HomeMy WebLinkAbout177886 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 313000 Page 1 of 1
ONE CIVIC SQUARE THE UNIFORM HOUSE, INC. CHECK AMOUNT: $2,336.59
1 CARMEL, INDIANA 46032 1927 NORTH CAPITOL AVE.
INDIANAPOLIS IN 46202 CHECK NUMBER: 177886
CHECK DATE: 9/29/2009
DEPARTMENT A CCOUNT PO NUMB INV NUMB A DESCRIPTION
1 4356002 21211 282524A 2,072.43 UNIFORMS /ACCESSORIES
1110 4356001 282608 264.16 UNIFORMS
1927 N. CAPITOL AVE.
INDIANAPOLIS, IN 46202 THE 9/14/2009
TELE: 317-926-4467 Page 1 of 1
FAX: 317-926-4460 1 0�1;11FOIRM P.O. NUMBER: 282608
HOUSE, INC. CLERK: Faye Y.
Invoice 282,608
BILL TO: SHIP TO:
Carmel Police Department ROBERT ROBINSON
3 Civic Square GIVE TO FAYE
Carmel, IN 46032
Description P a rt'N L ufm b e r D' P eS
2
42975-EE-12 Striker 11 1 1 132.08 132.08
COMMENT JOHN ELLIOTT 1 1 0.00 0.00
42975-D-7 Striker 11 1 1 132.08 132.08
COMMENT BECKY DIENER 1 1 0.00 0.00
COMMENT COMPLETE READY FOR DELIVERY 09/14/09 MB 1 1 0.00 0.00
Sub Total $264.16
IN 7% $0.00
Total $264.16
Paid $0.00
Balance $264.16
No returns on altered, washed, worn garments. Items can be returned
within 60 days of purchase with receipt.
THE UNIFORM HOUSE
1927 N. CAPITOL Invoice 282524A
INDIANAPOLIS, IN 46202 9/15/2009
317 -926 -4467
www.uniformhouse.com PO No. 282524
HOURS: ENTERED BY: Fave Y.
Mon -Fri: 8am -6pm Sat: 9am -3pm Paae 1 of 1
Charge Safe
SHIP TO:
BILL TO: ROBERT ROBINSON
GIVE TO FAYE
Carmel Police Department
3 Civic Square
Carmel, IN 46032
Part Number Description SHP Price Total TX
PR4801 Peerless Hinged Cuff (801 -N) 5 38.66 193.30
90H-4 Sflnd Hinge BW Cuff Case Flap 5 35.67 178.35
65 -4-4 Keeper,2 Snap Silv,4 -Pack 5 10.35 51.75
52611 F -26 -B BLACK CHROME BATON 5 70.61 353.05
35- F26 -4(BW) Exp. Baton Hldr Sflnd Blk 4 33.30 133.20
334V Surgical Glove Pouch Blk BW Velcro 5 18.21 91.05
38 -3 -4 OC Spray Hldr w /Flap Sflnd 5 35.58 177.90
NY903 Police Duffel Bag 5 42.08 210.40
SA- 12201 -CH -4811 CITATION HOLDER, KROLL 5 20.47 102.35
SA -21017 CM -8512 CRUSIER MATE 8112X12 5 27.90 139.50
S313016 3 Cell D Mag -Lite Black 5 22.95 114.75
ASX- D07B -S MAG LITE TRAFFIC WAND 5 3.15 15.75
M505L Orange Orlon Glove 5 15.54 77.70
HAT- MF -50N Metal Floral Silver Hat Band 5 9.90 49.50
GG- B- 627 -7W DBL.MAG POUCH BLK -BW 2 28.04 56.08
HL- S3200X -LE Uvex Genesis Glasses Clear Bilk Fr 5 9.81 49.05
HL- 1010926 EAR MUFFS QM25 5 15.75 78.75
X
1 t��
RETURNS MUST BE WITHIN 30 DAYS SUB -TOTAL $2,072.43
NO RETURNS OF ITEMS WORN, IN TAX $0.00
LAUNDERED, ALTERED, TOTAL $2,072.43
EMBROIDERED, OR ON CLEARANCE. PAID $0.00
RECEIVED BY: BALANCE $2,072.43
U V 11VR11AIVA hG IAIL IAA GAt1Y1F' 1 CERTIFICATE NO. 003120155 002 0 I of I
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 2121
t
3 RM CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIP
SHIPPING LABELS AND ANY CORRESPONDENC
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
IRCHASE ORDER DATE I DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
tember 18 009 uniforms accessories
/ENDER The Uniform House SHIP City of Carmel Police Department
1927 North Capitol Avenue TO 3 Civic Square
Indianapolis, IN 46202 Carmel, IN 46032
)NFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
uniforms and accessories for Officer Zach Hasty 1,596.04
uniforms and accessories for Officer Steve Cash 1,596.04
uniforms and accessories for Officer James Herron 1,596.04
uniforms and accessories for Officer Adam Theis 1,596.04
uniforms and accessories.for_Officer Brian Martin 1,596.04
FF 4' h
560 -01 $5,401.00 qV,
560 -02 $2,579.20
1. t &t J t i' 4 f, l•;(
Z f 1?•� 1
4.
1 j
Send Invoice To:
PLEASE INVOICE IN DUPLICATE 7,980.20
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
1110 560 -01 uniforms P MENT
1110 560 -02 uniform accessorle 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 THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPR PRIATION SUFFICIENT TO PAY FOR E ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
21 CLERK- TREASURER
DOCUMENT CONTROL NO. VENDOR COPY
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
The Uniform House Purchase Order No. 21211P
1927"N. Capitol Terms
Indianapolis, IN 46202 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/15/09 282524A payment for accessories for 5 new officers 2
9/14/09 282608 payment for boots for John Elliott and Becky Diener 264.16
Total 2,336.59
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
A
The .Uniform House IN SUM OF
1927 N. Capitol
Indianapolis, IN 46202
2,336.59
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT N I hereby certify that the attached invoice(s), or
1110 282608 560 -01 264.16 bill(s) is (are) true and correct and that the
21.21IP 282524A 560 -02 2,072.43 materials or services itemized thereon for
which charge is made were ordered and
received except
September:-24 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund