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Home My WebLink About159211 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 355157 Page 1 of 1 ONE CIVIC SQUARE ARROWHEAD FORENSIC PRODUCTS 1, CARMEL, INDIANA 46032 14400 COLLEGE BLVD, SUITE 100 CHECK AMOUNT: $546.49 LENEXA KS 66215 CHECK NUMBER: 159211 CHECK DATE: 5/14/2008 DEP ARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 17433 32812 546.49 FILTERS i i Arrowhead Scientific, Inc. INVOICE Arrowhead Forensics 14400 COLLEGE BLVD SUITE 100 Date Invoice LENEXA, KS 66215 5/1/2008 32812 PHONE: 913 -894 -8388 FAX:913- 894 -8399 Bill To Ship To CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT ATTN: TERESA ANDERSON 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 P.O. No. Rep Ship Date Terms CREDIT CARD EXPIRATION S.O. No. 17433 BC 5/1/2008 Net 30 15916 Item Description Ordered Prev. In... Invoiced U/M Unit Rate Amount A- FE5020 HEPA FILTER FOR WS6 DOWNFLOW 1 0 1 EACH 528.00 528.00 Shipping FREIGHT CHARGE 18.49 18.49 Subtotal $546.49 Sales Tax (7.525 $0.00 Balance Due $546.49 INDIANA RETAIL TAX EXEMPT PAGE 1 -Civ y, Jl ��o CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 17433 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 4/181(D8 Arrowhead Forensic, Inc SHIP Carmel P&Itee Department VENDOR 14404 College BlVCS. Suite 10 TO 3 Civic Square Lenexa, KS 66215 Carmel IN 46032 9134534 -8338 913- 894 -8399 fax CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 A -FE -5020 Hepa filter for down draft dusting stations 523.00 -523.40 4 't a -4 t l m V e 9 •.m z t I Send Invoice To: Carmel Police Department ATTN: Teresa Anderson 3 Civic Square Carmel', IN 45032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT j PROJECT ACCOUNT AMOU 1110 394 -99 late supplies PAYMENT 528. 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 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. �E. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY r t� J g PURCHASE ORDER NUMBER MUST APPEAR ON ALL L, SHIPPING LABELS. Ch 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.1 i 4 3 3ARV. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.— WARRANT NO._ r 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 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 Arrowhead Scientific, Inc. Purchase Order No. 17433F 14400 C011ege Boulevard, Suite 100 Terms Lenexa, KS 66215 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/1/08 32812 payemtn for filter 546.49 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Arrowhead Scientific, Inc IN SUM OF 14400 College Boulevard, Suite 100 Lenexa, KS 66215 546-49 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 17433F 19812 390-99 546.49 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 May 7 20 08 kie� I Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund