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Home My WebLink About204214 12/06/2011 voided CITY OF CARMEL, INDIANA VENDOR: 354312 Page 1 of 1 ONE CIVIC SQUARE ENTERPRISE TECHNOLOGY GROUP CARMEL, INDIANA 46032 7202 E 87TH ST, SUITE 100 CHECK AMOUNT: $1,050.00 INDIANAPOLIS IN 46256 CHECK NUMBER: 204214 CHECK DATE: 12/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 25897 11385 1,050.00 PERFORATED ROLL EMP Technical Group OnV ®eCe (U REMIT TO: 15309 Stony Creek Way Date Invoice Noblesville. IN 46060 317- 776 -6700 11/16/2011 11385 WrexrxIse uAxMnc wuroia:n. Mc Bill To Ship To Cannel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Cannel, IN 46032 Carmel, IN 46032 ATTN: ACCOUNTS PAYABLE ATTN: Robot Robinson /P0#25897 P.O. Number Terms Rep Ship Via F.O.B. 25897 Net 30 BV 11/15/2011 Fed Ex Ground Factory Quantity Item Code Description U/M Price Each Class Amount 20 LB3663 -CASE Perforated roll, 6 roll pack, 100 sheets per ca 49.75 9106 995.00T roll, priced per case. Shipping Shipping /Handling 55.00 9106 55.00T Sales Tax 0.00% 0.00 Thank you for your business. Tota $1,050.00 Phone Fax 317- 776 -6700 X100 317 -219 -0535 INDIANA RETAIL TAX EXEMPT PAGE C ity ®I' C- sane l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 9919412099 Enterpdoo Technical Group Camel Police DGpartmont VENDOFoon SHIP 3 Civic Square TO IM Rony CrGok Vft CafmGI, IN 4QI Noblesvillo, IN 46M (317) 571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-2.00 20 Each Perforated roil L83063 $49.75 $995.00 Sub Total: $995.00 Send Invoice To: `s CSIrm Police DGpai tman4 Attn: Torus& Anderson 3 Civic Squam Camel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT X5.00 3 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. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL s� SHIPPING LABELS. �a THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ChItf Q I Police olic'e AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO.25897 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF Cr6 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 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/16/11 11385 perforated rolls $1,050.00 1 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 Enterprise Technical Group Ben IN SUM OF 15309 Stony Creek Way Noblesville, IN 46060 $1,050.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 25897 I 11385 I 42- 302.00 I $1,050.00 1 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 Thursday, December 01, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund