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Home My WebLink About198280 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1 ONE CIVIC SQUARE T B A NORTH F; CHECK AMOUNT: $270.96 ra CARMEL, INDIANA 46032 309 GRADLE DRIVE CARMEL IN 46032 CHECK NUMBER: 198280 CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 3JU5874 270.96 REPAIR PARTS TBA North invoice 309 Gradle Dr. No 03JU5874 Carmel, IN 46032 317 574 -1957 FAX: 317 574 -1982 II II II I I I I II II I� I I I II II I I II Page 1 13:55:22 May 26 2011 CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHqE 318 03JU5874 05/26/11 03RE6382001 NET 10TH 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.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER 05/26/11, 13:55:22 400012 THAD EDWARDS 3 CARMEL /WESTFIELD A 412 ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE RAF ATD 1159P AT POLICE PAD SET U EA 4 0 4 92.85 0.00 40.70 0.00: 162.80 D60 18A2322 19169879 KEEP 4 CARMEL U EA 2 0 2 110.24 0.00 54.08 0.00 108.16 I, r TAL PURCHASE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 270.96 0.00 0.00 270.96 0.00 270.96 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. 1 I i City O f Carte i CE INDIANA RETAIL TAX RTIFICATE NO. 03 201 02 0 PAGE w PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 257M 35- 60000972 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 5012011 BA North Carrroel Police DGpm tment VENDOR SHIP 3 Civic Square Mg Cradle Drive TO Calrmol, IN AM Carmel, IN 4 (317) 579 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 -370.0:0 4 Each brake pads RAF AM 9159P $40.70 $102.80 2 Each rMers D6018A2322 $54.08 $108.16 Cub Total: $270.8,6 et J R s^ Al w Send Invoice To: F A T 7 Cool Pollee Dopartmont Attn: `Fames@ Anderson 3 Civic Square Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJEC'ACCOUNT AMOUNT Coal Police Dept. PAYMENT f .wo 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�TVAT HERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPR ATI N S FFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �y SHIPPING LABELS. lef o T police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 5 7 6 6 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF S ON ACCOUNT OF APPROPRIATION FOR E'cr 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 05/26/11 3JU5874 payment for repair parts $270.96 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 VOUCHER NO. WARRANT NO. ALLOWED 20 TBA North IN SUM OF 309 Gradle Drive Carmel, IN 46032 $270.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 25766 3JU5874 42- 370.00 S270.96 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. June 02 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund