HomeMy WebLinkAbout206452 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC
CARMEL, INDIANA 46032 6680 E. 21ST. STREET CHECK AMOUNT: $274.99
INDIANAPOLIS IN 46219
CHECK NUMBER: 206452
CHECK DATE: 2114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 25973 170756 274.99 JACKET W /CROSS TECH F
STEVEN R JENKINS CO INC Invoice
6680 E 21 ST ST
INDIANAPOLIS IN 46219 Date nvoice
1-317-352-0184 2/9/2012 170756
Bill To Ship To
CARMEL POLICE DEPT PICKED UP BY Mary OBrian
3 CIVIC SQUARE
CARMEL, IN 46032
P.O. Number Terms Rep
25973 Net 30 NOR...
Quant... Item Code Description Price Each Amount
1 40300 CLO... Blauer 99052 dary navy jacket size M ROBERT ROBINSON 274.99 274.99
Sales Tax 0.00% 0.00
$274.99
SHOP sr jco corn Total
INDIANA RETAIL TAX EXEMPT PAGE
Ci _,®f C arme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2%73
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
919212092
Steven P. Jenkins Co., Inc. Camel Police Department
VENDOR
SHIP 3 Civic Squarn
Emat 21st StrGot TO Carnal, IN 4
Indianapolis, IN 46298 (M) 679
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43. ®9
9 Each Blauer 99052 Ike- Isnooth jackot- wlcr®ss $274.99 $274.99
tech 6abric
Sub `Dotal: $274.99
co
oro) 5 -4 a
Kay 013da n v A I\C l
Send Invoice To: U�.!
Camel Police Department
Attn: Torosa enders ®n
3 Civic Squm
Camel, IN 4M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $274.49
'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 TIJAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROC�T 0 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. V Citief Ponce
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ff Y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
rr�
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
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))
02/09/12 170756 jacket O'Brian $274.99
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
Steven R. Jenkins Co., Inc.
IN SUM OF
6680 East 21st Street
Indianapolis, IN 46219
$274.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
25973 I 170756 I 43- 560.01 I $274.99 1 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
Friday, February 10, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund