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HomeMy WebLinkAbout204879 12/20/2011 \�f CITY OF CARMEL, INDIANA VENDOR: 355158 Page 1 of 1 ONE CIVIC SQUARE LAFAYETTE INSTRUMENT CHECK AMOUNT: $479.85 CARMEL, INDIANA 46032 Po Box 5279 LAFAYETfE IN 47903 CHECK NUMBER: 204879 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350000 25929 L1050031 479.85 MOTION SENSOR ORIGINAL L INVOICE FED ID.# 35- 1950 -005 i nstrument. REMIT TO ADDRESS: 049454 Lafayette Instrument Company, Inc. P.O. BOX 5729 Shipping Address: LAFAYETTE, IN 47903 MKT P1 3700 SAGAMORE PARKWAY NORTH LAFAYETTE, INDIANA 47904 U.S.A. PHONE 765 423 -1505 FAX 765 423 -4111 ALL PAYMENTS MUST BE IN US$$ Web Address: www.lafayetteinstrument.com S CARMEL POLICE DEPT S CARMEL POLICE DEPT OL TERESA ANDERSON H OFCR GARY BOWMAN D 3 CIVIC SQUARE p 3 CIVIC SQUARE T CARMEL IN T CARMEL IN O 46032 O 46032 TELEPHONE: TERMSNET.30' UNLESS OTHERWISENOTED CUSTOMER NUMBER s INVOICE DATE >�w INVOICE NUMBER NET 30 460321 12/13/2011 LI0:50031 `CUSTOMER P,URCHASEORDERNUMBER ORDER DATE, ,SHIPPED DATE s SHIPPED VIA FACTORY 25929 12/13/2011 12/13/2011 UPS RDERE SHIPPED g;O MODEL'n' DESCRIPTION> "UNIT.P.RICE AMOUNT' 1 1 768795 ACTIVITY SENSOR SEAT 495.00 5.0% 470.25 470.25 PNEUMATIC TYPE PO# MUST APPEAR ON ALL INVOICES AND PACKAGES. SUB TOTAL 470.25 FREIGHT 9.60 TOTAL 479.85 PLEASE!! NO RETURNS WIT OUT PRIOR AUTHORIZATION!! LAFAYETrE INSTRUMENT CO. ASSUMES NO RESPONSIBILITY FOR ANY ITEM RETURNED ITHOUT PRIOR AUTHORIZATION. be TO INSURE PROPER CREDIT TO YOUR ACCOUNT All invoices 30 days past due will charged at the rate of 1.5% interest REMITTANCE COPY MUST ACCOMPANY CHECK Per month. Interest charges will start 01/17/2012 C 0 INDIANA RETAIL TAX EXEMPT PAGE ity CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2M 35- 60000972 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 92�l2499 Ldeyotto Czrmal Pollce Dopartment VENDOR SHIP 3 Civic Sgua P.O. Box SM TO CaB`mol, IN 46 32 Lm?zyGfto, IN 4704 (397) 579 2 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT Accou �ppUNIITT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.00 9 Each Motion Sensor for po[Wraph $470.25 $470.25 Sub Total: $470.25 a 4a. Send Invoice To: Comol Pollco Dopadmont Attn: TGrosa Andorson 3 Civic Squam Cwmol, IN 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Camel Police Dept. C9? PAYMENT $470.23 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 C RT -IFFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPPRIATIQN SUFFICI tST TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER C DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER 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 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)) 12/13/11 L1050031 motion sensor $479.85 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 Lafayette Instrument IN SUM OF P.O. Box 5729 Lafayette, IN 47904 $479.85 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 25929 I L1050031 I 43- 500.00 I $479.85 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 Friday, December 16, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund