HomeMy WebLinkAbout187966 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 363441 Page 1 of 1
1 0 ONE CIVIC SQUARE NATIONAL CHILD SAFETY COUNCIL
i CARMEL, INDIANA 46032 PO BOX 1368 CHECK AMOUNT: $660.45
JACKSON MI 49204
CHECK NUMBER: 187966
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4345002 21224 629.00 PROMO ITEMS
1110 R4342100 21224 21224 31.45 PROMO ITEMS
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4065 page Ave Date:
PA, Box 1368 7/15/2010
Jackson, MI 49204
(517) 764 -6070 Invoice
PQ# 21224 CFI 905
Bill To: Ship To:
Attn: Teresa Anderson Attn: Teresa Anderson
City of Carmel Police Department City of Carmel Police Department
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
500 65 9/1/2001 0.38 I9Q.Q11
500 77 Police Bade $0.18 90:00
250 108 Kid Dan erous Situations $0.30 75;00:,,`:
250 113 What If 0.38
500 518 Safety Basics $0.46 230:00
Subtotal
Discount S'1`':00
Shipping
Total $6w`15
Payment 0.00
Total Due 6� _45:
If you have any questions concerning this invoice, please contact:
Chelsea Hertzfeld
Phone: 1 -800-327-5107
E -Mail: chelseah @nfcd,org
Thank you far your businessl
"Next to creating a life, the greatest thing one can do is save a life." A. Lincoln
irmel PURCHASE INDIANA RETAIL TAX EXEMPT PAGE
Cis o �L CERTIFICATE NO. 003120155 002 0
ORDER NUMBER
t
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7
3XQ 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
Op f-n or 7- 901t' nroynoti ite
VENDOR National CHild Safety COundil SHIP City of Carmel Police Department
P.O. Box 1368 TO 3 Civic Square
Jackson, MI 49204 Carmel, IN 46032
ATTN: Crystal Sorsham ATTN: Ann Gallagher
CONFMMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
500 65 9 -•1- -1 .38 190 „00
500 77 Police badge original stickers .18 90.00
250 108 Kid Dangerous Situations folders .30 75.00
250 113 What if a Stranger .38 95.00
500 518 Safety Basics bookle r� .46 230.00
less discount -51.00
shipping t 31.45
a
P AP
421 @Ly �.45 °fie•
450 -02 $629.00 1 3
m
1 A
Send Invoice To: City of Carmel Pol e
ATTN: Teresa Anderso
3 Civic Square
Carmel, IN 46032•
PLEASE INVOICE IN DUPLICATE a lp
'DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 421 postage PAYMENT
1110 450 -00 promotional and s ec ial A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
runt ins D
VOUCHER HASTHE PROPER SWORN OICE AND
AFFIDAVIT ATTACHED
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE [SAN UNOBLIGATED BALANCE IN
SHIP REPAID.
s THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C .O.D. SHIPMENTS CANNOT BEACCEPTED. ORDERED BY d'T•�i i /fprl/lif.f
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
t f
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE hipf of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
4 CLERK- TREASURER
DOCUMENT CONTROL NO. V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCOER 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
I
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
National Child Safety Council Purchase Order No. 21224RF
4065 Page Avenue
P.O. Box 1368 Terms
Jackson, MI 49204
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7115/10 21.224 payment for promotional items 660.45
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
National Child Safety Council IN SUM OF
4065 Page Avenue
P.O. Box 1368
Jackson, MT 49204
660.45
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
21224RF 21224 421 31.45 bill(s) is (are) true and correct and that the
21224RF 21224 450 -02 629.00 materials or services itemized thereon for
which charge is made were ordered and
received except
July 16 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund