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Home My WebLink About193197 12/22/2010 "4 CITY OF CARMEL, INDIANA VENDOR: 364573 Page 1 of 1 ONE CIVIC SQUARE PLYMATE CHECK AMOUNT: $221.05 4sr CARMEL, INDIANA 46032 819 ELSTON DRIVE SHELBYVILLEIN 46176 CHECK NUMBER: 193197 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4353099 2157180 29.95 OTHER RENTAL LEASES 1205 4350100 26974 2157191 191.10 FLOORMATS �0� CARMEL CITY HALL of Invoice# 2157191 Piymat -09 MatMan FA ONE CIVIC SQUARE (877)648 -0903 Date 12/13/2010 CARMEL, IN 46032 t Cust 7073 www.plymate.com Piyar #e 819 ELSTON DR Stop 220 SHELBYVILLE, IN 46176 JEFF BARNES ftikplace Apparel Floor IAat Prog Written authorization required from the City RT 30 of Carmel to change service frequency Lind Item Name7 Description �inv t Qty: Rental RepL 2. 3 4 5 6. 1 1025 4X6 COMFORT FLOW MAT 6 3 $34.20 3 3 3 2 1074 4X6 MAHGNY BRWN MAT 5 $37,50 3 1097 ROTATE 4X6 COMFORT FLOW 4 1208 5X15 CUSTOM MAT 1 $34.45 5 1505 75 X 76 CUSTOM MAT 2 $44.00 6 1506 7 X 10 CUSTOM MAT 1 $33.00 Service Charge $7.95 Subtotal $191.10 Please pay from this invoice We accept Visa, MC and Amex Tax Total 191.1 0 Thanks for your business. Your MatMan-Richard Skillman Past Due Amounts 30 Days 60 Days 90 Days Customer Signature 0.00 0.00 0.00 RT 30 D Q a By VOUCHER NO. WARRANT NO. ALLOWED 20 Plymate's MatMan IN SUM OF 819 Elston Drive Shelbyville, IN 46176 $191.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 26974 I 2157191 43- 501.00 I $191.10 1 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 Monday, December 20, 2010 Director, Administration Title Cost distribution ledger classification if 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/13/10 2157191 $191.10 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 CITY OF CARMEL POLICE DEPT Invoice# 2157180 Plymate's MatMan fir, (877]648 -0903 3 CIVIC SQUARE Date 12/1312010 r',' <r CARMEL, IN 46032 www.plymate.com Cust 7099 819 ELSTON DR Stop 1 P1 yriExoate PO 27019 SHELBYVILLE, IN 46176 ROBERT ROBINSON V�br kplaceApparel &FloorMatPregraris RT 30 Liqp'l Item Dame /FDescription Inv.. Qty. Rental `Reel.. 1 2 4 5 6;' 1 1050 3X4 PACIFIC BLUE MAT 1 $2.60 2 1075 06 PACIFIC BLUE MAT 3 $15.60 3 1478 3X5 COMFORT FLOW MAT 2 1 $3.80 1 1 4 1479 ROTATE COMFORT FLOW 1 Service Charge $7.95 Subtotal $29.95 Ple pay from this invoice We accept Visa, MC and Amex Tax Total $29.95 Thanks for your business. Your MatMan- Richard Skillman Past Due Amounts 30 Days 60 Days 90 Days Customer Signature 0.00 0.00 0.00 RT 30 o of INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1 C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 2701 39V-q CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP 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 2 2C10 co ntra ct VENDOR Plymate's Matman SHIP City of Carmel Police Department 819 Elston Drive TO 3 Civic Square Shelbyville, IN 46176 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION mat Iirentract 778.96 i r GP "v jn•` a City of Carmel Pali 'DB iartme� Py -r Send Invoice To: �b r u .a ATTN: Teresa Anders'_ 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 530 -99 other rental leas &s PAYMENT AJP 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. ORDERED BY .-l.f PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief Of P lice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL No-27019 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO, WARRANT NO. ALLOWED 20 IN THE SUM OF ad9 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #MTLE 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 Cbst distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Plymate's MatMan IN SUM OF 819 Elston Drive Shelbyville, IN 46176 $29.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department \w PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 27 9 2157180 43- 530.99 $29.95 1 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 Thursday, December 16, 2010 t W'�tg� Chief of Police Title Cost distribution ledger classification if 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/13/10 2157180 payment for rug rental $29.95 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