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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