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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-) r a A 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