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178818 10/28/2009 a CITY OF CARMEL, INDIANA VENDOR: 360626 Page 1 of 1 ONE CIVIC SQUARE PENN CAMERA EXCHANGE, INC CHECK AMOUNT: $269.00 CARMEL, INDIANA 46032 PO BOX 758828 BALTIMORE MD 21275 -8828 CHECK NUMBER: 178818 CHECK DATE: 10/28/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DESCRIPTION 1110 4239099 21212 759164 260.00 CAMERA FLASH .1110 4342100 21212 759164 9.00 CAMERA FLASH PEA V) V CA) VFAVA Remit To: COPY 3 O Penn Camera Exchange, Inc. P.O. Box 758828 Professional Sales Baltimore, MD 21275 -8828 7040 Virginia Manor Road, Beltsville, MD 20705 DUNS. 024269623 FED ID: 53- 0075287 Terms: Net 30 Days -(301) 210 -7366 Fax: (301) 210 -7370 0 Toll Free: 800 347 -5770 INVOICE DATE INVOICE NO. PAGE www.penncamera.com 10/12/09 759164 1 S S 0 CARMEL POLICE DEPT. H CARMEL POLICE DEPT D ATTN: JOHN ELLIOTT p ATTN: MAJOR LUCKIE CAREY 3 CIVIC SQUARE 3 CIVIC SQUARE T CARMEL, IN 46032, T CARMEL, IN 46032 281708 09/23/09 3639 436 21212 Ground NET 30 DAYS PRICE T 'EXTENDED PRICE O Y 1 1 93676 PECA 812 IR FLASH FILTER xxx 260.00 260.00 1 1 999 po #21212 0.00 0.00 1 1 915 SHIP AND HANDLING 9.00 9.00 Ground SALE AMOUNT 269.00 We buy used photo equipment. NO TAX Ask us how you can take advantage. ?4a4k *04C P'i i+tea� 269.00 INDIANA RETAIL TAX EXEMPT PAGE Ci ®II C rme l CERTIFICATE NO. 003120155 002 0 Jl Chi �V J11► PURCHASE ORDER NUMBER Pol Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3 ©,�N' 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 PURCHA SE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Sevtember 22. 009 camera flash VENDOR Penn Camera Exchange, Inc. SHIP City of Carmel Police Department P.O. Box 758828 TO 3 Civic Sq uare Baltimore, 10 22275 -8828 Carmel, IN 46008 ATTN: Major Luckie Carey CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 93676 812 IR Flash Filter specify for Nikon 9B -800 260.00 shipping 9.00 390 -99 $260.00 0 a 421 9.00 M g Fs Send Invoice To: City o� Carmel Po r�� ATTN: Teresa Anderso 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE 269.00 DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1110 390 -99 other miscellaneous PAYMENT 1110 421 postage 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 THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. Chief Of POlice THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 21 2�g CLERK TREASURER DOCUMENT CONTROL NO. COPY SIGN AND RETURN TO CLERK'S OFFICE r VQUCHER NO. WARRANT NO. r ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR i 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 �P I rescriy d by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Penn Camera Purchase Order No. 21212F P.O. Box 758828 Terms Baltimore, MD 21275 -8828 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/12/09 759164 payment for flash filter 269.00 Total 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 ti Penn Camera Exchange, Inc. IN SUM OF P.O. Box 758828 Baltimore, MD 21275 -8828 269.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21212F 759164 390 -99 260.00 bill(s) is (are) true and correct and that the 21212F 759164 421 9.00 materials or services itemized thereon for which charge is made were ordered and received except October 19 20 09 ignature Assistant Chief of Poli Cost distribution ledger classification if Title claim paid motor vehicle highway fund