155521 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
0 ONE CIVIC SQUARE STEVEN R JENKINS CO INC
t CARMEL, INDIANA 46032 6660 E. 21ST. STREET CHECK AMOUNT: $7,024.90
INDIANAPOLIS IN 46219 CHECK NUMBER: 155521
CHECK DATE: 1110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
7.110 R4465001 17279 139417 7,024.90 LIGHT BARS
i
I
Steven R Jenkins Co Inc. Invoice
6680 E 21st Street www.srjco.com Date Invoice
Indianapolis IN 46219
12/21/2007 139417
Bill To Ship To
CARMEL POLICE DEPT JASON OGLE
3 CIVIC SQUARE
ATTN: TERESA ANDERSON
CARMEL, IN 46032
P.O. Number TERMS Rep Ship Via
17279 DLP 12/21/2007
Qua... Description Price Each Amount
5 FED SIG LEGEND LED LIGHTBARS 1,274.99 6,374.95
5 FED SIG SMC -1 CONTROLLER 330104 129.99 649.95
Sales Tax 0.00% 0.00
Phone
317 352 -0184 Total $7,024.90
City INDIANA RETAIL TAX EXEMPT PAGE ;1, CERTIFICATE NO. 003120155 002 0 1 of 1 of Ca a 111111 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT j
1 35- 60000972 -zO�F
3 .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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
December 4. 2007 light bars
VENDOR Steven R. Jenkins SHIP City of Carmel Maintenance Facility
6680 East 21st Street TO 3400 W. 131st Street
Indianapolis, IN 46219 Westfield, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5 Federal Signal Legend LEO Lightbars 1,274.99 6,374.95
5 Federal Signal SMC -1 Controller 129.99 649.95
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City of Carmel P ®1 a 0
Send Invoice To: ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICA TE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 650 -01 cars and trucks PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
j NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
J 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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY C t ct c.L-
SHIPPING LABELS.
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. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER Nom, WARRANT NO.
+y 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
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
Steven R. Jenkins Co., Inc. Purchase Order No. 17279RF
6680 E. 21st Street Terms
Indianapolis, IN 4219 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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. .Tenkins Co.. Tnc_ IN SUM OF
6680 E. 21st Street
Indianapolis, IN 46219
7,021 90
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
P6# r INVOICE NO. ACCT #!TITLE AMOUNT
DE I hereby certify that the attached invoice(s), or
90 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
Ac n Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund