HomeMy WebLinkAbout202782 10/11/2011 \,f CITY OF CARMEL, INDIANA VENDOR: 00350512 Page 1 of 1
ONE CIVIC SQUARE TEN -8 INC
CARMEL, INDIANA 46032 1838 E INVERNESS CIRCLE CHECK AMOUNT: $1,175.00
COLUMBIA CITY IN 46725 -7504 CHECK NUMBER: 202782
CHECK DATE: 10111/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 27929 10611A 1,175.00 PUBLIC SAFETY PLANNER
Sold To: Ship To: Please Remit To:
Carmel Police Department Carmel Police Department TEN-8, INC.
Attn: Teresa Anderson Attn: Vicki Bailey CAM
3 Civic Square 3 Civic Square 1838 E. Inverness Circle
Carmel, IN 46032 Carmel, IN 46032 Columbia City, City, IN 46725
Order Date: 9/28/2011 By: Fax Purchase Order INVOICE
Phone: 317- 571 -2559 E -Mail: 1 $1,175.00
Shipped Purchase Order No. Invoice No. Invoice Date Due Date
DeNd 10/6 27929 10611A 10/6/2011 11/5/2011
Item No. Product Description Ordered Shipped Price I TOTAL
PSP12 Public Safety Planner 50 $10.00 $500.00
PSP12 Public Safety 85 total
y Planner 135 $5.00 $675.00
Logoed Products Promoting Sub Total: $1,175.00
Pride, Appreciation, Remembrance Shipping: $0.00 Sales Tax: $0.00
Questions? Phone 1 -877- 783 -3544 or E -moil: ten- 8@mchsi.com I TOTAL $1,175.00
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032
INDIANA RETAIL TAX EXEMPT RAGE
Ulty ,of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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 3997 SHIPPING LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Yon 4, Inc. Cool Pollco Depatmont
VENDOR SHIP 3 CIVIC Squaro
M E. InVornoss Circlo TO ftmol, IN
Columbia C", IN 46M 17) 079
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42432.0
135 Each 2012 Public Safety Planners $5.00 $075.00
50 Each 2012 Public Safety Planners $10.00 $500.00
Sub Total: $1,175.00
2 2
0 4 E\ i
Send Invoice To: i �,J I
C 01 Pollco Department
Mtn: Toroam Andaman
3 CIVIC squ2 a
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT
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 HERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIO. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL p P ollco
SHIPPING LABELS, lo? o ollco
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE iJY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO.27929 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
Board Members
PO# or INVOICE NO. ACCT #MTLE AMOUNT
DEPT. 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_
20
Signature
__r. Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Ten -8, Inc. ALLOWED 20
IN SUM OF
1838 E. Inverness Circle
Columbia City, IN 46725
$1,175.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members
27929 I 10611A 42- 302.00 I $1,175.00 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
Thursday, October 06, 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))
10/06/11 10611A 2012 public safety planners $1,175.00
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
2Q
Clerk- Treasurer