HomeMy WebLinkAbout184190 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 003000 Page 1 of 1
AIL ONE CIVIC SQUARE BOYCE INC CHECK AMOUNT: $458.76
CARMEL, INDIANA 46032 P 0, BOX 669
DALPVUF� 47334 -0669 CHECK NUMBER: 184190
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230100 21830 397128IN 449.00 RECEIPT BOOKS
1110 4342100 21830 397128IN 9.76 RECEIPT BOOKS
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Boyce Forms Systems 800 -382 -8702 Invoice
Boyce P.O. Box 669 317 -664 -7400 (Ph)
Dalevilie, IN 47334 -0669 317- 664 -7401 (Fx) 0397128 -IN
3/23/2010
B S
I CARMEL POLICE DEPT H CARMEL POLICE DEPT
L #3 CIVIC SQUARE I #3 CIVIC SQUARE
L CARMEL, IN 46032 P ATTN: TERESA ANDERSON
CARMEL, IN 46032
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CUSTOMER CUSTOMER POI TERMS SALES ORDERFORDERDATE1 SALESMAN I SHIP VIA I FOB
0765466 21830 Net 10 0075054 02/24/10 0007 UPS -COM
ITEM 1 DESCRIPTION UM I ORDERED I SHIPPED BACKORDERED UNIT PRICE 1EXTENDED PRICE
FM352 -2 -BK BK 20.00 20.00 0.00 449.00
GENERAL RECEIPTS 2 PT BOOKS,
WHITE /CANARY CBNLS,
#52301- 55300, FOR GENERAL FUND
R2008
U0924
Net Invoice Less Discount Freight TSales Tax Invoice Total Less Deposit Invoice Balance
449.00 D.DD 9.76 1 0.00 458.76 0.00 458.76
A INDIANA RETAIL TAX EXEMPT PAGE
21
Ct Ca e CERTIFICATE NO. 003120155 002 0 R NU Jl PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
WnEl 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
Fehr a 91 2t'in recdiut books
VENDOR A.E. Boyce Co., Tnc. SHIP City of Carmel Police Department
P.O. Box 669 To 3 Civic Square
Da.leville, IN 47334 -0669 Caramel, IN 46032
A TTN: Ro bert Robinso
CONFIRMATION BLA :UNIT CONTRACT PAYMENTTERMS FREIGHT
QUANTITY OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
20 Fm352 reeeipts 3 --part white /calvary carbonless 22.45 449.00
start with #52301
shipping 45.00
301 $449.00
421 45.00
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Send Invoice To:
City of Cannel Poli
A ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 494.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 301 stafionaVy and printed mate"
PAlifMENT
111 421 postage PAYMENT
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 :7.1Y .ri.f�
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
L.. 1 8 Q 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 N0. ACCT #/TITLE AMOUNT
DEPT. I hereby Certify that the attached Ir1VOICe(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
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
Boyce FOrms Systems Purchase Order No. 21830F
P.O. Box 669 Terms
Daleville, IN 47334:`0669 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/23/10 3 7128IN ament for receipt books 458.76
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
B oYr e Forms Systems IN SUM OF
P.O. Box 669
Daleville, IN 47334 -0669
458.76
ON ACCOUNT OF APPROPRIATION FOR
police generl afund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21830F 397128IN 301 449.00 bill(s) is (are) true and correct and that the
2183OF 397128IN 421 9.76 materials or services itemized thereon for
which charge is made were ordered and
received except
March 31 20 TO
z wae� d—,
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund