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Home My WebLink About206760 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 366066 Page 1 of 1 tM1 30f� f ONE CIVIC SQUARE MYERS TIRE SUPPLY CHECK AMOUNT: $495.00 ®r CARMEL, INDIANA 46032 24377 NETWORK PLACE M,� -gip'• CHICAGO IL 60673 -1243 CHECK NUMBER: 206760 CHECK DATE: 2/2812012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4467099 24202940 45.05 OTHER EQUIPMENT 1110 R4467099 25933 24202940 449.95 TIRE SPREADER ®4QAGffNAWU4D ORIGINAL I NVOICE Mt.- IIDANAF�ISIN4��t a aver. Mamnec Cwr City Of Carmel Order Sales Ship 3 CIVIC SQUARE Freight FOB Carmel IN 46032 Number Person Via 24232529 206958 FEDEX Origin Origin Invoice Number 24202940 Order Ship Myers Part Unit Qty Qty Status Number Description Unit Price Amount T Invoice Date 02/20/12 1 1 52140 BRANICK 5045 TIRE SPRE EA $465.0000 465.00 N Date Shipped Box 01 of 01 #963613435526870 02/17/12 Thank You For Your Valued Patronage Customer Account Merchandise Sub Total: $465.00 325589 Sale Tax: $0.00 Freight: $30.00 Total Balance: 495.00 Please take our customer satisfaction survey http://www.myerstiresugply.com/feedback Seller represents that with respect to the production of articles and/or performance of the services covered by lhis.invoice, Chas fully complied with section 12(A) 01 the fair labor stadards act of 1838, as ammended. If articles received do not correspond to billing on this invoice, please advice us immediately. Items not shipped are.notincluded or charged. Backorder :items will be shipped as soon as possible: Any item not shown as backordered will not be shipped so include it In your next order. Return Goods: Goods returned to us without written permission and shipping instructions. will not be. accepted. Only defective merchandise- will be adjusted. Merchandise you ordered which is not defective cannot be returned unless we,are notified Past due amounts are subject to a service charge of 1%% per month (annual rate of 18 within live (5) days afierreciept of goods. Thank you for your valued patronage. Ship To: Status Payment Terms CITY OF CARMEL N No longer avaialble Net 30 Days t® 3 CIVIC SQUARE D Direct factory shipment V® ATTN: POLICE DEPARTMENT B Back ordered (will ship Customer PO Number CARMEL IN 46032 as soon as possible) 25933 To talk with a Customer Service C- Cancelled ;yam Representative, please call 317- 290 -0591 or fax us at 317- 290 -8860 256 To Insure proper credit return the portion below with your payment. i Carmel 1J1�' INDIANA RETAIL TAX EXEMPT PAGE Ci ty CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT I 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 926�►f�9 9 I re Cumol Pollee Dopaitmen4 1 VENDOR SHIP 3 CIVIC squi@m C;'' C@tol, IN 4M CONFIRMATION BLANKE j CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44-WOM 9 Each Tire Sprealder �r SD Sub Total: 7 vu o� C0 0 o r Send Invoice To: 0 U' r� Carmel Pollco Depadm ®n$ Attn: Torras@ AndG on 3+ CIVIC squam Carol, IN 41- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. L-� PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS �TE NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS A40 N 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. B� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chloq of P ollco AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO-25933 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF i v ON ACCOUNT OF APPROPRIATION FOR Board Members 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. WARRANT NO. Myers Tire Indianapolis #42 ALLOWED 20 IN SUM OF 24377 Network Place Chicago, IL 60673 -1243 $49 5.0 0 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 1110 24202940 44- 670.99 $45.05 I hereby certify that the attached invoice(s), or Encumbered bill(s) is (are) true and correct and that the 25933 24202940 44- 670.99 $449.95 materials or services itemized thereon for which charge is made were ordered and received except Friday, February 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 24202940 tire spreader $45.05 02/20/12 24202940 tine spreader $449.95 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