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Home My WebLink About206854 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 364577 Page 1 of 1 j. ONE CIVIC SQUARE WORKSPACE SOLUTIONS CHECK AMOUNT: $22,632.33 CARMEL, INDIANA 46032 919 COLISEUM BLVD FORT WAYNE IN 46805 CHECK NUMBER: 206854 CHECK DATE: 2128/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1301 R4463000 27330 44211 12,490.33 3 NEW WORK STATIONS 1110 R4463000 25927 44222 94.00 CHAIRS /TABLE 1110 R4463000 27219 44222 1,580.00 OFFICE TABLE CHAIRS 1301 4463000 44224 594.80 FURNITURE FIXTURES 1301 R4463000 27329 44224 1,966.00 LINCOLN TABLES 1301 R4463000 27332 44224 5,907.20 FURNITURE J works Sogudon INVOICE: 44224 Fort Wayne Warsaw DATE: 02/20/12 Ph: 260 -422 -8529 Fax: 260 422 -6815 91.9 Coliseum Blvd. North 46805 PROJECT 6 -111 PROPOSAL: 14864 www.workspacesolutions.com BILL TO: INSTALL AT: CSI E N T N UNJ 9E 6 "r 5_4 CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 _&US_Ten.ER P- /-C:. -TERMS SALES-PERSON 27332 NET 15 Gary McDermid QTY PRODUCT DESCRIPTION SELL EXTENDED 1 36- 3672DP Exec Double Pedestal Desk 1,605.00 1,605.00 -Conf. Top, 72W x 36D Wood Veneer Royal Mahogany Standard Stain Sheen Finish 2 Grms, Lft Rgt Locations 1 36- 2072EC Kneespace Credenza, 72D x 20D 1,352.00 1,352.00 Wood Veneer Royal Mahogany Standard Stain Sheen Finish w/ Locking Pedestals No Selection 1 36- 1572HU Door Hutch, 72W x 15D x 40H 1,313.00 1,313.00 Royal Mahogany Standard Stain Sheen Finish Yes Lock .1 36- 2036L4 Four Drawer Lateral File, 36W 1,624.00 1,624.00 x 20D x 56H Wood Veneer Royal Mahogany Standard Stain Sheen Finish 6G.- .9.0.0 -90 -_6G Mechanism _L_ 9 "00 Std. 288.00 288.00- Platform 90 8.5" Clip Mouse Std Clip Mouse 19" Foam w/ Synt. Leather 16" TRACK 1 LABOR LABOR 320.00. 320.00 INSTALLATION TO OCCUR DURING NORMAL BUSINESS HOURS OF 8:00 A.M. 4:00 P.M., MONDAY FRIDAY. SUBTOTAL....: 6,182.00 INSTALL.....: 320,00 FINAL TOTAL.: 6,502.00 PINY_T H _1- S— AMO -U.N T_._._._._._._: PAC;F nF I Workspace Solutions Terms and Conditions 1. Documentation All plans, drawings and specifications prepared by Workspace Solutions pursuant to this Proposal will remain the property of Workspace Solutions and shall be utilized by Customer for the specific project described in this Proposal and may not be used by Customer or any other individual or entity for any other project or purpose. 2. Payment and Delinquent Accounts Any and all sums invoiced to Customer shall be due and payable upon invoicing. In the event Customer fails to pay for services and products when and as due, Customer agrees that Workspace Solutions may elect, at its option, to immediately terminate this Proposal, without further notice, liability or obligation to Customer for such termination, and to pursue any and all remedies available to Workspace Solutions at law or in equity. Delinquent accounts are subject to the payment of finance charges of eighteen percent (18 per annum and the recovery of the costs, expenses and reasonable attorney fees incurred by Workspace Solutions to collect any such delinquent sums from Customer. 3. Premises and installation Customer shall be responsible to alter and modify its premises in such a manner so as to properly accommodate the location and proper installation of the products delivered by Workspace Solutions, including but not limited to the load bearing capacity of floors, walls and ceilings and the Customer agrees that Customer is solely responsible for and shall ensure that the location, identification, modification, alteration and relocation of any and all utilities, including but not limited to telephone and computer cables and lines, and any other improvements upon and within the premises (collectively "Improvements") shall be completed prior to the performance, delivery and installation of the services and products by Workspace Solutions so that any and all such Improvements do not impair, prevent or in any manner interfere with the performance of services and the installation of the products purchased from Workspace Solutions at the time of performance of such services and the delivery and installation of such products. In the event Workspace Solutions incurs any cost or expense in the performance of services and/or in the installation of the products beyond the quoted price for the performance of services and the provision of products to Customer set forth in the Proposal, Customer shall pay to Workspace Solutions any such additional costs and expenses when and as such additional costs and expenses are invoiced to Customer. 4. LIABILITY WORKSPACE SOLUTIONS SHALL NOT BE LIABLE FOR ANY LOSS OR DAMAGE (INCLUDING INCIDENTAL AND CONSEQUENTIAL DAMAGES) ANY LIABILITY OR CLAIM, DEMAND, ACTION OR CAUSE OF ACTION ARISING OUT OF OR IN ANY MANNER RELATING TO THE SERVICES PERFORMED AND THE PRODUCTS PROVIDED BY WORKSPACE SOLUTIONS INCLUDING, BUT NOT LIMITED TO, ANY DAMAGE OR DESTRUCTION TO ANY IMPROVEMENTS AND ANY REAL OR PERSONAL PROPERTY, OR ANY BODILY INJURY THAT ARISES OUT OF, OR IS IN ANY MANNER CAUSED BY, THE ACTS OR OMISSIONS OF WORKSPACE SOLUTIONS OR OTHERWISE. 5. NO WARRANTY THE ONLY WARRANTY AVAILABLE TO A CUSTOMER CONCERING ANY PRODUCT PURCHASED FROM WORKSPACE SOLUTIONS IS THE WARRANTY, IF ANY, OFFERED BY THE PRODUCT MANUFACTURER. ALTHOUGH WORKSPACE SOLUTIONS MAKES NO WARRANTIES REGARDING THE PRODUCTS IT SELLS, WORKSPACE SOLUTIONS ENDEAVORS TO PROVIDE ITS CUSTOMERS WITH PROBLEM RESOLUTION ASSISTANCE IN THE EVENT A CUSTOMER EXPERIENCES A PROBLEM WITH A PRODUCT. 6. Force Maieure Workspace Solutions will not be held responsible for Workspace Solutions failure to perform its obligations under this Proposal when such failure is due to acts of God, wars, war -like hostility, civil commotions, riots, strikes, governmental orders or restrictions, failure of government licenses to issue, sabotage, labor strife, or other causes which are beyond the reasonable control of Workspace Solutions, 7. Governing Law This Proposal shall be governed by the laws of the State of Indiana. 8, Attorney Fees In the event Workspace Solutions is the prevailing party in any legal dispute with Customer, Workspace Solutions will be entitled to recover from Customer the costs, expenses and reasonable attorney fees incurred by Workspace Solutions in any such action. 9. Waiver, Severability and Ambiguity The failure of either party to require the performance of any provision herein by the other, shall not be deemed a waiver of future compliance with this Proposal and shall not affect the right of a party to require compliance at any time thereafter. Any remedies contained herein shall be cumulative and not in the alternative. If any provision or part of this Proposal shall be declared illegal, void or unenforceable, the remaining provisions shall continue in full force and effect. In the event any term or condition of this Proposal is held to be ambiguous, no party shall be considered the draftsperson for purposes of construing the terms and conditions of this Proposal against that party. 10. Entire Agreement, Assignment and Amendment This Proposal constitutes the entire agreement between Workspace Solutions and Customer. There are no other representations, express or implied, in connection with this Proposal. Any prior oral discussions are deemed merged into this Proposal. This Proposal shall be binding upon and inure to the benefit of both parties and their respective heirs, representatives, successors and assigns. Neither this Proposal nor any rights or duties hereunder may be assigned or delegated to any other person or entity by either party without the express and prior written consent of the other party. TTT ace OOg wiL(Lons INVOICE: 44223 VF Fort Wayne Warsaw DATE: 02/20/12 Ph: 260 422 -85291 Fax: 260 422 -6815 919 Coliseum Blvd. North 46805 PROJECT 6 1444 PROPOSAL: 14497 www.workspacesolutions.com BILL TO: INSTALL AT: CL I'ENT NUMBER 0 0 615 9 CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 27329 NET 15 Gary MCDertnid QTY PRODUCT DESCRIPTION SELL EXTENDED QUOTATION 007091 --00 2 ZLI3672 -29L LINCOLN TABLES 30X72 883.00 1,766.00 W/ LAMINATE TOP, WOOD LEGS AND 3/4 MODESTY PANEL MED MAHOGANY ON MAPLE /BEECH 1 LABOR LABOR 200.00 200.00 INSTALLATION TO OCCUR DURING NORMAL BUSINESS HOURS OF 8:00 A.M. 4:00 P.M., MONDAY FRIDAY. SUBTOTAL....: 1,766.00 INSTALL.....: 200.0.0 FINAL TOTAL.: 1,966.00 PAY -T-A S AMOUNT:.....: 1 966.00 pACF nip I INVOICE: 44211 Fort Wayne Warsaw DATE: 02/16/12 Ph: 260- 422 -85291 Fax: 260 422 -681.5 919 Coliseum Blvd. North 46805 PROJECT#: 6 -111 PROPOSAL: 14863 www.workspacesolutions.com BILL TO: INSTALL AT: C 1 I ENT -NUMB E R 0 0 6 15 CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVTC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 (CUSTOMER P /O: TERMS SALESPERSON 27330 NET 15 Gary McDermid QTY PRODUCT DESCRIPTION SELL EXTENDED 1 TKO6548WR Structural Raceway Pnl Fr -No 147.93 147.43 Top Trim 65Hx48W Core Clr Opts CLR: Parchment 5 TK06542WR Structural Raceway Pnl Fr -No 141.14 705.70 Top Trim 65Hx42W Core.Clr Opts CLR: Parchment 1 TK06524WR Structural Raceway Pnl Fr -No 128.57 128.57 Top Trim 65Hx24W Core Clr Opts CLR: Parchment 1 TK324PT Top Trim 24W 14.86 14.86 Core Clr Opts CLR: Parchment 1 TK384PT Extended Top Trim 84W 49.14 49.14 Core Clr Opts CLR: Parchment 1 TK3902T Extended Top Trim 90W 51.43 51.43 Core Clr Opts CLR: Parchment, 1 TK06530WR Structural Raceway Pnl Fr -No 1 132.57 Top Trim 65Hx30W Core Clr Opts CLR: Parchment 1 TK372PT Extended Top Trim 72W 42.86 42.86 Core.Clr Opts CLR: Parchment 1 TK342PT Top Trim 42W 24.57- 24.57 Core Clr Opts CLR: Parchment 1 TK06536WR Structural Raceway Pnl Fr -No 137.14 137.1'4 Top Trim 65Hx36W Core Clr Opts CLR: Parchment 1 TK3362T Top Trim 36W 20.57 20.57 Core C1r Opts CLR: Parchment 2 TK365W "W Wall Mount Kit 65L 75.43 150.86 Core-Clr Opts CLR: Parchment 1 TK365T "T" 3-way-Connector Kit 65H 72.00 72.00 Core Clr Opts CLR: Parchment 2 TK365L "L" 90- Degree Connector Kit 72.00 144.00 63H Core Clr Opts CLR: Parchment 3 TK365E "E" End Trim Connector Kit 63H 42.86 128.58 Core Clr Opts CLR: Parchment 3 T54224CR Corner 24Dx42W w /Radial 274.29 822.87 Leading Eg Flat w /Groins L.1 Co_re_Lam_Q _t_s_Lam_ Whit PArnNTTNT17M... Workspace INVOICE: 44211 VY Fort Wayne Warsaw DATE: 02/16/12 Ph: 260 422 -85291 Fax: 260 422 -6815 919 Coliseum Blvd. North 46805 PROJECT# 6 -111 PROPOSAL: 14863 www.workspacesolutions.com BILL T0: INSTALL AT: CZI'ENT NUMBER.: 006159 CITY OF CARMEL CITY OF CARMEL L ONE IC SQUARE ONE CIVIC SQUARE IN 46032 CARMEL, IN 46032 CUSTOMER P /G: TERMS SALESPERSON 27330 NET 15 Gary McDermid QTY PRODUCT DESCRIPTION SELL EXTENDED Tigris Fdg: Parchment Plastic Grommet 2 T52448'S Primary 24Dx48W Flat Fg Lam 184.57 369.14 w /Grommets Ll Core Lam Opts Lam: White Tigris Edg: Parchment Plastic Grommet 1 T52454ST2N T -Span 24Dx54W Flat Eg Lam for 216.57 216.57 DNA /2.6 w/o Grom Ll Core Lam Opts Lam: White Tigris Edg: Parchment 1 T52430S Primary 24Dx30W Flat Eg Lam 135.43 135.43 w /Grommet L1 Core Lam Opts Lam: White Tigris Edg: Parchment Plastic Grommet 1 T52442S Primary 24Dx42W Flat Eg Lam 170.29 170.29 w /Grommets. L1 Core Lam Opts Lam: White Tigris Edg: Parchment Plastic Grommet 1 T52454S Primary 24Dx54W Flat E,g. Lam 199.43 199.43 w /Grommets. L1 Core Lam Opts Lam: White Tigris Edg: Parchment Plastic Grommet 5 T6C524L Cantilever Bracket 24D LH 26.29 131.45 Terrace Core Clr Opts CLR: Parchment 5 T6CB24R Cantilever Bracket 24D RH 26.29 131.45 Terrace Core Clr Opts CLR: Parchment 1 T612FB Flat Bracket for 12D W/S 19.43 19.43 1 T624FB Flat .Bracket 24D 22.29 .22.29 I TKCWD29R Corner w /Desk Panel 29 -1 /2H RH 36.00 36.00 Attach Kit C_o.r_e_C.lr Qpts_C.LR_:_Parchment INVOICE: 4 4 211 Fort Wayne Warsaw DATE: 02/16/12 Ph: 260 422 -8529 Fax: 260 422 -6815 919 Coliseum Blvd. North 46805 PROJECT# 6 -111 PROPOSAL: 14863 www.works BILL TO: INSTALL AT: CLTENT NUMBER.: 00T15 CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 CUSTOMER TERMS SALESPERSON- 27330 NET 15 Gary McDermid QTY PRODUCT DESCRIPTION SELL EXTENDED l CSCMP4229 Stand -Alone Corner 29- 1 /2Hx42W 80.00 80.00 Modesty Panel Core Clr Opts CLR: Parchment 1 CEP1129F 'Freestanding 11DX29 -1 /2H End 78.29 78.29 Panel Support Core Clr Opts CLR: Parchment 3 PF197 -233T Ess Support Ped BBF 28H 23D 294 882.87 Int Pull Core Clr Opts CLR: Parchment omt Core to Ord key Alike 3 PF198 -232I Ess Support Ped FF 28H 23D Int 294.29 882.87 Pull Core Clr Opts CLR: Parchment omt Core to Ord key Alike 1 OR1530FD 15H x30W Flipper Door 261.71 261.71 Overhead -No Pull System: Stride Align or DNA Core Clr Opts CLR: Parchment omt Core to'Ord key Alike 3 OH1542FO 15H x42W Flipper Door 288.57 865.71 Overhead -No Pull System: Stride Align or DNA Core Clr Opts CLR: Parchment omt Core to Ord key Alike 2 TWTH Horizontal Wall Track 34.29 68.58 1 OH1548FD 15H x48W Flipper Door 301.14 301.14 Overhead -No Pull System: Stride Align or DNA Core Clr Opts CLR: Parchment omt Core to Ord key Alike 1 TKEP1129PR DNA Pn1 Mnt RH llDx29 -1 /2H End 88.57 88.57 Panel Supt Core Clr Opts CLR: Parchment 2 TK46548T Ter DNA Tackable Acoustic Tile 121.14 242.28 65H x 48W CRD 1 FAB FAB: Celestial -dir -Pat Cut CLR: Zephr PAf� INVOICE: 44211 Fort Wayne Warsaw DATE 02116112 Ph: 260 -422 -8529 Fax: 260 422 -6815 kip 919 Coliseum Blvd. North 46805 PROJECT# 6 -111 PROP05AL: 14863 www.workspacesolutions.com BILL TO: INSTALL AT: CLIENT NUMBER.: 006154 CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 CUSTOMER P /O: TERMS SALESPERSQN 27330 NET 15 Gary McDermid QTY PRODUCT DESCRIPTION SELL EXTENDED 2 TK46524T Ter DNA Tackable Acoustic Tile 77.71 155.42 65H x 24W GRD 1 FAB FAB: Celestial -dir -Pat Cut CLR: Zephr 2 TK46530T Ter DNA Tackable Acoustic Tile 89.14 178.28 65H x 30W GRD 1 FAB FAB: Celestial -dir -Pat Cut CLR: Zephr 2 TK46542T Ter DNA Tackable Acoustic Tile 110.86 221.72 65H x 42W GRD 1 FAB FAB: Celestial -dir -Pat Cut CLR: Zephr 8 TK43042T Ter DNA Tackable Acoustic Tile 60.57 484.56 30H x 42W GRD 1 FAB FAB: Celestial- dir -Pat Cut CLR: Zephr 8 TKSK42 Ter DNA 42W Segment Kit 8.00 64.00 2 TK46536T Ter DNA Tackable Acoustic Tile 100.00 200.00 65H x 36W GRD 1 FAB FAB: Celestial- dir -Pat Cut CLR: Zephr 4 TK43042GK Ter DNA Glazed Tile Kit 30H x 351.43 1,405.72 42W Core C1r Opts CLR: Parchment Clear Glass 1 876072 Base Infeed 120.00. 120.00 CLR: Black 1 871248 Power Harness 48W 114.29 114.29 CLR: Black 2 871142 Pass -Thru Harness w /Power 69.14 138.28 Block 42W CLR: Black PAC; 4 works '90§ LdU.Um INVOICE: 44211 Fort Wayne Warsaw DATE: 02/16/12 Ph: 260- 422 -8529 Fax: 260 422 -6815 91.9 Coliseum Blvd. North 46805 PROJECT 6 -111 www.workspacesolutions.com PROPOSAL: 14863 BILL TO: INSTALL AT: CLIENT NUMBER.: 006154 CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 CUSTOMER P /0: TERMS SALESPERSON` 27330 NET 15 Gary McDermid QTY PRODUCT DESCRIPTION SELL EXTENDED 1 871029 Pass -Thru Cable w/o Power 60.00 60.00 Block 24W CLR: Black 1 871242 Power Harness 42W 114.29 114.29 CLR: Black 3. 873501 Ter DNA /2.6 /Align Duplex 19.43 58.29 Receptacle Circuit 1 CLR: Muslin 3 873302 Ter DNA /2.6 /Align Duplex 19.43 58.29 Receptacle Circuit 2 CLR: Muslin 4 LKF23C. Lock Core Replacement Kit 9.14 36.56 Key Number 101E 3 LKF23C Lock Core Replacement Kit 9.14 27.42 Key Number 102E 4 LKF23C Lock Core Replacement Kit 9.14 36.56 Key Number 103E 1 LABOR DELIVERY, INSTALLATION 1,060.00 1,060.00 CUSTOM CUT AROUND COLUMN INSTALLATION TO OCCUR DURING NORMAL BUSINESS HOURS OF 8:00 A.M. 4:00 P.M., MONDAY FRIDAY. SUBTOTAL....: 11,430.33 INSTALL.....: 1,060.00 FINAL TOTAL.: 12,490.33 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 2D1(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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total J 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 IN SUM OF 9 19 n '0�U/ q ,33 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 73.3U .33bill(s) is (are) true and correct and that the ,3 -9 4� d6 materials or services itemized thereon for 6 3 0 6 S which charge is made were ordered and received except nA c 0 re Cost distribution ledger classification if 'e claim paid motor vehicle highway fund W orks p aceSoLdom INVOICE: 44222 Fort Wayne Warsaw DATE: 02/20/12 Ph: 260 422 -8529 Fax: 260 422 -6815 919 Coliseum. Blvd. North 46805 PROJECT# 6-117 PROPOSAL: 14858 www.workspacesolutions.com BILL TO: INSTALL AT: =F'KT NUMBER 70 6T8 2 CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 ATTN: TERESA ANDERSON CUSTOMER P10: TERMS SALESPERSON- 25927 NET 15 Gary McDermid QTY PRODUCT DESCRIPTION SELL EXTENDED 2 3225 -15 SIDE CHAIR W/0 ARMS 762.00 1,524.00 BROADWAY, CHARCOAL INDIANA FURN HERITAGE CHERRY FC -8318 1 LABOR LABOR 150.00 150.00 INSTALLATION TO OCCUR DURING NORMAL BUSINESS HOURS OF 8:00 A.M. 4:00 P.M., MONDAY FRIDAY. V �X r, SUBTOTAL... ,524.00 INSTALL.....: 150.00 SALES TAX...: X86 FINAL TOTAL.: 17 ,280-.6811 pAr,F. ni: i INDIANA RETAIL TAX EXEMPT PAGE C Of j C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 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. DURCHASE ORDER DATE DAT REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION i2 =i i Workspm Solutions Carmel Police Dopidmont VENDOR SHIP 3 Civic Squaro gig Coliseum Bou[Qvmd TO C oal, IN Folk moo, IN 4M 571.2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT A ccount UN OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44 .60 9 Each kei0ht 1 delivery charge $75.00 575.0iv/ 9 Each InsRallat $350.00 $350.00 ��I� 2 Each trade 4 Mayszr Side Chair w/o Arms 3225-95 $752.00 $9,524.a� 2 Each Reagan Sidle ChairWo auras and 13x 9 1 $505.00 $9,370.00 9 Each 42° Circular Table t�/Queen Annw 424( 7 $9,327.00 $9,327.002 )d e n Bo @ai; 4P Z I t J\ Send Invoice To: C@lel Pollce Dlapr�mel Attn: Tom& Andomon 3 Chic Square C@nnel, IN 4i PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. 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 CERTIF�� ^HAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS A TION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMB ORDERED BY ER MUST APPEAR ON ALL SHIPPING LABELS. IeF oP Poilcs THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. S CLERK TREASURER DOCUMENT CONTROL NO. r A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO._._ ALLOWED 20 IN THE SUM OF z ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT I hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except. 2€l q. Signature n `Title Cost distribution ledger classification if claim paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE ulty Carmel CERTIFICATE NO. 003120155 002 0 1 of 1 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60a00972 27 219 3)MC CIVIC SOUARE THIS NUMBER MUST APPEAR ON INVOICES, A/I CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIP,' =ORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE RCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION ecember 21, 2010 office table chairs VENDOR Workspace Solutions SHIP City of Carmel Police Department 919 Coliseum Boulevard TO 3 Civic Square Fort Wayne, IN 46805 Carmel, IN 46032 )NFlRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION office table and chairs 3,000.00 /44, lend Invoice To: f f J1 [II j PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT 1110 630 furniture an4 es 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 T ERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THISAPPROPRI O ICIENTTO PAY FO ABOVE ORDER. C -O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 2 p Po AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, CLERK TREASURER IOCUMENT CONTROL NO. 27219 VENDOR COPY VOUCHER NO. WARRANT NO. Workspace Solutions ALLOWED 20 IN SUM OF 919 Coliseum Boulevard Fort Wayne, IN 46805 $1,6 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members Encumbered I hereby certify that the attached invoice(s), or 27219 44222 44- 630.00 $1,580.00 Lncumbered bill(s) is (are) true and correct and that the 25927 44222 44- 630.00 $94.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, Fe ruary 24, 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)) 02/20/12 44222 chairs installation $1,580.00 02/23/12 44222 chairs installation $94.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with lC 5- 11- 10 -1.6 20 Clerk Treasurer