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196956 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1 ONE CIVIC SQUARE T B A NORTH o CARMEL, INDIANA 46032 309 CRADLE DRIVE CHECK AMOUNT: $2,066.92 CARMEL IN 46032 CHECK NUMBER: 196956 CHECK DATE: 4/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231500 3JR8218 767.80 OIL 1110 4237000 3JR8286 379.12 REPAIR PARTS 1110 4231500 3JS5693 920.00 OIL TBA North Invoice 309 Cradle Dr. No 03JR8286 Carmel, IN 46032 317- 574 -1957 FAX: 317 -574 -1982 II llll II 1 111111 III II ill I II Page 1 10:48:27 Apr 06 2011 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS W E 318 03JR8286 04/06/11 031ZB541.3001 NET IOTH 030 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 13151' CARMEL, IN 46032 CARMEL, IN 46074 111111111111111. 1�IIIIIIIIlilI111111�11111f11111�1 .111 Dept: 002 CARMEL'POLICE CITY GARAGE Contact:131.7 -733 -4600 Route: CARMEL /WESTFIELD Di ection: YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA. CARTONS OP$R STK 04/06111, 10:48:27 400005 TOM SMITH 3 CARMEL /WESTFIELD A 405 UNIT ORDER BACK INV LIST CORE NET NET EXT ITEM DESCRIPTION BIN CITY ORDERED QTY PRICE PRICE PRICE CORE P910E RAF XFDI159P AT POLICE PAD SET U EA 4 0 4 92.85 0.00 40.70 0.00 16180' D60 18A2322 19169879 KEEP 4 CARMEL U EA 4 0 4 110.24 0.00 54.08 0.00 216.32 TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 379.12 0.00 0.00 379.1.2 0:00 379.12 1.5% 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. TBA Warehouse Invoice 2425 E 30th Street No. 01 JR8218 Indianapolis, IN 46218 317 -923 -2222 FAX: 317-923-2233 Page 1 09:55:29 Apr 06 2011 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 318 OIJR8218 04/06/11 01RB5327001 NET LOTH 010 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST CARMEL, IN 46032 CARMEL, IN 46074 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 JASON 04/06 /11, 09:55:28 300007 BRIAN HALPER 3 CARMEL /WESTFIELD A 307 ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT OTY ORDERED QTY PRICE PRICE PRICE CORE PRICE BUY OUT DEXRONVI 55 GAL DRUM NONE EA 1 0 1 0.00. 0.00 767.80 0.00 767.80 TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 767.80 0.00 0.00 767.80 0.00 767.80 1.5 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. TBA Warehouse Invoice 1 2425 E 30th Street No. 01JS5693 Indianapolis, IN 46218 317 -923 -2222 FAX: 317-923-2233 is Page 1 09:35:54 Apr 20 2011 CUSTOM NUMBER Invo ice NUMBER Invo ice DATE PA SLIP TERMS WHSE 318 OIJS5693 04/20/11 OIRC3625001 NET 010 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE' 3400 W 131ST CARMEL, IN 46032 CARMEL, IN 46074 Dept: 002 CARMEL :POLICE CITY GARAGE Contact: (317- 733 -4600 Route: CARMELIWESTFIELD Direction: YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER JASON OGLE 04/20111, 09:35:53 300007 BRIAN HALPER 3 CARMEL /WESTFIELD A 307 UNIT ORDER BACK INV LIST CORE NET NET EXT ITEM DESCRIPTION BIN OTY ORDERED QTY PRICE PRICE PRICE CORE PRICE BPU OTWO DELIVERY BUY OU 5W30 55GAL NONE. EA' 2 0 2 `0.00, 0.00 460.00 0.00 920.00 01AL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 920.00 0.00 0.00 920.00 0.00 920.00 1.5% 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. ity j(�° INDIANA RETAIL TAX EXEMPT PAGE C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT zM 35- 60000972 ONE 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 ANDANY CORRESPONDENCE. P URCHAS E ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 49 BA Nouth Cumol Police Dopdmont VENDOR SHIP 3 CIVIC Squ Gmdlo DrivG TO C@mol, IN 45 Canal, IN 461 (3`17) 571 CO NFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSYOi1 Account 42•315.M 2 Each 55 gallon earl $459.86 $910.60 Stab Total $91OM °•off yu 333 -z jj�� s IlY Send Invoice To: C@rmol Police Dopadmont Attu: Tomas AndolzOn 3 CIVIC squm Cafmal, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT Cumel Police Dept. r PAYMENT w s °eu 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 ISAN UNOBUGATED BALANCE IN SHIP REPAID. THIS APPROPRIATI N UFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ..f s SHIPPING LABELS. lei of I�ollco THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. DOCUMENT CONTROL NO. 2 7 7 8J CLERK- P SI A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 2© 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 City INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT M83 35- 50000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AJP 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 70A North Cwmol Ponce Dopartmisint VENDOR SHIP 3 CIVIC sgUam Gradlo Ddvo TO Cwmol, IN 4 Camol, IN 4M CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT A ccount s�A/�Y5UNIIT�yOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 .00 9 Each tronsmissioo gull $707.80 $767.80 Sub Total: $767.80 f �1�7 `U 4 r NI e� 1 0 f Send Invoice To:` C !21 Pollco Dop@dmont Attn: TGIGam Andmow 3 CIVIC squm 01MG1, IN 4m- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT cuma P olice r Vf� PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.p. 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 APP SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL s SHIPPING LABELS. t�IQf of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER. 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO-27783 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF CA ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #ITITLE 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 Thee Cost distribution ledger classification if claim paid motor vehicle highway fund PAGE I INDIANA RETAIL TAX EXEMPT C ity of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2M 35- 60000972 ONE CIVIC 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 TBA North Carmal Poiico DopMmont t VENDOR SNIP 3 CIVIC aqua S Or�ira DdVG TO C u mol IN 4 Camel, IN 4M 7 571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-370.0 4 Each brake pa RAF ATDI950P $40.70 $102.80 4 Each rotors D60 1BA2322 W.08 $216.32 Sub Total; $379.12 T J An co tlr gr �r Send Invoice To: Cwmol Pollco Dopadmo Attn: TGroge Andarzon 3 Civic Squaia Cumol, IN m PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT Z 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. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. C 9f OF polleg THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 7 7 8 4 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 VOUCHER NO. WARRANT NO. ALLOWED 20 TBA North IN SUM OF 309 Gradle Drive Carmel, IN 46032 $2,066.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 27784 3JR8286 42- 370.00 $379.12 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 27783 1JR8218 42- 315.00 $767.80 materials or services itemized thereon for 27782 1JS5693 42- 315.00 $920.00 which charge is made were ordered and received except Thursday, April 21 2011 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)) 04/06/11 3JR8286 payment for repair parts $379.12 04/06/11 1 JR8218 payment for transmission fluid $767.80 04/20111 1JS5693 payment for oil $920.00 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