HomeMy WebLinkAbout197535 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 364558 Page 1 of 1
ONE CIVIC SQUARE A M K SERVICES, LLC
CARMEL, INDIANA 46032 9291 CROUSE WILLISON RD CHECK AMOUNT: $630.00
JOHNSTOWN OH 93031
<<o „z CHECK NUMBER: 197535
CHECK DATE: 5/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 27755 24315 630.00 FILTER
A.MK Services J I �1 �C
9291 Crouse Willison Rd Invoice M 24315
Johnstown, OH 43031
Phone (740)966 -3178 Purchase Order: 27755
Fax (317)774 -1869 Ticket M
Invoice Date: 5/2/2011
Carmel Police Dept.
Teresa Anderson
3 Civic Square
Carmel IN 46032
Terms
Net 30
15 Kenwood Line Filter 42.00 630.00
Total $630.00
f-Carl INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0
UU.•// �S1+a�+►� PURCHASE ORDER NUMBER
iA �J FEDERAL EXCISE TAX EXEMPT W55
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL,4NDIANA 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. DESCRIPTI
X99
VENDOR
SHIP 3 C ivi c squ
l 9 Crouze Willoon rhoad TO Ca1mol, IN
Johnstown, 01I AM31 (39 P) 574 .2659
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-670.9
95 Each Kermood line Sher X12.00 $030.00
Sub Total: $030.00
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Send Invoice To. 1 11 .r
CaIImel 'Police mp elt
Aft T Gmq& Andoroon
3 Civic siqu @m
Cmmal, IN 4- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
C@lel Polim Dept. PAYMENT .03
!I 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 LIN OBLIGATED BALANCE IN
THIS APPROPRIATION 0G164TRTHEABOVEORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL f
SHIPPING LABELS. Ch i
Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE b 86�(
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-27755 A.P.V. COPY SIGN AND RETURN TO CLERKS OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 2D
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MILE 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_.
rte
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
AMK Services ALLOWED 20
IN SUM OF
9291 Crouse Willison Road
Johnstown, OH 43031
$630.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
27755 24315 44- 670.99 $630.00 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
Thursday, May 19, 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))
05/02/11 24315 payment for new car equipment $630.00
1 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