187042 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC
i+a CARMEL, INDIANA 46032 6680 E. 21ST. STREET CHECK AMOUNT: $1,810.00
INDIANAPOLIS IN 46219 CHECK NUMBER: 187042
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 21833 161610 1,810.00 NEW CAR EQUIPMENT
Steven R Jenkins Co Inc.
6680 E 21st Street
Indianapolis IN 46219 SHOP Date Invoice#
1 -317- 352 -0184 6/14/2010 16161°
sr,co.com
Bill To Ship To
CARMEL POLICE DEPT
3 CIVIC SQUARE
ATTN: TERESA ANDERSON
CARMEL., IN 46032
P.O. Number TERMS Rep VIA
.JASON OGLE JGL
Quantity Description Price Each Amount
19 FED SIG HEADLIGHT FLASHER 656106 40.00 760.00
6 PA 300 300 W/ PRIORITY 175.00 1,050.00
5 FED SIGN 45 LEGEND 1,276.99 6,334.95
Sales Tax 0.00 0.00
\�t
r
www. Total 194.
INDIANA RETAIL TAX EXEMPT PAGE C i t y of Carmel CERTIFICATE NO.003120155 002 0 1 of 1
PURCHASE ORDER NUMBER
Police ;Department FEDERAL EXCISE TAX EXEMPT 21833
$5- 60000972
10NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS
SHIPPING LABELS AND ANY CORHESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
February 25 2010 new caree dL ant
VENDOR Steven R. J enkila SHIP City of CarmelPPolice Department
6680 East 21st Street TO 3 Civic Square
Indianapolis, IN 46219 Car 1, IN 46032
ATTN: Jason Ogle
CONFIRMATION B=UNIT PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
19 Headlight Flasher '08 Impala Fed S 656106 40.00 760.00
20 6SW1 rocker switches 16,60 272.00✓
20 EB15 -118 equipment bracket (havis shield) 18.64 372 8W,
20 C -MCB mic brackets (havis shield) 9.25 185.00
10 C- EB30- FOR -1P 18.64 .186.40
6 Federal Signal P r 175.00 1,050.00
0d. a
City of Carmel Po 9Wrra+
e- i
Send Invoice To: ATTN: Teresa Andersdn`�
3 CividcSquare
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 2,826.20
DEPARTMENT ACCOUNT 777777 FROJECT PROJECT ACCOUNT AMOUNT
1110 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 r Al ,-f�C_ 1 J �4,1e7`/1 P
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of POlice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
211 CLERK- TREASURER
DOCUMENT CONTROL NO. 'A C OPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
.S
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITL.E AMOUNT
DEFT. 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 l
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Fev. 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
Steven R. Jenkins Co., Inc. Purchase Order No. 21833F
6680 East 21st Street Terms
Indianapolis, IN 462190; Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/14/10 161610 payment for new carequipment 1 810.00
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,,mn R. Jenkins Co., Inc. IN SUM OF
6680 East 21st Street
Indianapolis, IN 46219
1,810.00
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
21833F 161610 670 -99 1,810.00 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
June 17 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund