HomeMy WebLinkAbout193515 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 00352236 Page 1 of 1
ONE CIVIC SQUARE SAMS AUTO SERVICE CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 431 WEST CARMEL DRIVE
CARMEL IN 46032 CHECK NUMBER: 193515
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4351100 27099 0052058 300.00 DETAILING VEHICLES
SAMS AUTO SERVICE
431 W. CARMEL DR. CARMEL, IN 46032
(317) 843 -1334
CARMEL POLICE INVOICE
NO. 0052058
12 -29 -2010
PAGE 1 OF 1
DONE BY SONNY
DESCRIPTION AMOUNT
FORD VAN
ViN##1FTNE246v57DBO7467
CHECY VAN (ALL DETAILS) 300.00
VIN##1GCDM19W313117242
GOLF CAR.
TOTAL 300.00
SUB TOTAL 300.00
SALES TAX 0.00
AMOUNT DUE 300.00
*INVOICE IN PROCESS
INDIANA RETAIL TAX EXEMPT PAGE
C i ty ®f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3 W_RCIVIC 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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
December 13 2010 detailing
VENDOR Sam's Auto SHIP City of Carmel Police Department
431 We Carmel Drive T O 3 CivicSSquare
Wrmel, IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
detailing golf cart, old dog van and prisoner van 300 >00
o a
41°
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 511 car cleaning 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. T ORDERED BY i t fiZ.l�t..r✓ �.�J
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
o CLERK TREASURER
DOCUMENT CONTROL NO. 9 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
Sams Auto Service Purchase Order No. 27099F
431 W Carmel Dr
Terms
Carmel, IN 46032
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/29/10 0052058 payment for vehicle detailing 300.00
golf cart, old dog van, prisoner van.
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
?VCHER NO. WARRANT NO. ALLOWED 20
Auto Service IN SUM OF
431 W Carmel Dr
Carmel, IN 46032
300.00
ON ACCOUNT OF APPROPRIATION FOR
poli general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
270994 11 0052058 511 300.00 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
Decembe 29, 2010
ignature
Asst. Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund