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Home My WebLink About205613 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1 ONE CIVIC SQUARE T B A NORTH CHECK AMOUNT: $1,361.90 CARMEL, INDIANA 46032 309 GRADLE DRIVE CARMEL IN 46032 CHECK NUMBER: 205613 CHECK DATE: 1/17/2012 DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 3KG3822 219.10 REPAIR PARTS 1110 4237000 3KG8793 162.80 REPAIR PARTS 1110 4231500 25960 3KH2597 980.00 OIL TBA North Invoice 309 Gradle Dr. No 03KG3822 Carmel, IN 46032 317- 574 -1957 FAX: 317 -574 -1982 II II II I I I II I II i I II �I II Ill II l I Page 1 10:41:36 Dec 22 2011 CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE 318 03KG3822 12/22/11 03RS0211001 NET 10TH 030 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST CARMEL, IN 46032 CARMEL, IN 46074 IIITIIIillllllllrlllllll lilllllllllllllrillllll�llll Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 Route: CARMEL /WESTFIELD Direction: YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER STOCK 12/22/11, 10:41:36 1 300001 PERRY WILHITE 1 3 CARMEL /WESTFIELD A 301 ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT CITY ORDERED CITY PRICE PRICE PRICE CORE PRICE RAF ATD 1159P AT POLICE PAD SET U EA 3 0 3 92.85 0.00 40.70 0.00 122.10 D60 18A2322 19169879 KEEP 4 CARMEL U EA 2 0 2 98.88 0.00 48.50 0.00 97.00 TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS =RALANCE 219.10 476.31 219.10 0.00 0.00 0.00 219.10 0.00 2.08% service charge on past due accounts(25 per annum). Core returns must be in original box. All new returns must be resaleable. No return after 30 days without invoice. TBA North Invoice 309 Gracile Dr. No 03KG8793 Carmel, IN 46032 317- 574 -1957 FAX: 317 -574 -1982 II II l I I I I I I I l I l l II II II II Page 1 08:49:45 Jan 03 2012 CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP TERMS W EE 318 03KG8793 1 01/03/12 03RS5529001 NET 10TH 030 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST CARMEL, IN 46032 CARMEL, IN 46074 p.. 11111111111111111111 �IIIIII��IIIIIIilllllf1�1111111 Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317 -733 -4600 Route: CARMEL /WESTFIELD Direction: YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS pPER stock 01/03/12,08:49:45 1 200003 MATT SEGERSON 3 CARMEL /WESTFIELD A 202 ITEM DESCRIPTION 81N UNIT ORDER BACK INV LIST CORE NET NET EXT OTY ORDERED CITY PRICE PRICE PRICE CORE PRICE RAF ATD1159P AT POLICE PAD SET U EA 4 0 4 92.85 0.00 40.70 0.00 162.80 TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 162.80 371.40 162.80 0.00 0.00 0.00 1.62.80 0.00. 162.80 2.08% service charge on past due accounts(25 per annum). Core returns must be in original box. All new returns must be resaleable. No return after 30 days without invoice. G� TBA North Invoice 309 Gradle Dr. No 03KH2597 Carmel, IN 46032 317 574 -1957 FAX: 317- 574 -1982 II II II I I II I I I II IIII II III I it Page 1 09:01:22 Jan 10 2012 CUSTOMER N Invoice NUMBER Invoice DATE PACKING SLIP S WHSE 318 03KH2597 01/10/12 03RS9956001 NET 10TH 030 BILL TO: SHIPPED TO: CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE 3 CIVIC SQUARE 3400 W 131ST CARMEL, IN 46032 CARMEL, IN 46074 Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317- 733 -4600 Route: CARMEL /WESTFIELD Direction: YOUR P.O. NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER 25958 01/10/12, 09:01:21 300007 BRIAN HALPER 1 3 CARMEL /WESTFIELD A 307 ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE SWI BPU OIL 5W3055GALSYN SYNTHETIC BLEND NONE EA 2 0 2 1122.62 0.00 490.00 0.00 980.00 TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE 980.00 2245.24 980.00 0.00 0.00 0.00 980.00 0.00 980.00 2.08% service charge on past due accounts(25% per annum). Core returns must be in original box. All new returns must be resaleable. No return after 30 days without invoice. �S INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2 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 9890092 SODA Nouth Cumol Pollco DGp20roG1 VENDOR SHIP 3 CIVIC SgU@M SM Gradlo Ddvo TO Carmol, IN 46M Cumol, IN 46M 7) 579 CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT QUANTITY egg UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42. 315.00 2 Each 53 gallon drum $490.00 $080.00 Sub Total: $980.00 0 Send Invoice To: f J Cumol Pollco DapalftaM Attn: Toros@ Andmon 3 CIVIC squ2m Darmol, IN 482= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT 0.00 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 PRO SHIP REPAID. PER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS THSAPPROP Yq I H SUFFICIENTTOPAYOOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. IG? of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE. AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 5 9 6 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 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 VOUCHER NO. WARR NO. TBA North ALLOWED 20 IN SUM OF 309 Gradle Drive Carmel, IN 46032 $1, ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 1110 3KG3822 42- 370.00 $219.1 G bill(s) is (are) true and correct and that the 1110 3KG8793 42- 370.00 $162.80 materials or services itemized thereon for 25960 3KH2597 42- 315.00 $980.00 which charge is made were ordered and received except Thursday, January 12, 2012 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)) 12/22/11 3KG3822 repair parts $219.10 01/03/12 3KG8793 repair parts $162.80 01/10/12 3KH2597 oil $980.00 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