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Home My WebLink About191453 10/28/2010 CITY OF CARMEL, INDIANA VENDOR: 357701 Page 1 of 1 ONE CIVIC SQUARE HORIBA JOBIN YVON INC CHECK AMOUNT: $257.04 CARMEL, INDIANA 46032 LOCKBOX 776013 6013 SOLUTIONS CENTER CHECK NUMBER: 191453 CHICAGO IL 60677 -6000 CHECK DATE: 10/28/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 90283876 25.64 POSTAGE 1110 4239099 27045 90283876 231.40 LAB SUPPLIES INVOICE HCk BA JOBIN YVON, INC. 386' Park Ave Edison, NJ USA 08820 -3012 REMIT TO Lockbox 7:7;6013. Phone: (732) 494 -8660, Fax: (732) 549 -5125 6.013 ;Sollltiors Center www.HORIBA.comlScientific Chicago IL 60677 6000 Bill To 29379 Info...... ail >ya x of Invoice Number 90283876 Invoice Date 10/13/2010 CARMEL POLICE DEPARTMENT Purchase Order No. 27045 ATTN: TERESA ANDERSON Purchase Order Date 3 CIVIC SO CARMEL IN 46032 -2584 Sales Order Number 159983 Packing List Number 80218263 Shipping Terms FOB ORIGIN Actual Ship Date 10/12/2010 Payment Terms WITHIN 30 DAYS DUE NET Ship To 29379 Due Date 11/12/2010 :.CARMEL..POLICE .,...1 ATTN JOHN ELLIOTT::. Currency USD l. I 31!CtVIC SQ CARMEL IN 46032 2584 Sales Office JY- Forensics Sales ;:Invoice. Details Item Material Quantity Unit Price Amount Description 10 ES0310 4 EA 7.35 29.40 2" X 165' YELLOW BOX SEAL TAPEEVIDENCE T Customer Disc (Val) 1.40- 5.60 Net Value for Item 5.95 23.80 20 IE1805C 1 EA 31.00 31.00 25# CREAM DENTAL STONE CASTONE DE Customer Disc (Val) 3.00- 3.00 Net Value for Item 28.00 28.00 30 LP0602 3 EA 5.25 15.75 2 OZ BLACK PRINT POWDER Customer Disc (Val) 1.25- 3.75 Net Value for Item 4.00 12.00 40 EP01104C 3 EA 2 OZ 70MM POLYPROPYLENE CONT NATURAL 50 EP01105BL 3 EA 70 -400 RM70 POLYP BLACK LID FOR 2,4,8 OZ 60 LP0603, 6 OZ BLACK PRINT POWDER 70 BD1225 3 PAC 19.95 59.85 SWAB BOXES is WE CERTIFY THAT THESE GOODS WERE PRODUCED EN iCOMPLIANCE WITH!�ALL APPLICABLE REQUIREMENTS OF.SEC 6,:7. AND I2 OF :;THE FAIR >LABOR STANDARDS -1 ACT 'A5 AMENDED AND' OF REGUTATIONS.AND ORDERS OF THE':U S. DEPARTMENT OF LABOR.�ISSUED UNDER SEC.". 14 THEREOF Hc 1-0 INVOICE HOF A JOBIN YVON, INC. 3880 Park Ave Edison, NJ USA 08820 -3012 RFM/T. TO.. Lockbox .776013 Phone: (732) 494 -8660, Fax: (732) 5 5 12 5 6013. S'olutiors Center www.HORIBA.com /Scientific Chicago', IL 60677 -6000 Bill To: 29379 Intarrria #c�n� Qf Invoice Number 90283876 Invoice Date 10/13/2010 CARMEL POLICE DEPARTMENT Purchase Order No. 27045 ATTN: TERESA ANDERSON Purchase Order Date 3 CIVIC SQ CARMEL IN 46032 -2584 Sales Order Number 1599$3 Packing List Number 80218263 Shipping Terms FOB ORIGIN Actual Ship Date 10/12/2010 Payment Terms WITHIN 30 DAYS DUE NET Ship To 29379 Due Date 11/1212010 ARMEL:,POLICE :,:,I.. ATTIIE JOHN ELLIOTT:: Currency USD 3 CEVIC SQ CARMEL IN 46032 2584: Sales Office JY- Forensics Sales invo ice.. Details Item Material Quantity Unit Price Amount Description Customer Disc (Val) 2.95- 8.85 Net Value for Item 17.00 51.00 80 EP0163 2 PAC 34.50 69.00 PISTOL STRAP DOWN BOX 12 "x7- 112 "x2" Customer Disc (Val) 5.50- 11,00- Net Value for Item 29.00 58.00 90 EP0163B 50 EA PISTOL STRAP DOWN BOX 100 ES0324 150 EA 7" NYLON TIES FOR E -TAG 110 CP78500 4 EA 15.95 63.80 NIN -PRINT 250ML SPRA Customer Disc (Val) 1.30- 5.20 Net Value for Item 14.65 58.60 Handling 3.47 Freight 22.17 Total Amount.... 257.04 WE CERTIFY THAT T ESE S GOODS WERE: PRODUCED IN ;COMPLIANCE WITH .ALL APPLI CABLE REQUIREMENTS OF. SEC: 6, 7 AND .12: OF ITHE FAIR. LABO R. STANDARDS ACVAS AMENDED, AND OF REGULATIONS AND ORDERS.OF THE:U S. DEPARTMENT-OF LABOR ISSUED: UNDER SEC:!: 14 THEREOF. YX INDIANA RETAIL TAX EXEMPT PAGE C ity O f Ca PURCHASE ORD CERTIFICATE N0.003120155 002 0 1 ER 1 ER NUMBER P Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 2704 3MMCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, SHIPPING FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION October 11 20 LO lab supplies VENDOR Spex Forensics SHIP City of Carmel Police Department 19963 W. 169nd Street TO 3 Civic Square Olathe, KS 66062 Carmel, IN 46032 ATTN: John Elliott CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 4 'ESOB10 2" x 165' y ellow tape 5.95 23980✓ 1 IE1805C 251 eastone creamndlatL&l stone 28.00 28.00✓ 3 LP0602 26z black FP powder 4.00 12.00 3 BD1225 Swab boxes 100pk printed 17.00 51.00V 2 EP0163 Pistol boxes S5pk 29.00 58.00✓ 4 CP78500 NIN -print rff� 14.65 58.60✓ 9 f j k� g e x F F\ A Send Invoice To: Cirpyo6 Carmel Polioe.epari�eAi' ATTN: Teresa Anders n 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE 231.40 DEPARTMENT ACCOUNT P 1 JECT PROJECTACCOUNT AMOUNT. 1110 390 -99 other miscel lane s 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 SUFFICIENTTO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /r{�- f PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Pollee AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL No.27045 A.P.V. 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 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 Horiba Jobin Yvon, Inc. Purchase Order No. 27045F Lockbox 776013 Terms 6013 Solutions Center Chicago, IL 60677 -6000 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/13/1 90283876 payment for lab supplies 257.04 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 Hori Jobin Yvon, Inc. IN SUM OF Lockbox 776013 6 013 Solutions Center 7 Y 7 257.04 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 1 hereby certify that the attached invoice(s), or 27045F 90283876 390 -99 231.40 bill(s) is (are) true and correct and that the 1110 90283876 421 25.64 materials or services itemized thereon for which charge is made were ordered and received except Oct 19 20 10 f Signature Assistant Chief of Poli Cost distribution ledger classification if Title claim paid motor vehicle highway fund