HomeMy WebLinkAbout171719 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00351912 Page 1 of 1
ONE CIVIC SQUARE AMERICAN RECORDABLE MEDIA INC
CHECK AMOUNT: $1,000.00
CARMEL, INDIANA 46032 3744 WILLOW RIDGE ROAD
LEXINGTON KY 40514 CHECK NUMBER: 171719
CHECK DATE: 4/29/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESCRIPTION
1110 4239099 20104 224794 1,000.00 VHS TAPES
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I
American Recordable Media I nvoice
3744 Willow Ridge Road Date: Invoice
Lexington, KY 40514
800 598 -8273 4116/2009 224794
859 296 -4737 fax
RECORDABLE
r
Bill to Customer 16145
I
TERESA ANDERSON PO 20104
CARMEL POLICE DEPARTMENT TERMS: NET 30
3 CIVIC SQ Salesman: DAN CASE
CARMEL, IN 46032 -2584 Shipped via: UPS
Item Descri tp ion (;2ty Price Amount _H i icU'vii? "FUJi Ham, tLU IVIIIV. IU %l �1JC i SUU $2.000
1
Subtotal: $1,000.00
Sales Tax: $0.00
Shipping Handling: $0.00
INVOICE TOTAL: $1,000.00
PAID: No PAYMENT DATE: Amount Paid: $0.00
Thank You For The Order!! PAY THIS AMOUNT $1,000.00
Note: Finance Charges Of 1.5% Per Month Will Be Assessed On All Past Due Balances.
INDIANA RETAIL TAX EXEMPT PAGE
o C a rme� CERTIFICATE N0. 003120155 002 0 1i 1� �l.i 1i PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT 20
35- 60000972
34
N 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
Avril 16* 200 VHS tapes
VENDOR American Recordable Media SHIP City of Caramel Police DeparMent
3744 Willow Ridge Road TO 3 Civic Square
Lexiugton, 40514 Carmel, IN 46032
ATTN: Dan &se ATTN: Robert Robinson
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
500 HQ T -420 VHS tapes Quote #16145 -2556 2.00 1,000.00
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City of Carmel PO 30 _1
Send Invoice To: ATTN: Teresa Andeerso
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3 Ciatc Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT T AMOUNT
1110 390 -99 other miscellaneo d 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 THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
/J f; f/•1-''
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY xf
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE C hief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 0 V CLERK- TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
`OUCHER NO.- WARRANT NO.
ALLOWED 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 if
claim paid motor vehicle highway fund
Prescriieed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
American Recordable Media Purchase Order No. 20104F
x 3744 Willow Ridge Road Terms
Lexington, KY 40514 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/16109 224794 a ent for VHS tapes 1,000.00
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
u
A merican Recordable Media IN SUM OF
3744 Willow Ridge Road
Lexington, KY 40514
1,000.00
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
20104E 224794 390 -99 1 000.00 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
April 22 20 09
Signature
C:bi of of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund