161096 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC
CARMEL, INDIANA 46032 6680 E. 21 ST. STREET CHECK AMOUNT: $4,778.94
INDIANAPOLIS IN 46219 CHECK NUMBER: 161096
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT D ESCRIPTION
1110 4467099 17360 139115 4,778.94 NEW CAR EQUIPMENT
Steven R Jenkins Co Inc. Invoice
6680 E 21st Street WWW.Srjco.com Date Invoice
Indianapolis IN 46219
1 -317- 352 -0184 6/10/2008 139115
Bill To Ship To
I CARMEL POLICE DEPT
f 3 CIVIC SQUARE
ATTN: TERESA ANDERSON
CARM EL, IN 46032
P.O. Number TERMS Rep Ship VIA
17360 DLP 6/10/2008
Quantity Description Price Each Amount
70 SVP STROBE POP IN TUBES 14.79 1,035.30
18 MAG LITE RECHARGEABLE FLASHLIGHT 13V DIRECT 79.99 1,439.82
WIRE
18 FED SIG DYNAMAX MS100 SPEAKER W /BRACKET 127.99 2,303.82
Sales Tax 0.00% 0.00
Total $4,778.94
C�� f� j INDIANA RETAIL TAX EXEMPT PAGE
®II mel CERTIFICATE NO. 003120155 002 0 f 1
IILL Jl Jl PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 17 3
Z Q,NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
'CARMEL, INDIANA 46032-2584 SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Fahr+ v 7 (1R P J n r P P_TP•
1
VENDOR Steven R. Jenkins SHIP City of Carmel Maintenance Facility
6680 East 21st Street T 3400 W. 131st STreet
Indianapolis, IN 46219 Westfield, IN 46074
7'33 -4600
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
18 MS 100 DynaMax speaker and brackets for '08 Impala 127.99 2,303.82
18 Mag LIte Rechargeable flashlight w /direct wire charger 79.99 1,439.82
70 Strobe tubes (push in type) 14.79 1,035.30
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4
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City of Carmel Po l e
Send Invoice To: (i
ATTN Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 4,778
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 670 -99 other equipment 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
I 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 Nf.`��� !'I a'Y.E• f`- `Y"
SHIPPING LABELS. l
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 113 W.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VgUCHER NO. WARRANT
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
Prescri jd 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
Steven R. Jenkins, Co Inc. Purchase Order No. 17360F
6680 E. 21st Street Terms
Ind ianapolis, IN 4621910 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/10/08 139115 payment for new vehicle equipment 4,778.94
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
Steven R. Jenkins Co., Inc. IN SUM OF
6680 E. 21st Street
Indianapolis, IN 46219
4,778.94
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
17360F 139115 670 -99 4,778.94 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
Jurie 13 2008
1
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund