HomeMy WebLinkAbout174317 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 097550 Page 1 of 1
ONE CIVIC SQUARE FITZCO INC
PO BOX 270107 CHECK AMOUNT: $694.79
CARMEL, INDIANA 46032
MINNEAPOLIS MN 55427 CHECK NUMBER: 174317
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUN PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 39730 30.79 POSTAGE
1110 R4239099 39730 664.00 BAGS
Customer Copy
FITZCO, INC
P.O. BOX 270107
MINNEAPOLIS, MN 55427 PAGE 1
UNITED STATES OF AMERICA
(952)- 471 -1185
INVOICE DATE 6/22/2009
INVOICE NO 39730
S 4CARML S CARMEL POLICE DEPARTMENT
O CARMEL POLICE DEPARTMENT H 3 CIVIC SQUARE
L ATTN: TERESA ANDERSON I CARMEL, IN 46032
D 3 CIVIC SQUARE P
CARMEL, IN 46032
T T
O O
NET DUE 694.79
SLS1 SLS2 DUE DATE DISC DUE DATE ORDER NO ORDER DATE SHIP DATE SHIP NO
HS 7/22/2009 6/22/2009 00040706 10/16/2008 6/19/2009 1Z556E750344798287
TERMS DESCRIPTION CUSTOMER PO NUMBER SHIP VIA
0/0,n/30 18959 UPS Ground
ITEM ID TX CL UNIT ORDERED SHIPPED UNIT PRICE EXTENSION
21201 1 CASE 2.000 2.000 272.0000 544.00
4.5ML 6.5X8 FITZPAK(D BARRIER POUCH
Lot Number
R090115 2.000
21023 1 EACH 200.000 200.000 .6000 120.00
4.5ML 10 X 12 FITZPAK POUCH NTS
FITZCOINC EMBOSSED, REINFORCED LIP, NO TEAR NOTCH
Lot Number
R080230 200.000
0 SHPMT 1.000 1.000 .0000 0.00
PLUS FREIGHT
(SHIPPING COST WILL BE ADDED AT TIME OF INVOICE)
1% INTEREST PER MONTH ON PAST DUE INVOICES.
TAXABLE NONTAXABLE FREIGHT SALES TAX MISC TOTAL
0.00 664.00 30.79 0.00 0.00 694.79
PRIOR INVOICES 0.00 PREPAYMENT 0.00 NET DUE 694.79
1 T
O ty F INDIANA RETAIL TAX EXEMPT PAGE
M %CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 1
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/16/08
Fitzco Inc, Carmel Police Department
VENDOR 4300 Shoreline Dr SHIP 3 Civic Square
Spring Park, MN 55384 TO Carmel, IN 46032
800- 367 -8760
fas 888 471 -1185
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
HC V_L'
VOUCHER VVARRANTNO�___—
ALLOWED 20
IN THE 3Uk8 DF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
ro# or INVOICE NO, ACCT#/TITLE AMOUNT
hereby certify t the attached invoice(s),or
bill( is (are) true and correct and that the
materials or services itemized thereon for
which charge is mode were ordered and
received except
20__
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fun
Prescribed by StataBoard 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
Fitzco, Inc. Purchase Order No. 18959RF
P.O. Box 270107 Terms
Minneapolis, MN 55427 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/22/09 39730 payment for storage bags for lab 694.79
Total
I 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
F iczco, Inc. IN SUM OF
P. €A. Box 270107
Minneapolis, MN 55427
694.791
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18 5 RF 39730 390 -99 664.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 39730 421 30.79 which charge is made were ordered and
received except
June 29 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund