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Home My WebLink About171719 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 ek 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 kol N��.0 •m i City of Carmel PO 30 _1 Send Invoice To: ATTN: Teresa Andeerso r; >t 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