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Home My WebLink About172547 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00350555 Page 1 of 1 e ONE CIVIC SQUARE SIRCHIE CARMEL, INDIANA 46032 100 HUNTER PLACE CHECK AMOUNT: $208.74 YOUNGSVILLE NC 27596 CHECK NUMBER: 172547 CHECK DATE: 5/13/2009 [DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 513019 191.45 OTHER MISCELLANOUS 1110 4342100 513019 17.29 POSTAGE i PAGE: 1 z p£R VRINi (f8 FINGER PRINT LABORATORIES `F�xxcxB INVOICE NUMBER: 0513019 —IN INVOICE DATE: 05/01/09 100 HUNTER PLACE SHIP DATE: 04/30/+9 YOUNGSVILLE, N.C. 27596 ORDER NUMBER: 0513019 PHONE: (919) 554 -2244, FAX: (919) 554 -2266 ORDER DATE: 04/29/09 FEDERAL ID #21- 0692770 SALESPERSON: FXCC CUSTOMER NO.: 00— E46032 SOLD CARMEL POLICE DEPT. SHIP CARMEL POLICE DEPT. THREE CIVIC SQUARE THREE CIVIC SQUARE ACCTS PAYABLE /TERESA ANDERSON ATTN MAJOR LUCKIE CAREY TO CARMEL IN 46032 TO CARMEL IN 46032 CONFIRM TO: A SERVICE CHARGE COVERING UNPAID ACCOUNTS 30 DAYS OLD ARE SUBJECT TO 1% PER MONTH, OR 18% PER ANNUM. CUSTOMER P.O. SHIP VIA F.O.B. TERMS 20125 UPS GROUND YOUNGS PP ADD, NET 30 DAYS CATALOG NUMBER e 3UNIT ORDERED SHIPPED�� BACK, �PRICE AMOUNT ..x.: 1 BM300 1 1 0 153.95 153.95 DESCRIPTION: BLUEMAXX STND.3- -D CELL KRYPTON BM300CC 1 1 0 37.50 37. 5.0 DESCRIPTION: CARRYING CASE FOR BM300 PRICE INCREASE FOR FUTURE ORDERS BM300CC IS $40.95 PLEASE VISIT OUR WEBSITE http: /www.sirchie.com By placing this order, you are acknowledging you are a United States purchaser and agree NET INVOICE: 191.45 not to ship products internationally and /or engage in a subsequent resale leading to the LESS DISC: .00 export of these items. Certain commodities cannot be exported from the United States FREIGHT: 17.29 without specific approval from the Department of Commerce (Part 730 et seq., U.S. Export SALES TAX: .00 Administration Regulations) and /or the Department of State (22 C.F.R. 120 -130, ITAR). Diversion contrary to U.S. law is prohibited. INVOICE TOTAL: 208.74 QUESTIONS CONCERNING THIS INVOICE, PLEASE CALL A/R 800- 815 -1649 OR EMAIL:ar@sirchie.com CLAIMS FOR SHORTAGE MUST BE MADE WITHIN FIVE OAYS OF RECEIPT OF GOODS. RETURN NO GOODS WITHOUT OUR WRITTEN AUTHORITY NOTE: 20% HANDLING CHARGE ON RETURNED GOODS. 999.288:1 CUSTOMER INVOICE I C 1 4 INDIANA RETAIL TAX EXEMPT PAGE py C CERTIFICATE NO. 003120155 002 0 1 O f 1 of a e PURCHASE ORDER NUMBER r FEDERAL EXCISE TAX EXEMPT 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR.ON INVOICES, AIP CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, T 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 4/28/09 Sirchie Laboratories Carmel Police Department VENDOR 100 HunSer. Place. SHIP 3 Civic Square 'Youngsville, NC 27596 TO Carmel, IN 96032 Fax 800 -899 -8181 Phone 800- 356 -7311 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 B14300 Sluemasz Forensic Light.Source 153.95 143.95 1 BM30OCC Gray Plastic Utility Carrying Case 37.50 LY a P I 'f 41 Send Invoice To: Carmel. Police Department t I ATTNL Teresa Anderson 3 Vivic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE 191.45 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT 1100 390 -00 lab supplies PAYMENT AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE "0.6: 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. f f C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f JX a y� _4 Q 1 A_... PURCHASE ORDER NUMBER MUST APPEAR ON ALL I SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chie of Po lice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2t I CLERK- TREASURER DOCUMENT CONTROL NO. A 999 COPY SIGN AND RETURN TO CLERK O FFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF h ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or I 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 Tide 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 s. 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 Sirchie Fingerprint Laboratories Purchase Order No. 20125F 100 Hunter Place Terms Youngsville, NC 27596 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/1/09 513019 payment for lab supplies 208.74 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 S iKhie Fingerprint Laboratories IN SUM OF 1 00 Hunter Place Y oungsville, NC 27596 208.74 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 20125F 513019 390 -99 191.45 bill(s) is (are) true and correct and that the 1110 513019 421 17.29 materials or services itemized thereon for which charge is made were ordered and received except May 7 2009 b -Liu Signature Chief of Polire Cost distribution ledger classification if Title claim paid motor vehicle highway fund