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HomeMy WebLinkAbout201020 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1 ONE CIVIC SQUARE STEVEN R JENKINS CO INC 1 CARMEL, INDIANA 46032 6680 E. 21ST. STREET CHECK AMOUNT: $1,099.96 INDIANAPOLIS IN 46219 CHECK NUMBER: 201020 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356001 27299 169619 1,099.96 JACKETS STEVEN R JENKINS CO INC Invoice 6680 E 21 ST ST Date nvoice INDIANAPOLIS IN 46219 M. 1-317-352-0184 8/23/2011 169619 Bill To Ship To CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 P.O. Number Terms Rep 27299 JGL Quant... Item Code Description Price Each Amount 4 40300 CLO... BLAUER 9905 Z IKE- LENGTH JACKETS W /CROSS TECH FABRIC 274.99 1,099.96 Salcs Tax 0.00% 0.00 $1,099.96 SHOP sr jco corm Total INDIANA RETAIL TAX EXEMPT PAGE City of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2729 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P CARMEL INDIANA 46032 -25$4 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 REQUISITION NO. VENDOR NO. DESCRIPTION �62�9 9 ovon FL jonhifis Co., Inc. Carmel Polito Dapadmont VENDOR SHIP a Civic aqum M East 21st St mot TO cgi, IN 42 Indimap®Ilss, I N 4621'0 (397) 671 1 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account .Oi 4 Each ON= 99052 ft-length jmckel wlcross $274.99 $1,490.96 tech fabric Sub Total: $9,099.91 U r .bezel sizes: C. Barlow XL L® i. ;1 I 66, L Long/ A Zellers XXL Len Send Invoice To: Camel Police Department Aft Teresa Andomon 3 Civic Squm Carmel, IN 42° PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Cat and police Dept. PAYMENT MOWS$ NP 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 SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL t� i� SHIPPING LABELS. hla of Y'ollee THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. A .P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. AL LOWER 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 it claim paid motor vehicle highway fund i VOUCHER NO. WARRANT NO. ALLOWED 20 Steven R. Jenkins Co., Inc. IN SUM OF 6680 East 21st Street Indianapolis, IN 46219 $1,099.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 27299 169619 43- 560.01 $1, 099.96 I I I 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 Friday, August 26, 2011 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)) 08123/11 169619 payment for jackets for new officers $1,099.96 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