HomeMy WebLinkAbout200842 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 355678 Page 1 of 1
ONE CIVIC SQUARE EMBLEMS INC CHECK AMOUNT: $748.00
CARMEL, INDIANA 46032 PO BOX 8713 28814
CHECK NUMBER: 200842
CHECK DATE: 8/3012011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 27884 10364 748.00 PATCHES
Invoice THE EMBLEM
AMOR"
Date Invoice
8/22/2011 10364 P.O. Sox 8713 Asheville, NIC
28814
Bill To Ship To
Carmel Police Carmel Police Dept.
Attn: Teresa Anderson Attn: Robert Robinson
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Biil To Email A dd r ess:
S.O. P.O. Terms Ship Date FOB Rep Ship Via
8579 27884 Net 30 8/22/2011 LP -5 UPS
Item Description Quantity Price Each Ordered Amount
E1903 Carmel Police Patches 1,000 0.88 1,000 880.00T
DISCOUNT DISCOUNT -15% July Promo 15.00% 13100
Out -of -state sale, exempt from sales tax 0.00% 0.00
I
Please send your payment to the following address:
P0 Box 8713
Asheville, NC 28814
ALL CLAIMS MUST BE MADE WITHIN 30 DAYS AFTER RECEIPT OF GOODS. POSSITIVELY NO GOODS TAKEN
BACK OR ALLOWANCES MADE ON SAME AFTER PASSED THROUGH ANY PROCESS.
E -mail Web Site Total $748.00
stacy @emblemsinc.com www.theemblemauthority.com
Payments /Credits 50.00
Phone Fax
800- 378 -0417 888- 438 -4170 Total Amount Due $748.00
INDIANA RETAIL TAX EXEMPT PAGE
C arm 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.
DURCHASE ORDER DATE DATE REQUIRED .v REQUISITION NO. VENDOR NO. DESCRIPTION
79 9
bo Emblem AItborft C lol Pollee Dopaftmolt
VENDOR SHIP 3 CI VIC Squ
TO
P.D. Boll 6713 C@fmcal, IN
AshowIllo, NC 2M14 (317) 679
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.6m.01
1000 Each patches E1903 $0.88 $880.00
Saab Total: $880.00
Less /o
c, m 1 r GL-)
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9Ptj b l
Sen Ic
Carmel Pollco Dopizifton4
Attn: Torm Anderson
a CIVIC squm
COMA IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
C el Police Dept. PAYMENT I -0 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 PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT T EREIIS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONS FFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. /J
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ic Iof of Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 7 8 8 dit A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
4
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
c
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
;r
VOUCHER NO. WARRANT N
ALLOWED 20
The Emblem Authority
IN SUM OF
P.O. Box 8713
Asheville, NC 28814
$748.0
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27884 I 10364 43- 560.01 I $748.00 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
Monday, August 29, 2011
C hief of P
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
whore, rates per day, number of hours, rate per hour, number of units, price per unlit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/22/11 10364 payment for patches $748.00
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