156991 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 00350126 Page 1 of 1
6 ONE CIVIC SQUARE BROAD RIPPLE LOCK SERVICE INC CHECK AMOUNT: $852.00
CARMEL, INDIANA 46032 2023 BROAD RIPPLE AVE
INDIANAPOLIS IN 46220 CHECK NUMBER: 156991
CHECK DATE: 3/5/2008
DEPART ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 17333 852.00 DOOR.HANDLES /LOCKS
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B a, R i ple Inv ®ice
Lock Service, Inc.
202 Broad Ripple Avenue Indianapolis, Indiana 46220 T Oksm1 +1 111 S
Phone: 253 -5389 FAX: 251 -4217 L
Shcd To j ��S k Q V) Shipped To
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Invoice ate Your Order No. Our Order No. Salesman Shipped Via
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Quantity Description Unit Price Amount
12-L
Terms: Net- 30 days I% after 30 days THANK YOU
C 0 INDIANA RETAIL TAX EXEMPT PAGE
uy CtiJ.L Jl anal CERTIFICATE NO. 003120155 002 0 JL \�1 PURCHASE ORDER NUMBER
Po FEDERAL lice Department EXCISE TAX EXEMPT
35- 60000972 1 7 2 2
3 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
r NDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
CARMEL I SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHA }E ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Jnnnn n R Annr Heil na l nrbn
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VENDOR Broad Ripple Lock Service, Inc TO IP City of Carmel Police Department
2023 Broad Ripple Avenue 3 Civic Square
Indianapplis, IN 46220 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 SA 8237LN.1 U510 RH Sargem Mortise Locks 426.00 852.00
installed less cylinder
Q aN"
Send Invoice To:
City of Carmel. Poli *t
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 501 building repairs and mijintqhnnce
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i 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.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chief 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.17 3 3 3A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
1
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 ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 1995)
s
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
Broad Ripple Lock Service, Inc. Purchase Order No. 17333F
2023 Broad Ripple Avenue Terms
Indianaoplis, IN 46220 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/21/08 a ent for door handles and locks installed 852.00
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
B road Ripple Lock Service, Inc.
i
IN SUM OF
2023 Broad Ripple Avenue
Indianapolis, IN 46220
852.00
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
17333F 501 852.00 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
February 26 2008
A-42 1 7. /,1h
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund