HomeMy WebLinkAbout173888 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 362793 Page 1 of 1
ONE CIVIC SQUARE INTAPOL INDUSTRIES CHECK AMOUNT: $286.47
CARMEL, INDIANA 46032 77 AMITY STREET
s JERSEY CITY NJ 07304 CHECK NUMBER: 173888
CHECK DATE: 6124/2009
DEP ARTMENT ACCO J PO NUMBER INVOICE NUMB AMO UNT DESCRIPTION
1110 4342100 163810IN 10.50 POSTAGE
1110 4356001 20106 163810IN 275.97 MOTORCYCLE PARTS
INVOICE Pa I
INTAPOL INDUSTRIES, INC. INVOICE NUMBER: 0163810_IN
77 AMITY STREET
INVOICE DATE: 06/09/2009
JERSEY CITY, NJ 07304
(201) 432 -5555
ORDER NUMBER: 0119329
ORDER DATE: 06/09/2009
SALESPERSON: LRB
CUSTOMER NO: 11-0700333
SOLD TO: SHIP TO:
CARMEL POLICE DEPT. CARMEL POLICE DEPT.
3 CIVIC SQUARE ATTN: SGT. CHARLIE DRIVER
ATTN: TERESA ANDERSON 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: TRACKING NUMBERS: IZO56921 0300135675;
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
20106 TOP 25 GROUND NET 30 DAYS
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
151 BR- 2/R EACH 2 2 0 129.99 259.98
BREECHES DK NV 4 WAY STR LYCRA
FASNV EACH 2 2 0 7.99 15.98
1" NAVY CLOTH
Net Invoice: 275.96
Freight: 10.50
Sales Tax: 0.00
Invoice Total: 286.46
C' INDIANA RETAIL TAX EXEMPT PAGE
C' o �C rme� CERTIFICATE NO. 003120155 002 0 i
1i CS.t�. ��1111 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 20
3}QNE�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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Anril 20. 200 motorcvcle Dants
VENDOR Intapol Industries SHIP City of Carmel Police Deparment
77 Amity Street TO 3 Civic Square
Jersey City, NJ ,07304 Carmel, IN 46032
ATTN: Sgt. Charlie Driver
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 SKU: 151BR Motorcycle'breeches dark navy lycra stretch pants 129.99 239.99
size: 32 regular
2 SKU: FA5 1" cloth pant striping 7.99 15.998
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Send Invoice To:
City of Carmel Po D
ATTN: Teresa Anders s
3 Civic Square'
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
275.9
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 560 -01 uniforms 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
1 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. 1 4 -74 I //pp C.O.D. SHIPMENTS CANNOT BE ACCEPTED.! S' PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY 1 4 -74 .E
SHIPPING LABELS. d I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 V V CLERK TREASURER
DOCUMENT CONTROL NO A•P.V• COPY SIGN AND RETURN TO CLERK'S OFFICE
Prescribed 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
I ntapol Industries, Inc. Purchase Order No. 20106F
7 7 Amity Street Terms
J ersey City, NJ 07304 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/9/09 163810IN payment for motorcycle pants for Sgt. Charlie Driver 286.46
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
I ntapol Industries, Inc. IN SUM OF
77 Amity Street
Jersey City, NJ 07304
286.46
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
20106F 163810IN 560 -01 275.97 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 163810IN 421 10.50 which charge is made were ordered and
received except
June 19 2009
r).
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund