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