173599 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 00350697 Page 1 of 1
ONE CIVIC SQUARE WAYMIRE TRAILER TOWING 8, VEHICLE AMOUNT: $195.00
CARMEL, INDIANA 46032 820 CHADWICK ST
INDIANAPOLIS IN 46225 CHECK NUMBER: 173599
CHECK DATE: 6/1012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 20117 263432 195.00 VEHICLE ACCESSORIES
WAYMIRE A.P.S., INC.
d /b /a THE WAYMIRE GROUP
820 Chadwick Street, Indianapolis, IN 46225
TEL: (317) 634 -4824 FAX: (317) 634 -4833
Warehouse Tel: (317) 631 -7551 Fax: (317) 631 -7552
BUSINESS HOURS: 8:00 -5:00 MON -FRI CLOSED SAT /SUN
ACCOUNT CPD50 INVOICE 263432 DATE....: 06/03/09
PO 20111 Stk /Rel
?PURCHASED BY: SHIPPED /DELIVERED TO:
CARMEL POLICE DEPT CARMEL CITY GARAGE
:3 CIVIC SQUARE 3400 W 131st ST
CARMEL, IN. 46032 WESTFIELD, IN. 46074
317 733 -4600 317 733 -4600
TERMS: PAYMENT DUE IN FULL WITHIN 30 DAYS OF INVOICE DATE,THANK YOU!
DESCRIPTION: LOCAL NORTH /JASON OGLE
VEHICLE: YEAR 2009 WC CAPACITY: WDH CAPACITY: SLS PER: MIKE
Tag MAKE CHEVROLET GTW: N/A GTW: N/A MECH..
MODEL: IMPALA TW N/A TW N/A WRNTY
QTY PART ITEM DESCRIPTION MFG SRP COST EA PARTS LABOR TOTAL
20 CMCB MIC CLIP BRKT 14.00 9.75 195.00 195.00
I
Call US for QUAL cts Service! Ref: W# 95379 MERCHANDISE 195.00
SALES TAX 0.00
RECEIVED BY S &H /COD, ETC 0.00
Amount Me ho of Pdyven t... INVOICE TOTAL..$ 195.00
Invoice Tota C arg d o Customer Account AMOUNT RCVD 0.00
BALANCE DUE 195.00
Use of emergency equipment in any vehicle is the driver's sole responsibility!!!
INDIANA RETAIL TAX EXEMPT PAGE
C i ty o f C armel CERTIFICATE NO.003120155 002 0 1
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 17
3-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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
April 24, 2009 F vehille accessories
VENDOR Waymire SHIP City of Carmel Maintenance Facility
820 Chadwick Street To 3400 West 131st Street
Indianapolis, IN 46225 Westfield, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
20 C -MCB mic 13backets 9.75 195.00
City of Carmel Po e
Send Invoice To: ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 670 -99 other equipment PAYMENT
A0, 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 7 OPRIATIION SU TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY .1
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.
CLERK TREASURER
DOCUMENT CONTROL NO A COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
i
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
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. 20117F
W S20 CHadwick Street Terms
R Indianapoils, IN 46225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/3/09 263432 payment for brackets 195.00
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
Way
IN SUM OF
820 Chadwick Street
Indianapolis, IN 46225
195.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20 263432 670 -99 195.00 bill(s) is (are) true and correct and that the
4�o materials or services itemized thereon for
which charge is made were ordered and
received except
June 5 20 09
Signature
Chief of Pol ce
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund