177896 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00350597 Page 1 of 1
ONE CIVIC SQUARE WAYMIRE TRAILER TOWING 11 VEHICLF C14ECK AMOUNT: $544.00
CARMEL, INDIANA 46032 820 CHADWICK S7
a, INDIANAPOLIS IN 46225 CHECK NUMBER: 177896
CHECK DATE: 9129/2009
DEPARTMENT ACC P NUM BER INVOICE NUMBER AMO UNT DESCRIP
1110 4467099 21097 265768 544.00 SWITCHES
e
r WAYMIRE A.P.S., INC.
d /b /a THE WAYMIRE GROUP
820 Chadwick Street, Indianapolis, IN 46225
TEL: (317) 634 -4824 FAX: (317) 634 -4833
Warehouse Tel: (317) 631 -7551 Fax: (317) 631 -7552
BUSINESS HOURS: 8:00 -5:00 MON -FRI CLOSED SAT /SUN
ACCOUNT CPD50 INVOICE 265768 DATE....: 09/25/09
:PO 21097 Stk /Rel
PURCHASED BY: SHIPPED /DELIVERED TO:
CARMEL POLICE DEPT CARMEL CITY GARAGE
3 CIVIC SQUARE 3400 W 131st ST
CARMEL, IN. 46032 WESTFIELD, IN. 46074
317 733 -4600 317 733 -4600
TERMS: PAYMENT DUE IN FULL WITHIN 30 DAYS OF INVOICE DATE,THANK YOU!
DESCRIPTION: LOCAL NORTH /JASON OGLE
VEHICLE: YEAR N/A WC CAPACITY: WDH CAPACITY: SLS PER: MIKE
Tag MAKE N/A GTW: N/A GTW: N/A MECH..
MODEL: N/A TW N/A TW N/A WRNTY
QTY PART ITEM DESCRIPTION MFG SRP COST EA PARTS LABOR TOTAL
40 CSWI ON /OFF 20.00 13.60 544.00 544.00
Call US for QUALITY Products Service! Ref: W# 96059 MERCHANDISE 544.00
SALES TAX 0.00
RECEIVED BY S &H /COD, ETC 0.00
Amount Method of Payment... INVOICE TOTAL..$ 544.00
Invoice Total Charged To Customer Account AMOUNT RCVD 0.00
BALANCE DUE 544.00
Use of emergency equipment in any vehicle is the driver's sole responsibility!!!
4 'A INDIANA RETAIL TAX EXEMPT PAGE
u O II Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
mss'' JL
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 210Q
Qf�l KCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, !VP
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
Sent Am e o 2@09 switches
VENDOR Waymire SHIP City of Carmel Police Department
820 Chadwick Street TO 3 Civic Square
Indianapolis, IN 46225 Carmel., IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
40 CSW1 on /off switches 13060 544°00
3' 7
s A�r
a�
Send Invoice To: City of Carmel Po' t
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1110 670-99'- other equipment F P' YA �IAENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
f 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 LJN08LIGATED BALANCE IN
THIS APPR PRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER.
SHIP REPAID. �r ..r
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 Chief Of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO.
21
COPY SIGN AND RETURN TO CLERK'S OFFICE
VOl,ICHER NO.. WARRANT NO._
r ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Boars! 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
Waymire Purchase Order No. 21097F
820 Chadwick Street Terms
Indianapolis, IN 46225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/25/09 265768 payment for switches 544.00
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
Waymire
IN SUM OF
820 Chadwick Street
Indianapolis, IN 46225
544.00
ON ACCOUNT OF APPROPRIATION FOR
police generalf and
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21097F 265768 670 -99 544.00 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
September 28 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund