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Home My WebLink About191979 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00351912 Page 1 of 1 ONE CIVIC SQUARE AMERICAN RECORDABLE MEDIA INC a CARMEL, INDIANA 46032 3744 WILLOW RIDGE ROAD CHECK AMOUNT: $1,000.00 LEXINGTON KY 40514 CHECK NUMBER: 191979 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 27063 241375 1,000.00 VIDEO TAPES AMERICAN American Recordable Media Invoice 3744 Willow Ridge Road Date: Invoice l Lexington, KY 40514 800 -598 -8273 11/4/2010 241375 859 296 -4737 fax RECORDABLE Bill to Custo 16145 PO 27063 TERESA ANDERSON CARMEL POLICE DEPARTMENT TERMS: NET 30 3 CIVIC SQ Salesman: DAN CASE CARMEL, IN .46032 -2584 Shipped via: UPS i j ftem Descript Price Amount HQ T -120 VHS FUJI HQ VH8, 120 MIN. 10 /CASE 500 $2.000 X1'000.00 Subtotal: $1,000.00 I j Sales Tax: $0.00 Shipping Handling: $0.00 INVOICE TOTAL: $1,000.00 PAID: No PAYMENT DATE: Amount Paid: $0.00 Thank You For The Order!! PAY THIS AMOUNT $1,000.00 Note: Finance Charges Of 1.5% Per Month Will Be Assessed On All Past Due Balances. Cit .1o4jC�� INDIANA RETAIL TAX EXEMPT. PAGE 1 Of 1 CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER POIiCe Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 27063 3 )um CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION November 2, 2010 video tapes VENDOR American Recordable Media SHIP City of Cartel Police Department 3744 Willow Ridge Road TO 3 Civic Squuae Lexington, KY 40514 Carmel, IN 40632 ATTN: Robert Robinson CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 500 HQ T -120 VHS tapes 19,00 2,000°00 r 00 k R Send invoice To: City of Carmel Polcep ATTN: Teresa Anderson 3 divic Squarew Carmel, IN 46043 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 302 office supplies 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 SHtP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. f� C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1111 m1"_ 1 t1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of o lice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. A.P.V, COPY SIGN AND RETURN TO CLERK 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 invoices 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 Gost distribution ledger classification if claim paid inotor vehicle highway funs! Prescribed by State Board at 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 American Recordable Media Purchase Order No. 27063F 3744 Willow Ridge Road Terms Lexington, KY 40514 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/4/10 241375 payment for tapes 1 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 American Recordable Media IN SUM OF 3744 Willow Ridge Road Lexington, KY 40514 1,000.00 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 27063F 241375 302 1 000100 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 November 16 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund