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Home My WebLink About205304 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350674 Page 1 of 1 ONE CIVIC SQUARE ULINE CARMEL, INDIANA 46032 2200 SOUTH LAKESIDE DR CHECK AMOUNT: $441.35 WAUKEGAN IL 60085 CHECK NUMBER: 205304 CHECK DATE: 1/512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4463000 41526273 47.35 FURNITURE FIXTURES 1110 R4463000 25917 41526273 394.00 SHELVING INVOICE NO. 1- 500 295 -5510 uline.com 41526273 2200 S. Lakeside Drive Waukegan, IL 60085 INV OICE SHIPPING SUPPLY SPECIALISTS ULINE FED ID 36- 3684738 THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2003 YOUR ORDER 44945478 SOLD TO: SHIP TO: MDG2010 00026616 1 AB 0368 �11' ��II'' I"' I�' I II I I II' I' II I I I I��I llllll l l �l�l ll CARMEL CITY OF CARMEL CITY OF POLICE DEPT POLICE DEPT 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032 -7570 CARMEL IN 46032 -7570 U -100 8 -2010 e e a ORDER DATE 1• o a 447339E ROBERT UPS GROUND 12/13/11 12/13/11 NET 30 DAYS 12/13/11 2 KT H -1206 48X24X72 WIRE SHELVING UNIT 197.00 394.00 �RDEP. -PL ACED S` P.^ °ERT ROB!NSON SUB =TOTAL SALES FRT /HNDLING AMOUNT'DUE INTERNET /1 394.00 .00 47.35 441.35 INDIANA RETAIL TAX EXEMPT PAGE C ity o f.,Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2%17 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 92iai209 i ullne Carmol police Dopafton4 Accounts Rpcolvable SHIP 3 Civic 8qum VENDOR 2200 Louth Lakoside Drivo TO Cumol, I N 4M Vftukogar, IL OM 571 =2 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44.00 00 3 /%I 2 Each shelving H -4200 $980.00 Sub Total: $378.00 a 0 Send Invoice To: f Carmel Police Departmont Attn: Torossi Anderson 3 Civic squm Carmel, IN 2- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Caramel Police Dept. �L PAYMENT 78.00 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 THAY THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRI Tr UFFICIENT T PM"FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. C G 0 P THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE b (d Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL No- 25 9 17 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF V 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 except 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 41526273 shelving $441.35 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Uline Accounts Receivable IN SUM OF 2200 South Lakeside Drive Waukegan, IL 60085 $441.35 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members r Prior Year Encumbered I hereby certify that the attached invoice(s), or 25917 41526273 44- 630.00 $441.35 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 Tuesday, January 03, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund