HomeMy WebLinkAbout204399 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
t ONE CIVIC SQUARE STEVEN R JENKINS CO INC CHECK AMOUNT: $274.99
CARMEL, INDIANA 46032 6680 E. 21ST. STREET
INDIANAPOLIS IN 46219 CHECK NUMBER: 204399
CHECK DATE: 12/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356002 27904 170132 274.99 JACKET
STEVEN R JENKINS CO INC Invoice
r
6680 E 21ST ST
INDIANAPOLIS IN 46219 Date nvoice
1- 317 -352 -0184 11/1/2011 170132
Bill To Ship To
CARMEL POLICE DEPT Picked up by Adam Devenport for Robert
3 CIVIC SQUARE Robinson 11/14
CARMEL, IN 46032
P.O. Number Terms Rep
27904 Net 30 NOR...
Quant... Item Code Description Price Each Amount
1 40300 CLO... Blauer 9905Z jacket navy size XL regular 274.99 274.99
Sales Tax 0.00% 0.00
$274.99
SHOP sr jco com Total
INDIANA RETAIL TAX EXEMPT PAGE
u� of C armed CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
oven P. Jonhins Co., Inc. Carmel Pollco Dopwt
VENDOR SHIP 3 Civic Squm
Emst 21st Tarot TO ftrmol, IN 46M
Indianapolis, IN MIS (317) 671-M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
ppaagg�gg��gg//�� Ss��UNIT RE OF MEASU DESCRIPTION UNIT PRICE EXTENSION
p
I Each Blmuia 99052 lke4ong8h jacket w14ross $274.90 $274.99
teal fabric
Bub Total: M4.99'
3 jai n n� �j j
I.
by C�` �s' J
Send Invoice To:��
CamGI Pollco Dopartmont r
Attn: Toresa Andwson
3 Civic Squairo
Col, IN A9 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 7 PROJECT ACCOUNT AMOUNT
Carmel Police Dop$. PAYMENT W4.
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 T F�T� HERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPR AAT N S F ICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL J
SHIPPING LABELS. Chi' of police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ir
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 27904 A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. hereby certify that the attached invoice(s), or
bi[I(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
J
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Steven R. Jenkins Co., Inc. ALLOWED 20
IN SUM OF
6680 East 21 st Street
Indianapolis, IN 46219
$274.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
27904 I 170132 43- 560.02 I $274.99 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
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))
11/01/11 170132 jacket Devenport $274.99
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