Loading...
HomeMy WebLinkAbout200816 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 361470 Page 1 of 1 1 f� ONE CIVIC SQUARE CHILD SOURCE CHECK AMOUNT: $3,947.44 CARMEL, INDIANA 46032 7001 WOOSTER PIKE MEDINAOH 44256 CHECK NUMBER: 200816 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 27894 176114 1,664.00 CARSEATS 852 5023990 27899 176520 409.89 CAR SEATS 900 4359005 27899 176520 1,873.55 CAR SEATS child sources" Invoice MERCURY DtSTRIBUTING Invoice Number: 0000176520 7001 Wooster Pike, Medina, 01 -1 44256 Ph: 330.723.4739 Fax: 330.72 1.6799 Invoice Date: 8/1812011 REMITTANCE ADDRESS: Invoice Due Date: 9/17/2011 WESTERN RESERVE DISTRIBUTING, INC. dba CHILD SOURCE Customer: CARMPD P.O. BOX 73714 Sales Order: 0000102337 CLEVELAND, 014 44193 T ax ID 482- 0563593 Sold To 7 Ship o CARMEL POLICE DEPARTMENT, CITY CARMEL POLICE DEPARTMENT 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 -2584 USA ATTN A GALLAGHER 317 -571 -2720 Carmel, IN 46032 USA 27889 LTL VITRAN ORIGIN Net 30 Days Item C-7­;---e- scri on_ t Shi zd Unit Price Am ount 1CO34AOB SAFE"1'Y Ist DESIGNER CARSEAT 5 -224 W /BASE y 63.9000 575.10 (NORDICA) 93- 1201- SCENERA 4 HNS POS (2 /PK) 14 43.0000 002.00 93- 209FSM HIGH BACK BOOSTER FRONT ADJ 2PK 16 47.2000 755.20 93- 299FSM BACKLESS SHIELDLESS BOOSTER (4 PER PACK) 4 14.9000 S 59.60 LAST ITEM Tracking Numbers: 00427888771 Subtotal 1,99190 LIFT GATE AND INSIDE DEL Freipllt 291.54 Sales Tax 0.00 Payment /Credit Amount 0.00 Balance 1283.44 r d dd s�our Invoice Invoice Number: 00001761 14 7001 Wooster Pike, Medina, 0I 44256 Ph: 330.723.4739 Fax: 330.721.6799 Invoice Date: 8/9/2011 REMITTANCE ADDRESS: Invoice Due Date: 9/8/2011 WESTERN RESERVE DISTRIBUTING, INC. dba CHILD SOURCE Customer: CARMPD P.O. BOX 73714 Sales Order: 0000102192 CLEVELAND, OH 44193 Tax ID #82- 0563593 ;5aIdTo,` CARMEL POLICE DEPARTMENT, CITY TRINITY CLINIC 3 CIVIC SQUARE 1045 WEST 146TH STREET CARMEL, IN 46032 -2584 USA Carmel, IN 46032 USA 3 Custot e&.. O °r r_SIiEp V, M 7 27894 LTL WARD ORIGIN Net 30 Days D escn tion_ Qty.'Shipped i1 1�it Price Am ount ICO34AOB SAFETY 1st DESIGNER CARSEAT 5 -224 W/BASE 1p 63.9000 639.00 (NORDICA) 93 12OFSM SCENE 4 HNS POS (2IPK) 10 43.0000 430.00 93-211 FSM VOYAGER HIGHBACK (2 PER PACK) IO 28.9000 289.00 93- 2991:SM BACKLESS SHIEI_.DLESS BOOSTER (4 PER PACK) 8 S 149000 119.20 LAST I"T"EM I Tracking Numbers: 008 2235938 Subtotal 1,477.20 LIFT GA'L'E AND INSiDE DEL F rei g ht 186.80 Sales Tax 0.00 Pa,ynient/Credit Amount 0.00 -I Balance 1,664.00 INDIANA RETAIL TAX EXEMPT PAGE C o C arnie l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27894 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 08/08/2011 VENDOR Child Source SHIP Trinity Clinic 7001 Wooster Pike TO 1045 W 146th Street Medina, OH 44256 Carmel, IN 460 Atta Maggie CONFIRMATION n CONTRACT PAYMENT TERMS FREIGHT QUANTITY MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 00- 590.05 10 Safety let resigner Carseat ICO34AOB sLdQD 19 Sce>sera 4 ffiSPPOS (2 /PK) f" J 124FSM 43..00 430.00 10 Voyager Highback (2 per`pAkll 28.90 289.00 U 8 Backless Shieldlesa,�aho 93 299 5 n 14.90 119.20 per Pack) I A, Shipping 69 186.80 4 o` Jf R 9 Send Invoice To: Carmel Police Departments Attn: Teresa Anderson 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT 1,,664.00 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 PROP R SWORN AFFIDAVIT ATTACHED, SHIPPING INSTRUCTIONS I HEREBY CERTIFY TA TIEREISANUNOBLIGATEDBALANCEIN SHIP REPAID, THIS APPROPR (A FFICIENT TO FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED- PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f I SHIPPING LABELS. Ch f of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO_ CLERK= TREASURER DOCUMENT CONTROL NO. 278 A.P.V, COPY -SIGN AND RETURN TO CLERIC OFFICE VOUCHER NO. WARRANT NO. ALLOWED 2© 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 P 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE City ®f C arme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 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 �95�D19 Child Bourco C2mol Police Dgpeflmont VENDOR SHIP 3 CIVIC sgUmm 7 01 wooa�oPPIke TO Curnol, IN godini, OH 441 (317) 571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE �1 DESCRIPTION UNIT PRICE EXTENSION Account 00-M.051, �C7�iCe. D,I F°t"�ckld 1 Each shipping $291.54 $291.54 4 Each 'Bad less Shieldless Booster 93 -299FSM $14.90 $59.60 19 Each High Beat Booster Front AcU 93:72DOEW $47.20 $755.20 14 Each Scenersi 4 PN P0S r zz $43.00 $502.00 9 Each SaW 9 s4 Designer Car Seat .�4� x.90 $575.10 Sub Tagil: $2.283.44 590- a i �f' �ap6' o .caa re °$a go m• fib. I Send Invoice To CaMGI Police DOPMAMon4t Attn: Y sz Andorson 3 CIVIC equm Col, IN 4a PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PRO I PROJECT ACCOUNT AMOUNT Cumel Police Dept. PAYMEN T 32.2M.44 I 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 THAT Tj ERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPR� 110 U FICIENT TO PAY FOR THE ABOVE ORDER. CA.O. SHIPMENTS CANNOT BE ACCEPTED. f PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY of SHIPPING LABELS. of P olice THIS ORDER 1SSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE E AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO-278 A.P.V. COPY AND RETURN TO CLERKS OFFICE VOUCHER NO. WARRANT NO. 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Child Source IN SUM OF 7001 Wooster Pike Medina, OH 44256 3 y7 W ON ACCOUNT OF APPROPRIATION FOR Carmel Police Grant Fund PO Dept. INVOICE NO. J) ACCT /TITLE AMOUNT Board Members 27894 176114 590.05 $1,664.00 I hereby certify that the attached invoice(s), or hill(s) is (are) true and correct and that the 27899 176520 590.05 materials or services itemized thereon for 4 qN X q which charge is made were ordered and received except Friday, August 26, 2011 7 Chief of Police 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)) 08/09/11 176114 payment for car seats $1,664.00 08118/11 176520 payment for car seats $2,283.44 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