HomeMy WebLinkAbout197402 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 2945DO Page 1 of 1
3- ONE CIVIC SQUARE STEVEN R JENKINS CO INC
CARMEL, INDIANA 45032 6680 E. 21ST, STREET CHECK AMOUNT: $1,240.75
INDIANAPOLIS IN 46219 CHECK NUMBER: 197402
CHECK DATE: 5!1112011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239011 27753 168475 1,240.75 FUSES
STEVEN R JENKINS CO INC Invoice
6680 E 21 ST STt
INDIANAPOLIS IN 46219 Date Invoice
1 -317 -352 -0184 4/22/2011 168475
Bill To Ship To
CARMEL POLICE DEPT ROBERT ROBINSON
3 CIVIC SQUARE
CARMEL, IN 46032
P.O. No. Terms Rep
27753 JGL
Qty Description Rate Amount
35 FUSEES 35.45 1,240.75
Subtotal $1,240.75
Sales Tax (0.0 $0.00
Total $1.240.75
Payments /Credits $0.00
Balance Due $1.240.75
INDIANA RETAIL TAX EXEMPT PAGE
C f �,c ar mt+- ei CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Ir
FEDERAL EXCISE TAX EXEMPT,
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 AND ANY CORRESPONDENCE.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
32" 1 9
Mown It Jonklms Co., Inc. Carmel Police Dopartwnt
VENDOR SHIP 3 Civic s qum
TO
MO East 21st StrGot Cairmol, IN 4M
indIaraapolls, IN 46N 4�`���,.
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS r, FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Arco ng 42-M.11
35 Each I`useas '$35.45 $1,240.75
Sub Taal: $1,240.75
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Send Invoice To:
r
Carmel Pollee Department
Attn: T'omoo Anderson
3 Civic squam
Camol, IN A la PLEASE INVOICE IN DUPLICATE
DEPARTMENT \ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Cmrmel Police Dept. PAYMENT X9,240.75
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 CERTIFYTHAJ1T�1ERfISAN UNOBLIGA7ED BALANCE IN
SHIP REPAID.
THIS APPROP SU FICI NT 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 Ch o f Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER r
DOCUMENT CONTROL NO. 2 7 7 3 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE 9
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PC" or INVOICE NO. ACCTf/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 it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Steven R. Jenkins Co., Inc.
IN SUM OF
6680 East 21st Street
Indianapolis, IN 46219
$1,240.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
27753 168475 42- 390.11 $1,240.75 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
Thursd ay 05, 2011
lL-
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))
04/22/11 168475 payment for fusees $1,240.75
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