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Home My WebLink About197410 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1 ONE CIVIC SQUARE T B A NORTH CHECK AMOUNT: $325.60 +o CARMEL, INDIANA 46032 309 GRADLE DRIVE CARMEL IN 46032 CHECK NUMBER: 197410 CHECK DATE: 5/1112011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 27799 3JT0486 162.80 BRAKE PADS 1110 4237000 3JT3209 162.80 REPAIR PARTS TBA North Invoice S 309 Cradle Dr. No. 03JT3209 Carmel, IN 46032 19 317 -574 -1957 FAX: 317 -574 -1982 II IIII lI 111 1 1111 II II Ill I II Page 1 10:13:48 May 04 2011 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 318 03JT3209 05/04/11 03RD2066001 NET 10T'I -I 030 SILL 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 05/04/11, 10:13:47 400003 JIM RATLIFF 3 CARMEL /WESTFIELD A 1 1 403 UNIT ORDER BACK INV LIST CORE NET NET EXT ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE RAF ATD 1159P AT POLICE PAD SE"r U EA 4 0 4 92.85 0.00 40.70 0.00 162.80 TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE t62.80 0.00 0.00 162.80 0.00 162.80 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 North Invoice 309 Gradle Dr. No. 03JT0486 y Carmel, IN 46032 317 -574 -1957 FAX: 317 574 -1982 11 II ff Page 1 13:09:26 Apr 28 2011 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 318 031T0486 04/28/11 03RC9072001 NET 10TH 030 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST CARMEL; IN 46032 CARMEL, IN 46074 1111111111111 1111 till III HII III III I Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 Route: CARINIEL /WESTIi UELD Direction: YOUR P.O. NUM6ER ORDER DATE CSR SHIPPED VIA CARTONS Of ER 04/28/1.1, 13:09:26 300001 PERRY WILHITE 3 CARMEL /WESTFIELD A 301 UNIT ORDER BACK INV LIST CORE NET NET EXT ITEM DESCRIPTION DIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE RAF ATD 1159P KF POLICE PAD SET U EA 4 0 4 92.85 0.00 40.70 0.00 162.80 TOTAL PURCHASE FREIGHT TAX PCT TAaAMTiNVOICE TOTAL PAYMENTS BALANCE DUE 1162.80 0.00 0162.80 0.00 162.80 1.5% service charge on past due accounts(18% per annum). I Core returns must be in original box. All new returns must be resaleable. No return after 30 days without invoice. Ci of Car CE INDIANA RETAIL TAX EXEMPT RTIFICATE NO 0031201 5 0 20 PAGE 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, 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 MAM I TEA North 'C o 1 Police Department VENDOR SHIP 3 Chic squam SM Grmdlo Drive TO Carmel, IN 4 2 C@fmol, IN 4= (317)671.25% CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 420.00 4 Each broke pads RAF AMI15 $49.7 $162.80 Sub Total: $162.80 Q p,f7 R e, r Send Invoice To:`� I� 3 Civic 'Squ= Carmel, IN 4l PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT OUNT Gumel Police [Dept. 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 HERE CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS AP ROPHIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY IJ Q PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. �h1of THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. A `11 CLERK-TREASURER DOCUMENT CONTROL NO- 277 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF CIO ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #iTITLE AMOUNT DEFT. 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 Loo ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 27799 3JT0486 42- 370.00 $162.80 I hereby certify that the attached invoice(s), or y i 3Z L t bill(s) is (are) true and correct and that the �j(f�`f l 1 lkcX materials or services itemized thereon for which charge is made were ordered and received except Thursda May 05, 2011 .tit. 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)) 04/28/11 3JT0486 payment for brake pads 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