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Home My WebLink About197834 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1 ONE CIVIC SQUARE T B A NORTH CARMEL, INDIANA 46032 309 GRADLE DRIVE CHECK AMOUNT: $297.72 CARMEL IN 46032 CHECK NUMBER: 197834 CHECK DATE: 5/2612011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 27822 3JT8042 297.72 BRAKE PADS /ROTORS TBA North Invoice 309 Gradle Dr. No. 03JT8042 Carmel, IN 46032 317- 574 -1957 FAX: 317- 574 -1982 II II II I I I III I II I II II I II 2 Page 1 13:37:46 May 12 2011 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 31.8 03JT8042 05/12/11 03RD7509001 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 Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 Route: CARMEL /WESTFIELD Direction: YOUR P.Q. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER 05 /12 /11, 13:37:45 400003 JIM RATLIFF 3 CARMEL /WESTFIELD A 403 ITEM DESCRIPTION UNIT ORDER BACK INV LIST CORE NET NET EXT BIN OTY ORDERED CITY PRICE PRICE PRICE CORE PRICE D60 18A2322 19169879 KEEP 4 CARMEL U EA 4 0 4 110.24 0.00 54.08 0.00 216.32 RAF ATDI 159P AT POLICE PAD SET U EA 2 0 2 92.85 0.00 40.70 0.00 81.40 TOTAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 297.72 0.00 0.00 297.72 0.00 297.72 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. INDIANA RETAIL TAX EXEMPT PAGE City o f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER 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. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION S69�d�099 TDA Nolth Camel Police Downtmont SHIP 3 Civic Squmre VENDOR TO ftmol, IN Coral, IN 4&M (397) 6712 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-370.00 4 Emch brake pads RAF Al'D99SOP $40.70 $962.80 2 Each rotors D601W322 $54.08 $108.96 Saab `l'coW: $270.06 r S �p 7 q y d. z e'. „sRQ• ++a y. j t e F y` \o r Send Invoice To: Carmel Police Department Attn: Teresa Anderson 3 Civic squm Darnel, IN 42= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. t 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 HEREBY CERTIFY THAT THERE ISAN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUF FICI NT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �a 6 to SHIPPING LABELS. 43 �9 of 1 Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 27 8 22 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 if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. TBA North ALLOWED 20 IN SUM OF S 309 Gradle Drive Carmel, IN 46032 $297.72 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# I Dept. INVOICE NO ACCT #!TITLE AMOUNT Board Members 27822 3.1T8042 42- 370.00 $297.72 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 205 (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)) 05/23/11 3JT8042 payment for repair parts $297.72 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