HomeMy WebLinkAbout204364 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 357537 Page 1 of 1
ONE CIVIC SQUARE PRO WINDOW TINTING INC
rQ CARMEL, INDIANA 46032 6727 GUION ROAD CHECK AMOUNT: $270.00
INDIANAPOLIS IN 46268 CHECK NUMBER: 204364
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 10526 270.00 AUTO REPAIR MAINTEN
PRO WINDO TINTING, INC. 9 OR
6727 GUION ROAD
INDIANAPOLIS, IN 46268 10526
(317) 507-T (8468) DATE CUSTOMER ORDER NO.
TO SHIP TO cc��
SALESPERSON TAX EXEMPT NO.
CASM CRARGE C,Q FT MU9E_ RE7"0 f'Alp OUTn .,n' SH Na 1!iA.... T_ -a FQ.& PO ih(T° s 'F�ERt�
tl UAN, $TQt k; DE,SCRIPTION TQT
RECEIVED BY
TOTAL W
3 wj (yew
0
INDIANA RETAIL TAX EXEMPT PAGE
C ity of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26
35- 50000972
ONE 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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
PFa Wndm hating, Inc. C nil Pol1CG Dopvtme t
VENDOR
SHIP 3 CIVIC squ
627 Gulon Road TO Carii ol, IN 4
Indliampolls, IN 671.21M
CONFIRMATION BLANKET CONTRACT PAYMEN TE RMS FREIGHT
Ac count UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Arco nt 4 sio.0,0
9 Each wind= tinting $270.00 $270.00
Sub Total: $270.00
Al
Jtl
•ate°
v i
w Y �p
;1 a d' "so- ��+o"'y 5
jfd�,ty 'y a P 3 v a C y y, e,!. R• A� A
Q
Send Invoice To:���'
CWMG Polly a Depodment
Attu: Teresa Andorson
3 CIVIC squam
Cumol, IN 4n PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Caramel Polico Dept. PAYMENT $V0.00
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 T E PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CE IFYTHATTHERE IS�ANN UNGBLIGATED BALANCE IN
SHIP REPAID.
THIS APP IATION SUFFICI NT IU PAY FOR THE A80VE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. i
�i� �o11C
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE C I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 5 9 0V 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT N0.
ALLOWED 2€7
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #mTL,E AMOUNT
DEPT. I hereby certify that the attached invoices), 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
Cast distribution ledger classification if
claim paid motor vehicle highway fund
VOU NO. WARRANT NO.
Pro Window Tinting, Inc. ALLOWED 20
IN SUM OF
6272 Guion Road
Indianapolis, IN 46268
$270.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
z Board Members
1110 10526 43 510.00 $270.00
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
Friday, December 02, 2011
Chief of Police
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))
11/30/11 10526 window tint $270.00
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