HomeMy WebLinkAbout200915 08/30/2011 f CITY OF CARMEL, INDIANA VENDOR: 164129 Page 1 of 1
4� ONE CIVIC SQUARE INTOXIMETERS, INC CHECK AMOUNT: $193.45
CARMEL, INDIANA 46032 8110 LAC KLAND RD
ST LOUIS MO 63114 CHECK NUMBER: 200915
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 27898 340160 193.45 108L TANK
PLEASE REMIT TO:
Intoximeters P.O. Box 798313 PAGE NO: 1 of 1
2081 CRAIG ROAD St. LOUIS, MO 63179 -8000 INVOICE NO: 340160
ST. LOUIS, MO 63146
PHONE 314-429-4000 INVOICE DATE: 08/16/2011
FAX 314 429 -4170
I N V O I C E
CUSTOMER NO: INCARO YOUR ORDER NO: 27898
CUSTOMER PH: 317/571 -2559 OUR ORDER NO: CO- 000000278128 0000
BILL TO: SHIP TO:
CARMEL POLICE DEPT CARMEL POLICE DEPT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
TERMS: CASH #1: DISC: SHIPPED: 08/15/2011
CASH #2: DISC: SHIPPED VIA: GROUND
CASH #3: DISC: F.O.B.: ORIGIN
CASH #4: DISC: SHIPMENT NO: 308662 REF: JB
NET DUE DATE: 091511 PRO NO: CSR: DAH
QTY QTY QTY ITEM UNIT PRICE EXTD PRICE
ORDERED SHIPPED B.O. NUMBER US DOLLARS US DOLLARS
1 1 0 22- 0080 -01 149.00 149.00
DRYGAS 108L/223PPM(.082)C
FREIGHT 44.45
PLEASE VISIT OUR WEBSITE AT WWW.INTOX.COM
SALES TOTAL: 149.00
Unless otherwise stipulated by contract, a finance charge of 1.5% per SALES TAX: 0.00
month (or the highest rate allowed by law, whichever is less) will be
assessed on all due balances. A restocking fee may be applied for FREIGHT: 44 4 5
returned merchandise.
LESS: 0.00
FEDERAL ID 43- 0906533 OTHER CHARGES: 0.00
INVOICE 193.45
Thank you US DOLLARS
UUTEDU YJE E111 INC.
STANDARD TERNIS AND CONDITIONS OF SALE
I. APPLICABILITY: CONFLICT OF TERMS. These Standard Tents Conditions of Sale (hereafter. "Standrel Terms shall apply to all purchase orders or any other Supply Arrangement (hereafter defined) submitted by any customer "Buyer of
Intoximeters. Inc. and/or its affiliates (collectively, "Seller regardless of whether or not they are explicitly referred to by Seller in any written communication to Buyer concerning such purchase orders or other Supply Arrangements (such its in a transmittal
letter, invoice or an order acknowledgment), and regardless of Sellers execution of any agreement or other instrument /document required by Buyer. Buyer's acceptance of any good shipped or services provided by Seller shall constitute acceptance of these
Standard Terms, regardless of any conflicting terms or waiver language contained in rate Buyer purchase order. general tens and conditions, or other Supply Arrangement. Unless otherwise agreed in writing by Seller, these Standard Term shall supersede
any terms and conditions contained in any prior purchase orders, supply agreements, nomination letters, proposals. quotations, requisitions. oral .statements and/or representations. Buyer standard terns and conditions, correspondence or similar matters
(collectively. "Supply Arrangements between the parties or their representatives. Any conflict between these Standard Terns and other Supply Arrangements shall be resolved in favor of these Standard Terms. Buyer's acceptance of these Standard Terms
shall be construed as the first to occur of (a) Buyer's acceptance of any goods shipped or services provided by Seller, (b) Buyer's written or electronic acceptance of these Standard Terns, or (c) Buyer's failure to object in writing to these Standard Term prior
to shipment of any goods. If at any time (i) Buyer claims or asserts that these Standard Terms are not applicable to any Supply Arrangement between Seller and Buyer, or (ii) a determination is made by a court, arbitration panel or other legal authority that
these Standard Terns do not apply to :my Supply Arrangement between the parties. Seller shall have the right to immediately terminate such Supply Arrangement without liability or further obligation to Buyer. However, the failure or refusal of Seller to so
terminate any Supply Arrangement shall not constitute or be deemed a waiver by Seller of the effectiveness or enforceability of these Standard Terms.
2. ACCEPTANCE OF ORDERS. All Buyer purchase orders shall be deemed accepted when Seller issues an order acknowledgment to Buyer or when Seller begins performance of the order. All orders accepted by Seller shall be governed by these Standard
Terms and by any additional terms and conditions which are expressly agreed upon by authorized representatives of the parties in it fully executed Supply Arrangement. Unless otherwise agreed to in a Supply Arrangement. Seller shall have no obligation to
accept any particular Beyer purchase order. Buyer acknowledges that Seller is not committing to supply the Buyer's requirements for any goods sold to Buyer under these Standard Terms and, in the event of a shortage. Seller may allocate existing goods in its
sole discretion.
3. PRICING: PAYMENT. Unless otherwise agreed in writing by Seller. all prices quoted (whether in an applicable order or Seller's published price lisp are based on U.S Dollars F.O.B shipping point (as determined by Seller). as defined in Section 400 2-
319 of the Missouri Uniform Commercial Code. Unless otherwise stated, such price quotation shall only be valid for thirty (30) days from the date of quotation. Seller reserves the right to cancel any order in the event that any legal requirement applicable to
the goods mandates a price lower or higher than the price for such good .set forth in the applicable order or Seller's published price lists. Payments for all amounts due hereunder must be made to Seller in U.S. Dollars within thirty (30) days of delivery of the
good as provided herein or Seller's invoice, whichever is earlier. Late payments on invoices, or on any unpaid balance thereof, shall bear interest at the rate of one and one -half percent (1 1/2'9x,) per month (an effective rate of eighteen (18'9) per annum) or
the highest rate allowed by applicable law, whichever is less. Seller shall be entitled to recover its costs of collection of any past due invoice, including but not limited to court costs and reasonable attorneys' fees, whether or not litigation is commenced in aid
thereof and including any claim in bankruptcy. In addition, if Buyer fails to make any payment as and when due. Seller, in addition to tiny other rights ;tad remedies (but not in limitation (hereof), may, in its sole discretion, defer all further shipments of goods
until such payments are made or may cancel such (order ur tiny pending orders from Buyer.
4. 'Z /DUTIES. Applicable sales and use taxes. and import /expom duties and other charges. are in addition to any prices quoted by Seller and shall be paid by Buyer.
5, SI IIPMENT: DELIVER Y. Buyer will designate commmn carriers for the shipment of all gads (but if Buyer fails to designate a carrier, Seller shall have the right to select a carrier on Buyer's behalt). To the extent a quoted price for any product does not
expressly include shipping. handling, freight or sirnihr charges, all costs thereof shall be paid directly by Buyer. ur Seller may, at its election, prepay such charges and charge the same to Buyer. Shipping dates are approximate and not guaranteed by Seller.
Seller shall not be liable for damages of any kind (including any direct. incidental, consequential or punitive damages) for failure to meet any Buyer specified delivery date, nor shall Seller be liable for any delay as a result of events or circumstances specified
in Section 14 hereof. Seller shall have no responsibility to ship goods to any location other than those in the United States unless Buyer has previously secured all applicable permits and licenses and paid all fees, duties and other applicable charges in
connection therewith. Unless otherwise agreed in writing by Seller, Seller reserves the right to make deliveries in installments. No delay in delivery shall relieve Buyer of its obligation to (a) pay for all installments of goods received prior to such delay, or (b)
accept remaining deliveries.
6 RISK OF LOSS: TITLE. Possession :fail risk of loss for all good shall pass to Buyer upon Seller's delivery of such goods to any carrier, common or otherwise. Title to such goods shall not pass until they have been fully paid for by Buyer. Buyer shall be
deemed to have accepted the goods as delivered unless Buyer shall notify Seller of any deficiency in writing within five (5) business days of delivery.
7. CREDIT: SECURITY. Seller >hall have no obligation to estead credit to Buyer unless otherwise agreed in writing by Seller. Any obligation of Seller to extend credit to Buyer is conditional upon Buyer's timely payment of invoices, and upon the
continued financial stability of Buyer. Seller reserves the right to (a) require prepayment of Orders in its side discretion, or (b) to require satisfactory security from Borer for performance of Buyer's obligations, regardless of any prior shipment or partial
shipment on account of any order. Buyer's refund to make such prepayment or furnish such security will entitle Seller to suspend .shipments until such prepayment is made or such security is furnished and will entitle Seller, at its option, to cancel the order or
xnv pending order Of Buyer. In such event, Buyer shall nevertheless be required to pay for such shipments or partial shipments as may have been received by Buyer prior to Seller's cancellation Of such orders or pending orders.
8. ASSERTION OF CLAIMS: RETURN 01 GOODS. All claims of whatever nature, including but not limited to claims tit, shortage, deductions, and defective good, must be made in writing to Seller within lice (5) days of Buyer's receipt of the goods.
Failure I comply with the ;d'oresaid procedure shall constitute Buyer's isaiver of any such claim. Irrespective of Seller's decision tut prepay freight or select if currier, Seller shall have no responsibility fur. and Buyer must make all claims (,at) against the
applicable carrier or transportation company with respect an, damage or lots in transit. Any return Of goods to Seller by Buyer runs[ be authorized by an advanced writing executed by Seller and is subject to Seller's 25'8, restockin fee. Irrespective of Seller's
decision to prepay freight or select a carrier. Buyer is responsible for all freight charges. both outbound and incoming. No obsolete items man• be returned.
9. LIMITED WARRANTY, Seller warrants only that (a) the goods sold to Buyer conform to the specifications set forth in Seller's published price list and/or invoices provided to Buyer hereunder (the "Specifications"), and (b) solely with respect to new
Intoximeters manufactured products "Manufactured Products and solely to the original user purchaser thereof. that such Manufactured Products shall be free from defects in material and workmanship, under normal use and service conditions, for a period of
twelve (12) months from original invoice date, rp ovided howe ver, that the foregoing warranty in (b) above shall not apply to any (i) eonsumables or supplies (i.e. mouthpieces, calibration gas, ink ribbons, printer paper) sold in connection with the
Manufactured Products, (ii) damage which has, in the opinion of Seller's Authorized Sales /Service Outlet in its sole discretion, been the result (of misuse, alteration, accident or abnormal conditions of operation or handling. or (iii) printer or other hardware that
is not manufactured by or for Seller and which does not carry Seller's trademark. trade name, or logo affixed to it. Seller's sole warranty obligation for all good and services that do not conform with the Specification or for Manufactured Products that are or
become defective in material or worknanship within twelve (12) months front the date of shipment shall be limited to the replacement or repair (at Seller's option) of the defective or non- conforming good free of charge, or a refund of the price allocable to the
defective or non conforming goods if Seller is unable to effectively repair, replace or correct such defect or non- conformance in if reasonable time after using its reasonable efforts. Seller's warranty obligations hereunder are contingent upon the following
conditions: Seller is promptly notified of the defect or non conformance: Buyer establishes to Seller's satisfaction that any goods have been properly installed, maintained and operated: and upon Seller's request, Buyer will return the defective or non-
conforming goods or pan thereof to Seller at Buyer's cost, but _subject to Buyer'; rights hereunder. FXCFFf AS EXPRESSLY PROVIDED IN THIS SECTION 8. SELLER MAKES NO WARRANT)', EXPRESS OR IMPLIED. AND SELLER EXPRESSLY
DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY, FI'T'NESS FOR A PARTICULAR PURPOSE. PRICE, NON INFRINGEMENT OR ANY OTHER MATTER. THIS SEC -7ION SHALT. SURVIVE THE TERMINATION OR
CANCELLATION OF ANY SUPPLY ARRANGEMENT BETWEEN SELLER AND BUYER.
10. EXCLUSIVE REMEDY: DISCLAIMER OF LIABILITIES. BUYER AGREES THAT SELLER'S LIABILI'T'Y SHALL BE LIMITED TO. AND BUYER'S SOLE AND EXCLUSIVE REMEDY FOR ANY CLAIM OF ANY KIND HEREUNDER OR
RELATING TO THE GOODS OR SERVICES DELIVERED BY SELLER SHAH. BE. (A) THE REPLACEMENT OR REPAIR (AT SELLE'R'S OPTION) OF THE DEFECTIVE OR NON- CONFORMING GOODS FREE OF CHARGE, OR (B) A
REFUND OF THE PRICE ALLOCABLE TO THE DEFECTIVE OR NON CONFORMING GOODS IF SELLER IS UNABLE I'D EFFECTIVELY REPAIR. REPLACE OR CORRECT SUCH DEFECT OR NON- CONFORMANCE IN A REASONABLE
TIME AFTER USING ITS REASONABLE EFFOR'T'S. UNDER NO CIRCUSISTANCES SHALL SELLER HAVE ANY LIABILITY WHATSOEVER TO BUYER OR ANY OTHER PERSON WHO SHALL PURCHASE FROM BUYER ANY GOODS
SUPPLIED PURSUANT TO THESE STANDARD TERSIS FOR INCIDENTAL, CONSEQUENTIAL (INCLUDING LOSS OF BUSINESS OR PROFITS) OR PUNITIVE DAMAGES, NOR SHALL BUYER BE ENI LED TO OBTAIN INJUNCTIVE
RELIEF AGAINST SEI-1-ER FOR ANY REASON WHA'T'SOEVER.
11. ASSIGNMENT. Buyer shall no[ assign its interest in an Supply Arrangement without Seller's prior written consent. which consent may be withheld in Seller's sole discretion.
12. INDEMNI'T'Y. To the maximum extent allowed by law. Buyer shall reimburse, indemnify. defend and hold Seller and its employees and agents harniless from and against any claims, demand. liabilities, damages. suits. judgments, losses, costs and/or
expenses (including attorneys' fees and other expenses of any litigation) suffered and paid by Seller (collectively, "Losses that relate to or arise on account of (a) Buyer's negligence. use. ownership, maintenance, transfer, transportation or disposal of any
goals or services delivered by Seller or (b) Buyer's violation or alleged violation of any federal, state. Lard or foreign law, rode or regulation.
13. S01 LICENSE. Ownership of software ad /or firmware programs (including any source code thereto) or other proprietary information (collectively, the "Product Suflware'') supplied by Seller to Buyer in connection with the sale of the Seller's
goods and services to Buyer is not included in the sale of such goods and services. All Product Software shall remain Seller's property, or the propery (of Seller's software vendor. Buyer shall be deemed to receive only a limited use license hereunder, which
shall be limited to the use of the Product Software in conjunction with the goods acquired by Buyer as such use is defined and limited in the operating manual for such product. Product Software licensed to Buyer .shall at all times be held in confidence by
Buyer. Buyer shall not translate, modify........ engineer, disassemble, deconhpile, or create derivative works based on any Of the Product Software. or permit any third party to do so. I'hc Product SOltwT1Y may not be copied or transferred to another party. or
made commercially available in any other device.
14. IN'I'E[,LEC]'UAL PROPERTY.
(aj If Buyer provides Seller with any specifications for goods or services to be furnished by Seller, Buyer shall reimburse, indemnify, defend and hold Seller harmless from and against any Losses concerning, arising out of or relining to any claimed or
actual infringement of any patent, copyright. wade secret or other intellectual property rights of any third party respecting such god, Or services.
(b) Any product or any improvement u, any product (including any Product Software or source code of Seller ur its software vendors) developed by Seller, and n ly method or process of production respecting the product (or improvement thereto developed
he Seller. shall be the sole property of Seller.
(c) Buyer may not use Seller's trademarks unless Seller agrees otherwise in writing. Buyer shall nut take any action that would. (or fail to take an)' action t would prevent, any diminishment of Seller's rights with respect to Sellers trademarks.
(c) Except as express]) set forth herein. (i) Seller shall have no obligation to sell. assign, license. Or transfer intellectual property of any kind to Buyer, and (ii) Buyer shall have no right to use any intellectual property Of Seller without the express written
consent of Seller, which may be withheld in Seller's sole discretion. Seller may enforce this Section through injunction or otherwise.
15. FORCE MAJEURE. Seller shall be exct,,cd from any delay in performance under any Supply Arrangement to the extent such non performance is caused by acts of God, war, fire. Bads, windstorms or other severe weather problem, earthquakes, earth
movements, or other casualty. riot, sabotage, ads of it public enenly. embargoes. labor disputes or unrest. strikes, work stoppages, acts of civil Or military authorities. governmental acts. orders or regulations, or other circumstances beyond the reasonable
control of Seller.
16. TERMINATION. Unless otherwise agreed to in a fully executed Supply Arrangement. Seller nay terminate any Supply Arrangement, including open or continuing purchase orders: (i) on reasonable notice to Buyer, for any or no reason, or (ii)
immediately, if Buyer fails to timely pity for goods deli vered or services rendered, breaches any of its other (obligations under any Supply Arrangement, violates or refuses to abide by or acknowledge these Standard Terms, or threatens any of the foregoing.
17. MISCELLANEOUS. Notwithstanding any Supply Arrngeme ll to the contrary:
I it i Buyer shall have no rtgln u, to msp,e I taeilmie, f l i t note Svllct b. k_ rd, x anhet d wane us o r oh, ,,trek r obtain n an) into mason Isom Sell" d—ovil profits o sonndemial b) tieller to its ,Ole di —tuon, win i the esprc,s
written consent of Seller obtained in each instance, which consent may be withheld in Seller's sole discretion.
(b) Seller shall have nu obligation to comply with ;thy agreements between Buyer and any third part, unless Seller is furnished it wriuca copy of such agreement and expressly agrees t(o so comply in a signed writing after Seller's receipt of .such copy.
(e) Seller shall not be required [o obtain any pruperiv. liability or other type of insurance for its own account or for the account of Buyer or its property.
(d) Seller shall not be required to arbitrate any claim against Buyer or Buyer's customers ur agents, or bring or defend any such claim in any particular forum, except as provided in Section 21 of the Standard Terms.
(e) Buyer shall have no right to dictate personnel change, in Seller's workforce, or to mandate labor union relations, affiliations or other changes to Seller's workforce management or lubur relation Policies.
(f) Seller shall have the right to manufacture or have manufactured by any third party any product for Buyer in any of its facilities nr the Incililies of any third parry without Buyer's prior approval Or consent.
(g) Buyer shall have no right to notice of any sale of stock or assets of Seller so long as the .same <ecurs in the ordinary course of Seller's business. In addition, n(, sale of Seller's stock or assets shall give rise to any Buyer right of termination of any Supply
Arrangement with Seller.
(h) Seller's alleged or actual default with respect to any particular Supply Arrangement shall have no effect on Buyer's obligation to perform under any other Supply Arrangement between Buyer and Seller, nor shall Buyer have any right of .setoff against
Seller with respect to :any such other Supply Arrangements.
(i) In the event of any litigation or formal dispute resolution proceeding between the parties, the prevailing party shad] tie entitled to recover its reasonable attorney's fees and other expenses of dispute resolution, such as arbitrator fees. case filing fees,
costs of transcription and expert witness fees.
18. WAIVER. No waiver of Buyer's del' It h model, shall be effective unless the none is in writing. Any such waiver by Seller of any breach of any term, covenant, or condition contained in these Standard Terms, or the delay. forbearance, indulgence or
failure of Seller in exercising any right hereunder on account of such breach, or the partial exercise of such right, shall not be deemed it waiver of any subsequent breach of the same term or any other term, covenant or condition hereof.
19. SELLER'S REMEDIES CUMULATIVE. Each right or rennedy grinned to Seller hereunder shall be deemed cumulative and may be exercised from time to time.
20. SEVERABILITY. If any provision of these Standard Terms is held to he illegal, invalid or unenforceable under present Or future laws, such provision shall be amended or limited only to the extent necessary to bring these Standard Terms within the
requirements of said law. The invalidity of any clause, part or provision of these Standard Terms shall be restrictive in effect to said clause, part or provision and .shall not be deenned to affect the validity of the remaining provisions hereof or of these Standard
'forms in their entirety. the remainder of which shall remain in fill torte and effect.
'_I. LOCATION OF SALE'S TRANSACTIONS: GOVERNING LAW. Any sale of grads pursuant to these Standard Terms shall be deenned for all purposes to have been made in and from the State of Missouri and shall be governed by and construed in
accordance with the substantive laws of the State of Missouri, which shall apply [o all dealings and transactions between Buyer and Seller, without regard to its principles of conflicts of laws.
22. VENUE. Any cause of action involving good sold pursuant to these Standard'I'erms shall be hr gin only in state or federal courts sitting in the State of Missouri and each of Buyer and Seller consent to the exclusive jurisdiction Of such courts in any
action between them. Any such action must be commenced within two (2) years after the cause of action has accrued.
23. TERMS APPLICABLE '10 INTERNATIONAL SALES. Unless otherwise agreed in writing by Seller, any sale of good tO a Location Or customer outside of the United States shall be sold on and subject to Ex Works ICC INCO'FERMS 2000 (the "Ex
Works Terms"). Except to the extent modified by the Ex Works Terms, these Standard'1'enns shall continue to apply to any .sale of gods or .services by Seller to a location or customer outside of the United States. The United Nations Convention on Contracts
for the International Sale of Gods .shall not apply to any sales transactions governed by these Standard Ternts. Buyer shall be responsible for timely obtaining :and maintaining any required import license, exchange permit or any other governmental
authorization. Seller shall not be liable if any authorization of it government is delayed, denied, revoked, restricted or not renewed. and Buyer shall not be relieved thereby of its obligations to pay Seller for the goods or any other charges which are the
obligation of Buyer hereunder. All shipments to locations Or customers outside of the United States shall at all times be subject to the export control laws and regulations of the United Slues and any amendments thereof. Buyer agrees that it shall not make
any disposition of Uni[cd States origin gods purchased from Seller, by way of transshipment. re- export, diversion or otherwise, other than in and to the ultimate country of destination specified on Buyer's order or declared as the country of ultimate
destination on Seller's invoices, except as said laws and regulations may expressly permit. Buyer agrees that in the performance of its obligations under any Supply Arrangement Or these Standard Terms it will not take any action that would render the Seller
liable for a violation of the U.S. Foreign Corrupt Practices Act. which prohibits the offering, giving, or promising to offer or give, directly or indirectly, money or anything of value to any official of a government, political party, or instrumentality thereof in
order to assist in obtaining or retaining business. Violation of this Section by Buyer shall instantly render any Supply Arrangement between Buyer and Seller null and void and shall entitle Seller to any and all remedies available to Seller at law or in equity
including but not limited to any remedies pursuant to these Standard Tcrm. If there is any conflict between the English and any foreign language translation of the provisions of this Agreement, the English language provisions shall control.
Standard Terms and Conditions of Sale One Page. I of I Rev 0, CTO. 12/10/2010
a INDIANA RETAIL TAX EXEMPT PAGE
C i ty C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 271
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
�642621�9 9
Intortlfrlotors, Inc. Cam®l Pollco Dopartm ®n4
q' SHIP 3 CIVIC aqum
VENDOR
209 Crdg Road TO C&MGI, IN 4
S@. Louis, 90 63946 (W) 579
CONFIFMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Accou UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 .0
9 Each 908L tonk 22- 0080 -09 $403.43 $993.45
Sub `dotal: $993.45
I� a°
1, J�
��o o v a
Send Invoice To:
C&mGl PollcG Cop2rtmon4
Attn: wooa Andoruon
3 CIVIC squad
Carmol, IN 4M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C�Z, PAYMENT 4 993'45
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 THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION S f F,IC
UIENT TO PAY FOR THE ABOVE ORDER.
FIC
C -O. D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /I�
SHIPPING LABELS. `4 hlov of pollen
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 7 8 9 8
A.P. V. COPY -SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
e
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
i
VOUCHER NO. "WARRANT NO.
ALLOWED 20
lntoximeters, Inc.
IN SUM OF
2081 Craig Road
St. Louis, MO 63146
$193.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
27898 I 340160 43- 500.00 $193.45 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, August 25, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
Prescribed by State Board of Accounts City Form No. 261 (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))
08/16/11 340160 payment for dry gas tank $193.45
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