HomeMy WebLinkAbout204777 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 365197 Page 1 of 1
ONE CIVIC SQUARE EMP TECHNICAL GROUP
CHECK AMOUNT: $1,044.00
CARMEL, INDIANA 46032 15309 STONY CREEK WAY
o NOBLESVILLE IN 46060 CHECK NUMBER: 204777
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230000 25924 11660 1,044.00 PERFORATED ROLL
F
1 EMP Technical Group Invoice
REMIT TO:
15309 Stony Creek Way Date Invoice
M P Noblesville, IN 46060
317- 776 -6700
LATURrRK. 'CAM AIJg reomurrs. my 12/ 14/201 1 1 1 660
Bill To Ship To
Cannel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
ATTN: ACCOUNTS PAYABLE ATTN: Robet Robinson /PO 425924
P.O. Number Terms Rep Ship Via F.O.B.
25924 Net 30 BV 12/13/2011 Fed Ex Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
20 LB3663 -CASE Perforated roll, 6 roll pack, 100 sheets per ea 49.75 9312 995.00T
roll, priced per case.
Shipping Shipping /Handling 49.00 9312 49.00T
Sales Tax 0.00% 0.00
Thank you for your business. Tota �L $1.044.00
Phone Fax
317 -776 -6700 X100 317 -219 -0535
INDIANA RETAIL TAX EXEMPT PAGE
C ity o f C arme l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT A
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.
PURCHASE ORDER DATE DATE REQUIRED I REQUISITION NO, VENDOR NO. DESCRIPTION
i1i 9
EMP Tochr lool Group Cater GI Po llco DopiAmia t
VENDOR SHIP 9 Chic Squam
97450 n llor Coui t TO Carmel, IN
MoffiGid, IN 46074 (397) X79-Mg
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account AMOM L-, 9 loo
20 Each Perforated roll LB3003
Sub Total: $000.00
,6 A�.
V
Send Invoice To:
1
Camol Pollco DepaAmont
Attu: Teresa Andorson
3 Civic Squ am
CwmGl, IN a PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. PAYMENT �1� vo
NP 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 CERTI�.Y TeAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS AP P RO TIN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL 6
SHIPPING LABELS. hl`f of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Idf
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 5 9 2 4 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
I]EPT.
EPT INVOICE NO ACCT# /TITLE AMOUNT
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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
EMP Technical Group
IN SUM OF
fj'j
$1,044.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
25924 11660 42- 300.00 I $1,044.00 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 15, 2011
4.4
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))
12/14/11 11660 e- ticket paper $1,044.00
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