HomeMy WebLinkAbout179564 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
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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
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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