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Home My WebLink About208220 04/25/2012 \,f CITY OF CARMEL, INDIANA VENDOR: 003000 Page 1 of 1 Q� ONE CIVIC SQUARE BOYCE INC CHECK AMOUNT: $521.93 ®o CARMEL, INDIANA 46032 P.O. BOX 669 DALEVILLE IN 47334 -0669 CHECK NUMBER: 208220 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230000 26102 420845 -IN 521.93 NCR RECEIPTS Paae 1 of 1 p� Boyce Forms Systems 800- 382 -8702 Invoice Boyce P.O. Box 669 317 664 -7400 (Ph) 0 Daleville, IN 47334 -0669 317 664 -7401 (Fx) 0420845 4/13/2012 B S I CARMEL POLICE DEPT H CARMEL POLICE DEPT L #3 CIVIC SQUARE 1 #3 CIVIC SQUARE L CARMEL, IN 46032 P ATTN: TERESA ANDERSON CARMEL, IN 46032 T T O O CUSTOMER ICUSTOMER POI TERMS I SALES ORDER JORDER DATE1 SALESMAN I SHIP VIA I FOB 0765466 26102 Net 10 0098049 03/22/12 0007 UPS -COM ITEM DESCRIPTION UM I ORDERED I SHIPPED 1BACKORDERED1 UNIT PRICE EXTENDED PRICE FM352 -2 -BK BK 20.00 20.00 0.00 510.90 352 GEN FUND RCPTS 2 -PT 3 -ON BK, CBNLS, WHI /CAN, #55301 58300 UO294 X1337 Net Invoice Less Discount Freight Sales Tax Invoice Total Less Deposit Invoice Balance 510.90 0.00 11.03 0.00 521.93 0.00 5 21.93 INDIANA RETAIL TAX EXEMPT PAGE C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26902 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 392 A.Q. Dope Co., Inc. CnmGl Polleo Dop2rtmont VENDOR SHIP 3 Civic Square P.C. Bost M TO Carmol, IN 9= Ddevillo, IN 47 41 (398) 5792 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42.03 1 Each shipping charges $30.00 $30.00 20 Each 352 White NCR Receipts U0924 $25.55 $510.90 Sub Total: $340.90 I A n� �p C lost rracolp4 number was 055300 l% 00 Send Invoice To: Cmmol Police Dop@rtmont Attn: Tortasa Andomon 3 Civic Squam Carol, IN 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel police Dept. �j PAYMENT %40`90 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 APPROP TI SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �s SHIPPING LABELS. Ch og Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 2 6 1 ®2 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO, ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board 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 I 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)) 04/13/12 420845 -IN receipts $521.93 1 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.E. Boyce Co., Inc. IN SUM OF P.O. Box 669 Daleville, IN 47334 -0669 $521.93 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26102 I 420845 -IN I 42- 300.00 I $521.93 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 W ednesday, April 18, 2012 -e Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund