HomeMy WebLinkAbout208283 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 099370 Page 1 of 1
ONE CIVIC SQUARE FRAME DESIGNS
CARMEL, INDIANA 46032 506 S RANGELINE ROAD CHECK AMOUNT: $368.33
CARMEL IN 46032 CHECK NUMBER: 208283
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4467099 25956 11354 368.33 COMPOSITE FRAME
04/18/2012 17:17 3178161332 JM MALLON INC PAGE 02/03
ig ns Fr m e a e s INVOICE SUMMARY April 18, 2012
506 S. Rangeline Rd.
Carmel IN 46032 Page 1 Of 1
317 844 -9066
Customer:. �lxl
teresa anderson Home:
city of carmel police dept. Work: 5 aS74-
3 civic square Cell:
CARMEL IN 46032 Fax: 5? <pk 5
Email:
Invoice Inv Date Des cription Order Total Payments Balance
11354 12/20/11 force photos 368.33 0.00 368.33
W/O 13175 force photos
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Total Payments $0.00
Remaining Balance $36
Total Account Balance
INDIANA RETAIL TAX EXEMPT PAGE
City f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Jl
FEDERAL EXCISE TAX EXEMPT 2MB
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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
92MW I
Fine Daslgns Comol Polico Dop�Amont
VENDOR SHIP Civic Rqum
S8 S. Rzngolino Road TO Camol, IN 4
C &Imoi, IN 46M (W) S7i
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-670.99
1 Each composhe ftme $388.33 $388.33
Sub Total: $388.33
A,
0
Send Invoice To:
C&mel Police Department
Attn: Toms@ AndOrs
3 Civic squm
CwmQI, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT a ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
,Cannel Police Dept. Q PAYMENT 8'33
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 APPROPRIATION SUFFI I �TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chid ®li�.�
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE tl'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT T HERETO.
DOCUMENT CONTROL NO. 2 5 9 5 6 CLERK TREASURER
.A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT
aEPT. I hereby certify that the attached invoices 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
r
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
n
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))
04/18/12 11354 picture frame $368.33
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
u VOUCHE NO. WARRA N
ALLOWED 20
Frame Designs
IN SUM OF
506 S. Rangeline Road
Carmel, IN 46032
$368.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Encumb`rerl I hereby certify that the attached invoice(s), or
25956 I 11354 44- 670.99 $368.33
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
Thursday, April 19, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund