192179 11/23/2010 =gip, CITY OF CARMEL, INDIANA VENDOR: 358451 Page 1 of 1
0 f ONE CIVIC SQUARE NATIONAL TRADE SUPPLY
CARMEL, INDIANA 46032 5346 S HARDING ST CHECK AMOUNT: $132.00
INDIANAPOLIS IN 46217
CHECK NUMBER: 192179
CHECK DATE: 11/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 27074 IVC000000997 132.00 BATTERIES
ikvbict IVC00000997
National Trade Supply, LILC T.
5340 S. Harding Street 11/10/2010
Indianapolis IN 46217
Bill to: Ship to:
City of Carmel Police Department City of Carmel Police Department
Attn: Accounts Payable Attn: Robert Robinson
3 Carmel Civic Square 3 Carmel Civic Square
Carmel IN 46032 Carmel IN 46032
—7 'A 6� g�lMi�11no&",,—, �"�7, T erms 4
rcfi'as'9bidi;�'iE�' 4-K6Eo' i .6 yl�"�N 1" P, w6jen
27074 DB2155811 net 30
J;teiscr U, e .,fix n 1 6 Price; _.!P torl
Quantity,
jt'erhNUM'&���
150 CR123A Non-Rechargeable Lithium Battery Each $0.00 $0.88 $132.00
$132.00
Customer Fax 317-571-2512 $0.00
UPSTracking#: IZ008481PP48366888
$0.00
F re i $0.00
T rad e s',�o6nf ."d $0.00
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1"
$132.00
INDIANA RETAIL TAX EXEMPT PAGE
C i ty o °i�, arine l CERTIFICATE NO. 003120155 002 0
x PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 27024
3XMF 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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
November 8, 2010 batteries
VENDOR National Trade Supply, LLC SHIP City of Carmel Police Department
5340 South Harding Street TO 3 Civic Square
Indianapolis, IN 46217 Carmel, IN 46032
ATTN: DeBe Oliver ATTN: Robert Robinson
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION
UNIT PRICE EXTENSION
150 CR123A batteries y .88 132.00
F
City of Carmel Pa a li Dereitt
Send Invoice To:
ATTN: Teresa Andersa>Gt =r-
3 Civic Square
Carmel., IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT, PROJECT ACCOUNT AMOUNT
1110 390 -99 other miscellane us 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
SHIPPING LABELS-
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief O Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
DOCUMENT CONTROL NO. 2 7 ®7 4 A.P.V. COPY RSIGN AND RETURN TO CLERIC OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
('tl.
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
National Trade Supply, LLC Purchase Order No. 27074F
5340 S. Harding Street Terms
Indianapolis, IN 46217 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/10/1 1VC0000099 payment for batteries 132.00
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
National Trade Supply LLC IN SUM OF
5340 S. Harding Street
Indianapolis, IN 46217
132.00
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
27074F IVC00000997 390 --99 132.00 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
November 16 20 10
Signature
Chief of Police
Cost distribution ledger classification it Title
claim paid motor vehicle highway fund