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Home My WebLink About191855 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1 s b ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $1,050.00 .G� CARMEL, INDIANA 46032 2425 E 30TH ST INDIANAPOLIS IN 46218 CHECK NUMBER: 181855 CHECK DATE: 1111012010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231500 1JK1325 350.00 OIL 1110 4231500 27061 1JK1325 700.00 OIL TBA Warehouse Invoice 2425 E 30th Street No. 01 JK 1325 Indianapolis, IN 46218 317- 923 -2222 FAX: 317-923-2233 Page 1 09:10:52 Oct 27 2010 CUSTOM BER Invoice NUMBER:: Invoice DATE PACKING SLIP TERMS WHSE 318 OIJK1325 10 /27/10 O1QT0359001 NET 10TH 010 BILL T0: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST SHIP TO 3400 W 131ST WSTF CARMEL, IN 46074 CARMEL, IN 46032 Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 Route: CARMEL /WESTFIELD Direction: YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER 27060 10/27/10, 09:40 :51 300007 BRIAN 1-1ALPER 3 CARMEL /WESTFIELD A 307 ITEM D BIN UN TY IT ORDER ORDERED CITY R CE PRICE PRICE CORE PRICE BPU DELIVER 1 Qa.A TIME WILL BE READY FOR DELIVERY AFT BUY OUT 5W30 55GAL. DRUM OIL NONE EA 3 0 3 0.00 0.00 350.00 0.00 1050.00 TOTAL PURHASE FREIG C HT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 1050.00 0.00 0.00 1050.00 0.00 1050.00 E: service charge on past due accounts(18% per annum). 'Core returns must be in original box. All new returns must be resaleable. No return after 30 days without invoice. INDIANA RETAIL TAX EXEMPT PAGE 4ty I of C 1 .4 C rmel CERTIFICATE NO. 003120155 002 0 E 1 cys. SLY PURCHASE ORDER dVUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 2 061 3 00DECIVIC 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 October 27, 20 L oil VENDOR TBA N SHIP City of Carmel Police Deparment 309 Gradle Drive TO 3 Civic Square Carml, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 55 gallon drums of oil 350.00 700.00 1. 1 E m Auu 4", Send Invoice To: f PLEASE INVOICE IN DUPLICATE DEPA RTMENT ACCOUNT IpROJEC PROJECT ACCOUNT AMOUNT 1110 315 oil I PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 1 J 1 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 ISAN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1 hs_ PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of i 0lice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 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 it 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 TBA Warehouse Purchase Order No. 27061F 2425 E 30th Street Terms Indianpolis, IN 462189 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/27/10 1.JK1325 payment for oil 1,050.00 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 TBA Warehouse IN SUM OF 2425 E. 30th Street Indianapolis, IN 46218 1,050.00 ON ACCOUNT OF APPROPRIATION FOR 3 police genera Board Members DE INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or 27061F 1JK1325 315 700.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for 1120 1JK1325 315 350.00 which charge is made were ordered and received except November 5 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund