HomeMy WebLinkAbout197627 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 093500 Page 1 of 1
ONE CIVIC SQUARE FEDERAL SIGNAL CORP
i CHECK AMOUNT: $126.96
CARMEL, INDIANA 46032 99631 COLLECTION CENTER DRIVE
CHICAGO IL 60693 -6631 CHECK NUMBER: 197627
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 27798 93969553 126.96 SIREN SPEAKER
FEDERAL SIGNAL CORP. INVOICE
EMERGENCY PRODUCTS Mail Payments To:
2645 FEDERAL SIGNAL DRIVE Federal Signal Emerg. Prod.
UNIVERSITY PARK IL 60484 -3167 PO Box 71234
YF9 Chicago, IL 60694 -1234
HEAVY DUTY Billing /Credit 800 -824 -0254 Fax for PO's 800 787 -6237
POLICE FIRE Billing /Credit 800- 264 -3578 Fax for PO's 800 -682 -8022
INTERNAT'NL--- Billing /Credit 708 -587 -3212 Fax for PD's 708 587 -3477
Invoice No. 93969553 SHIPPER: 1479126 Page 1
Invoice Date 05 -06 -11 Cust Fax: 3175712512
Our Order No. 958093
SHIP TO:
SOLD TO: 9324231 CARMEL CITY POLICE DEPT
CARMEL CITY POLICE DEPT CITY OF CARMEL
CITY OF CARMEL 3 CIVIC SQUARE
3 CIVIC SQUARE CARMEL, IN 46032
CARMEL, IN 46032 USA
N
REP: 1550 REGION: 11550 °E
BILL' TO;.NO.. CUSTOMER'S pRDER' PAYMENT TERMS, SHIPPED VIA DATE:SHIPPED;
M
9324231 RMA187720 0.00/000/030 UPS GRND 05 -06 -11
QUOTE /PROMO F 0 B S:
s ..TRACKING
ORIGIN 1z4208x803O4153730
ITEM. pUAN QUAN QUAN t3NIT TOTAL.
NO. ORDERED BACK ORD:. SHIPPED PART NUMBER 1 DESCRIPTION PRICE AMOUNT
1 1 0 1 ESB -IMP08 0.00 0.00
KIT,SPKR,MTG,'06 -'08
2 1 0 1 ES100 119.00 119.00
EMERG.SPKR,WIRE LEADS,
NEW REMIT ADDRESS
Federal Signal Emergency Product
P.O. Box 71234
Chicago, IL 60694 -1234
PLEAS SEE USE NEW. REMIT INFO: -TOTAL 119.00
If you Ish to receive your. I voices Via entail TAXES 0.00
Shipping Handling 7.96
please: respon -to: e par @f derals.ignal.com: INVOICE TOTAL 126.96
ORIGINAL Form Revised May 5th 2011
0 INDIANA RETAIL TAX EXEMPT PAGE
o CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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
PGdGrraI SLgnd EmGrg, Prod. Cruel PollaG DGPZKMQn4
VENDOR SHIP 3 CIVIC squam
1 Colloctlon CGntor C url, IN MW
Chicago, IL SOM4M (W) M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Accoun� 43-M.00
1 Each siren speaker $110.00 $119.00
Sine Total $119.00
1
3
V
kk
4 4
m
Send Invoice To:
Carm Police Dopadmo em
Attn: Town Andomon
Cafnal, IN a PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT) AMOUNT
Carmel Police Dept. !6119.1130
PAYMENT
A/P VOUCHES 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. I
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY pIh l i 1 �1f
SHIPPING LABELS. 9 Chloq Or Police T
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 9 8 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 it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Federal Signal Emerg. Prod.
eAx �1z3 IN SUM OF S
en er nve
Chicago, IL- 69693-663 X069 1� `f
$126.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# l Dept. INVOICE NO ACCT #(TITLE AMOUNT Board Members
27798 93969553 43 500.00 126 96 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
�r
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))
05/06/11 93969553 payment for siren speaker repairs $126.96
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