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Home My WebLink About185991 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 354377 Page 1 of 1 ONE CIVIC SQUARE U.S. UNIFORM SUPPLY INC CHECK AMOUNT: $314.90 CARMEL, INDIANA 46032 615 N DELAWARE ST INDIANAPOLIS IN 46204 CHECK NUMBER: 185991 CHECK DATE: 5/26/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 55236 15.00 POSTAGE 1110 4467099 26911 55236 299.90 FLASHLIGHTS US UNIFORM SUPPLY Invoice 815 N. Delaware St. Indianapolis, IN 46204 Invoice 55236 317- 822 -8166 Account PDCARMEL 317- 822 -8167 Page: 1 of 1 Date: 5/13/2010 Time: 5:25:28 PM Cashier: 6 Register 1 Bill To: ACCOUNTS PAYABLE Ship To: STORE ORDER CARMEL POLICE DEPARTMENT DEPARTMENTAL BILLING 3 CIVIC SQUARE CARMEL, IN 46032 317.571.2500 Reference: ROBERT Comment: PO #26911 Rep tem LookupCode �Descnpton r.u. .art 0uantity i F -v Pricef €Wkr .Extended LB 080926758131 STREAMLIGHT STINGER DS LED 2 $149.95 $299.90 INCLUDES FLASHLIGHT AC /DC CHARGERS AND BATTERY LB UPS UPS SHIPPING GROUND 1 $15.00 $15.00 APPROVED BY ROBERT .�E,�o e. 2. r. a .r as E �,��Ed w �.a Thank you for shopping Sub Total $314.90 US UNIFORM SUPPLY Sales Tax $0.00 Please come again! Total $314.90 Store Account $314.90 Previous Balance $0.00 New Balance $314.90 Change Due $0.00 55236 INDIANA RETAIL TAX EXEMPT PAGE Ci ®7f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3W 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 DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION May 1 3 2010 flashlights VENDOR US Uniform SUPPly SHIP City of Carmel Police Department 815 N. Del re Street TO 3 Civic Sggsse Indianapolis, IN 46204 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 Streamlight Stinger DS LED 149.99 288.96 A Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 670 -99 other equip�aaat 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 APPR PRIIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D.. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of PO &ice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL No-26911 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE :TOUCHER 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 Prescribed 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. Payee US UNiform Supply Purchase Order No. 26911F 815 N. Delaware Street Terms Indianapolis, IN 46204 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/13/10 55236 payment for flashlights 31. 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 VOI NO. WARRANT NO. ALLOWED 20 US Uniform SUPP 1 IN SUM OF 815 N. Delaware Street Indianapolis, IN 46204 314.90 ON ACCOUNT OF APPROPRIATION FOR police genera lfund Board Members PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 26911F 55236 670 -99 299.90' bill(s) is (are) true and correct and that the 1110 55236 421 15.00 materials or services itemized thereon for which charge is made were ordered and received except May 17 20 10 ignature Assistant Chief of Poli Title Cost distribution ledger classification if claim paid motor vehicle highway fund