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Home My WebLink About199696 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1 ONE CIVIC SQUARE T B A NORTH I CHECK AMOUNT: $363.31 CARMEL, INDIANA 46032 309 CRADLE DRIVE �ltin i� CARMEL IN 46032 CHECK NUMBER: 199696 CHECK DATE: 7/20/2011 DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 25792 3JW8515 363.31 A/C COMPRESSOR TBA North Invoice 309 Gradle Dr. N O. 03JW8515 Carmel, IN 46032 is 317 -574 -1957 FAX: 317- 574 -1982 Page 1 09:38:09 Jul 07 201 1 CUSTOMER NUMBER IATE PACKING SLIP __TERMS_. .�WHSb 318 51 11 03RH 1950001 NET 10TH 030 BILL T0: SHIPPED TO`. CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST CARMEL, IN 46032 CARMEL, IN, 46074 11 IIIIII�i1'Ii6116L1U 11 IIIllilllll,IIIIIIIIIIIIIII�II Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 route: CARMEL /WESTFIEii D Direction: YOUR PO. .NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER CAR 51 07/07/11, 09:38:05 200003 MATT SEGERSON 3 CARMEL /WESTFIELD A 202 ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT OTY ORDERED QTY PRICE PRICE PRICE CORE PRICE iVISS MOUNTAINDEW matdew NONE EA 1 0:;:;; 1 0.00 0.00 N/C 0.00 0.00; 2006 CHEVROLET IMPALA V6 -237 3.9L D 1 15- 21471 89019271 COMPRESSOR KIT -A U EA 0 0 l 681.62 0.00 363.31 0.00 363.31 TX: 010 1 TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT 3NVOiCE TOTAL PAYMENTS BALANCE DUE 363.31 681.62 363.31 0.00 0.00 0.00 363.31 0.00 363.31 2.08% service charge on past due accounts(25 per ann..um). Core returns must be in original box. All new returns must be resaleable. No return after 30 days without invoice. Ci ,Jlr J� Carmel INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER a FEDERAL EXCISE TAX EXEMPT 25 a 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. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION TBA North Caninoi Police Depaftent VENDOR SHIP 3 Civic Squam SM Grmdlo Ddvo TO Camel, IN Cumal, IN 46M CONFIRMATION BLANKET CONTRACT PAYM T ERMS FREIGHT i QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-370.00 9 Each A/C compmssor $363.39 $363.39 A Sub Total: $363.39 Z 4. r ,I wr t ars� Send Invoice To: Cumol Police Depadment Attu: Toros Andefuon 3 Civic Rqum CUMGI, IN 2° PLEASE INVOICE IN DUPLICATE DEPARTMENT S ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cannel Police D ept. PAYMENT x'39 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 AFFIDAWTATTACHED, SHIPPING INSTRUCTIONS I HEREBY CERTIF�� THAT THERE IS AN UNOBLIGATED BALANCE IN SNIP REPAID. THIS APPROPR!1ATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. 1 THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I10 of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 5 7 92 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFfCE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PL?# 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 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)) 07/07/11 3JW8515 payment for repair parts $363.31 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 $363.31 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 25792 I 3JW8515 I 42- 370.00 I $363.31 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