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