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Home My WebLink About179564 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351912 Page 1 of 1 ONE CIVIC SQUARE AMERICAN RECORDABLE MEDIA INC CARMEL, INDIANA 46032 3744 WILLOW RIDGE ROAD CHECK AMOUNT: $2,000.00 LEXINGTON KY 40514 CHECK NUMBER: 179564 CHECK DATE: 11/24/2009 DE PARTMENT A CCOU NT PO NU INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 21247 230725 2,000.00 VHS TAPES �i :�iaiil II III American Recordable Media Invoice 3744 Willow Ridge Road Date: Invoice Lexington, KY 40514 800 598 -8273 11/5/2009 230725 859 296 -4737 fax RECORDABLE A Bill to Customer 16145 TERESA ANDERSON PO 21247 CARMEL POLICE DEPARTMENT TERMS: NET 30 3 CIVIC SQ Salesman: DAN CASE CARMEL, IN 46032 -2584 Shipped via: UPS Item Description Qty Pric Amount HQ T -120 VHS FUJI HQ VHS, 12 0 MIN. 10 /CASE 1000 $2.000 $2;000:00 1 Subtotal: $2,000.00 Sales Tax: $0.00 Shipping Handling: $0.00 INVOICE TOTAL: $2,000.00 PAID: No PAYMENT DATE: Amount Paid: $0.00 Thank You For The Order!! PAY THIS AMOUNT $2,000.00 Note: Finance Charges Of 1.5% Per Month Will Be Assessed On All Past Due Balances. INDIANA RETAIL TAX EXEMPT PAGE Ci o I' Carmel CERTIFICATE NO. 003120155 002 0 f 1+- PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 91')A 3 0MECIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING ORRESPON SLIPS, SHIPPING LABELS AND ANY CDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Nov.4mber 3, 20 9 video tapes VENDOR American Recordable Mddia SHIP City of Carmel Police Department 37144 Willow Ridge Road TO 3 Civic Square Lexington, KY 40514 Cammel, IN 46032 AATTN: Robert Robinson CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1,000 HQ T -120 VHS &apes 2.00 2,000.00 r t AN h em �„m m City of Carmel Pole Ike r6 tl Send Invoice To: ATTN: Teresa Andersi�'_ 3 Civic Squarve {3' Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJE_ CT I PROJECT ACCOUNT AMOUNT 1110 390 -99 other miscellai PAYMENT P! A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 1 NUMBER IS MADE APART 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. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 2 J TC3�fl✓�•'f c, SHIPPING LABELS. Ch of POlice ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE THEREOF AND SUPPLEMENT THERETO. F SENT CONTROL NO. L• A. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.- WARRANT ALLOWED 20 IN THE SUM OF I 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 receivedexcept_....... 20 Signature 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 t American Recordable Media Purchase Order No. 21247F 3744 Willow Ridge Road Terms Lexington, KY 40514 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/5/09 230725 payment for tapes 2.000.00 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 A merican Recordable Media IN SUM OF 3744 Willow Ridge Road Lexington, KY 40514 2.000.00 ON ACCOUNT OF APPROPRIATION FOR p olice general ufnd Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21247F 230725 390 -99 2 000.00 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 November 18 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund