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Home My WebLink About199628 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 359859 Page 1 of 1 ONE CIVIC SQUARE PAYTON SCIENTIFIC INC CHECK AMOUNT: $135.00 CARMEL INDIANA 46032 s.� 964 KENMORE AVE BUFFALO NY 14216 CHECK NUMBER: 199628 CHECK DATE: 7120/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 10133 135.00 OTHER MISCELLANOUS Z PAY TO►N SC IENTIFIC INC �gprA��C#tg #�p&xF3pkt P.O. Box 487, Albion, NY 14411 a' $►alert ��C� xl�st x�iaal: (716) 876 -1606 Fax: (916$U &8987 (905) 640 -0297 WE @SITE:.www.paytonscientific.com EMAIL: paytonscientific@att.net I RV 0 ICE INVOICE NO: 1013 3 DATE: June 14, 2011 S Carmel Police Dept. H Carmel Police Dept. O L Accounts Payable Teresa Anderson I 3 Civic Square p 3 Civic Square P Carmel, IN 46032 Carmel IN 46032 P T E O D T O CUSTOMER ORDER NO. OUR ORDER No. DATE SHIPPED SHIPPED VIA TERMS: NET 30 DAYS F.O.B. BUFFALO, NEW YORK 25771 10133 June 14/11 UPS- Standard PAYABLE IN U S. FUNDS 1 Box, CY -AT Dishes (100) 120 00 120 00 Shipping Handling 15 00 135 00 i We are not authorized to c6llect sales tax in IN. Please pay'direct if required. Payton F.E.I.N 16- 0961271 is /j� INDIANA RETAIL TAX EXEMPT PAGE City Jl r CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26 771 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 602011 PrAon Scientific, Inc. Camel Police Department VENDOR SHIP 3 Civic Square P.O. Son 487 TO Camel, IN 4 Albion, W 94199 (317) 5792 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT A �I QUANTIT UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ACCOUM �561,M 1 Each CY -AT cups CY-AT -100 $120.00 5120.00 Saab Total: $120.00 O. A te r Send Invoice To: w Camel Police Doozrtmont Aft. Tofuse Andomon 3 Civic Square Carmel, IN 4m- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Camel Police Dept. PAYMENT ro 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 THATT ERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATI SUF ICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL B SHIPPING LABELS. of Pollco THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO-25771 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF Cr e r 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 s 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)) 06/14/11 10133 payment for lab supplies $135.00 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 Payton Scientific, Inc. IN SUM OF P.O. Box 487 Albion, NY 14411 $135.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 25771 I 10133 I 42- 390.99 I $135.00 1 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, July 14, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund