172274 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00351241 Page 1 of 1
ONE CIVIC SQUARE COMMERCIAL FURNISHINGS CHECK AMOUNT: $2,535.00
CARMEL, INDIANA 46032 251 E OHIO ST #100
INDIANAPOLIS IN 46204 CHECK NUMBER: 172274
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOI CE NUMBER AMOUNT DESCRIPTION
1110 4463000 20071 26272 2,535.00 FURNITURE
�r
i!
1
COMMERCIAL FURNISHINGS CORPORATION Invoice
251 E. Ohio Street, Suite 100
Indianapolis, M 46204 BILLING DATE INVOICE
Phone (317)636 -3690 4/27/2009 26272
Fax (317)632 -5668
BILL TO SHIP TO
City of Carmel Police Dept.
Police Dept. 3 Civic Square
3 Civic Square Carmel, IN 46032
Carmel, IN 46032 Attn: Tim Zellers 571 -2562
Attn:. Ann. Gallagher
P.O. NUMBER TERMS REP VIA TAX EXEMPT NO. ORDER DATE
20071 Net 30 days GLM Our Truck 003120155 002 0 3 -6 -09
QUANTITY DESCRIPTION PRICE EACH AMOUNT
For Police Dept.
1 Desk shell, 60 x 30 300.00 300.00
1 Return, 60 x 24 283.00 283.00
1 Pedestal, 24 "d 306.00 306.00
1 Lap drawer 82.00 82.00
2 Overhead cabinet, 30 "w 311.00 622.00
1 Tackboard, 60 "w 108.00 108.00
2 Tasklight 102.00 204.00
Delivery 150.00 150.00
Installation 480.00 480.00
Subtotal $2,535.00
Sales Tax (7.0 $0.00
Total $2,535.00
Hon/23356
Payments /Credit $0.00
2M /4H
Balance Due $2,535.00
FINANCE CHARGE OF 2% PER MONTH, 24% PER YEAR ON PAST DUE INVOICES.
C1 4 INDIANA RETAIL TAX EXEMPT PAGE
Ca r m el CERTIFICATE NO. 003120155 002 0 1
1� PURCHASE ORDER NUMBER
r Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1
3 ON
E:CIVIC SQUARE rTH1 NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 CHER, DELIVERY MEMO, PACKING SLIPS,
PING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
March 5, 2009 t> e
VENDOR Commercial Furnishings SHIP Cityo6f Carmel Police Department
251 East ®hio Street, Suite 100
TO 3 Civic flquare
Indianapolis, IN 46204 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
per quote 2,535.00
o
a� r
o
Send Invoice To: City of Carmel Poli e
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1110 630 furniture and fixtures PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
i VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ChiefChief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
L `.I 0 1 CLERK TREASURER
DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VO@qHERN{} WARRANT NO.
ALLOWED 20
|N THE SUM DF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
n#m hereby certify that the attached invoice(s) or
bill(s) ia(are} true and correct and that the
materials or nen/ioea itemized thereon for
which charge is made were ordered and
received except
20____
Signature
Title
Cost distribution ledger classification if
claim mid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
7 11 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 Furnishing Corporation Purchase Order No. 20071F
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))
26272 payment for furniture 2,535.00
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.
y o
ALLOWED 20
C ommercial Furnishings Corporation IN SUM OF
251 E. Ohio Street, Suite 100
Indianapolis, IN 46204
2,535.00
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
20071E 26272 630 2,535.00 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
May 7 2009
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund