174281 07/08/2009 9. CITY OF CARMEL, INDIANA VENDOR: 00351241 Page 1 of 1
ONE CIVIC SQUARE COMMERCIAL FURNISHINGS
CHECK AMOUNT: $2,611.28
CARMEL, INDIANA 46032 251 E OHIO ST #100
INDIANAPOLIS IN 46204 CHECK NUMBER: 174281
r� CHECK DATE: 7/8/2009
DEPART ACCOUNT PO NUMB INVO NUMBER AM OUNT DESCRIPTI
02 4463000 26313 481.28 FURNITURE FIXTURES
1110 4463000 20987 26379 2,130.00 CHAIRS
i
COMMERCIAL FURNISHINGS CORPORATION Invoice
251 E. Ohio Street, Suite 100
Indianapolis, IN 46204 BILLING DATE INVOICE
Phone (317)636 -3690 613012009 26379
Fax (317)632 -5668
BILL TO SHIP TO
City of Carmel Police Dept.
Carmel Police Dept. 3 Civic Square
3 Civic Square Carmel, IN 46032
Carmel, IN 46032 Attn: Tim Zellers 571 -2562
Attr!: -Aran Gallagher
P.O. NUMBER TERMS REP VIA TAX EXEMPT NO. ORDER DATE
20987 Net 30 days GLM Our Truck 003120155 002 0 5 -21 -09
QUANTITY DESCRIPTION PRICE EACH AMOUNT
6 Task chairs 293.00 1,758.00
1 Hi -back task chair
C
DeIive y On 5.(10
S u btota l
Sales Tax (7.0 $0.00
.v
Raynor /23448 Total
Payments /Credit $0.00
Balance Due 0
FINANCE CHARGE OF 2% PER MONTH, 24% PER YEAR ON PAST DUE INVOICES.
0 INDIANA RETAIL TAX EXEMPT PAGE
Carmel CERTIFICATE NO. 003120155 002 0 f 1� PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 4
"S 3ANE CIVIC SQUARE EHISN BER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS,
LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
May 15, 2009 hhairs
VENDOR Commercial Furnishings Corp SHIP City of Caramel Police Department
251 East Ohio Street, Suite 100 TO 3 Civic Square
Indianapolis, IN 46204 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
6 Rayno2 Task Chair MFT9450 293.00 1,758.00
1 Rayo2 Task Chair MM9500 297.00
delivery 75.00
Send Invoice To: City of Carmel Poli en
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 2,130.00
DEPARTMENT ACCOUNT PROJECT I PRO_ JECT ACCOUNT AMOUNT
1110 630 furniture and fixtures
PAYMENT
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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /�7fF�7fX +J Jli2�1�L.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
-f CLERK TREASURER
OCUMENT CONTROL NO. A. .COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.__...-
ALLOWED 20
y,
IN THE SUM OF
n
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
Prescribr•`,by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm No. 207 (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
Commercial Furnishings Corporation Purchase Order No. 20987F
251 E. Ohio Street, Suite 100 Terms
Indianapolis, IN 46204 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/30/09 26379 payment for chairs 2,130.00
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
C me al Furnishing Corporation IN SUM OF
251 E. Ohio Street, Suite 100
Indianapolis, IN 46204
2.130.00
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
20987F 26379 630 2,130.00 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
July 2 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
COMMERCIAL FURNISHINGS CORPORATION Invoice
251 E. Ohio Street, Suite 100
Indianapolis, IN 46204 BILLING DATE INVOICE
Phone (317)636 -3690 4/20/2009 26313
Fax (317)632-5668
BILL TO SHIP TO
Carmel Redevelopment Commision Carmel Redevelopment Commission
111 W. Main St., Suite 140 30 W. Main Street
Carmel, IN 46032 Carmel, IN 46032
Attn: Sherry Mielke Attn: Sherry Mielke 571 -2787
P.O. NUMBER TERMS REP VIA TAX EXEMPT NO. ORDER DATE
LOA Net 30 days GLM Our Truck 003120155 002 0 4 -8 -09
QUANTITY DESCRIPTION PRICE EACH AMOUNT
1 LCS Markerboard, Tx 4' 266.00 266.00
Freight 110.28 110.28
Delivery 75.00 75.00
Installation 30.00 30.00
Subtotal $481.28
Sales Tax (7.0 $0.00
Total $481.28
Claridge /23393
Payments/CreditE $0.00
Balance Due $481.28
FINANCE CHARGE OF 2% PER MONTH, 24% PER YEAR ON PAST DUE INVOICES.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
t
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
�01yr����,; f f x/0-7 17 2 --5; CdiF.o�� o•> Purchase Order No.
2 5/ 4 C�, Terms
/ti 862 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total 2,9
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
o�idnPr�,�,/
IN SUM OF
ZS 9 57 d��I
Ah d car, 527 .5
ON ACCOUNT OF APPROPRIATION FOR
gD2� x/ 30d
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
9G2 263/3 �W(,l o LIF1,2& 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
5 -11 20 0 9
Signature
Director of Operations
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund