inc.
Invoice Number: 1006894 -IN
3549 North Vermilion Street 1- 800 223 -2097 Invoice Date: 3/23/2010
PO Box 1070 www.oherron.com
;R Danville, IL 61834 -1070 rayoherron @oherron.com Order Number: 1004178
Order Date 3/16/2010
Suppliers of public safety equipment since 1964 Salesperson: GC
Sold To: Customer Number: 46032PD
CARMEL POLICE DEPT Ship To:
3 CIVIC SQUARE CARMEL POLICE DEPT
CARMEL, IN 46032 3 CIVIC SQUARE
ATTN: ROBERT ROBINSON
CARMEL, IN 46032
Confirm To:LT DWIGHT FROST
Customer P.O. Ship VIA Terms
21856 UPS NET 30 DAYS
Item Number Ordered Shipped Back Ordered Price Amount
SLW
46611201K 12.00 12.00 0.00 49.95 599.40
FIRE EXTNGSHR,51b,METAL HEAD
ADD ACTUAL FREIGHT CHARGES
Net Invoice: 599.40
INVOICES PAID WITH PERSONAL PAYMENT Less Discount: 0.00
ARE SUBJECT TO SALES TAX Freight: 63.22
Sales Tax: 0.00
Invoice Total: 662.62
INDIANA RETAIL TAX EXEMPT PAGE
Ci o} I' Carmel CERTIFICATE NO. 003120155 002 0 1i PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 56
3%- PLe
NE CIVIC SQUARE
FHISN BER MUST APPEAR ON INVOICES, A/ CARMEL, INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS,
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
Mar (!H 16. 2M10 fire extinguisher
VENDOR Ray O'Herron Co., Inc SHIP City of Carmel Police Department
P.O. Box 1070 TO 3 Civic Square
Danville, II. 61534 Carmel, IN 40032
ATTN: Robert Robinson
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
12 Pro Line Kiddee 5# ABC fire extinguishers 49.95 599.40
Send Invoice To: City ►uof Carmel Po c
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -99 othhe miscellaneous 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
1 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS A UNCISOGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIO SUFFICIENTTO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,i r
SHIPPING LABELS. j
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Assustant Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
�5�
CLERK TREASURER
DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT 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
Prescrrhpd by State Board of Accounts 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 rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
ti Payee
Ray O'Herron Co., Inc. Purchase Order No. 21856F
P.O. Box 1070 Terms
Danville, IL 61834"1070 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/23/10 1006894 payment for fire extinguishers 662.62
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
VO )CHER NO. WARRANT NO.
ALLOWED 20
R ay O'Herron Co., Inc.
IN SUM OF
P.O. Box 1070
Danville, IL 61834-1070
662.62
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
21856F 1006894 390 -99 599.40 bill(s) is (are) true and correct and that the
1110 1006894 421 63.22 materials or services itemized thereon for
which charge is made were ordered and
received except
March 26 2 0 10
I
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund