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Home My WebLink About209942 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 362272 Page 1 of 1 ONE CIVIC SQUARE BUSINESS FURNITURE, LLC. CHECK AMOUNT: $265.50 CARMEL, INDIANA 46032 PO BOX 856300 DEPT 129 LOUISVILLE KY 40285 -6300 CHECK NUMBER: 209942 CHECK DATE: 6/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4463000 26117 404378 265.50 CHAIRS Business Furniture 11C 6102 Victory Way Invoice Indianapolis, IN 46278 PLEASE REMIT To Business Furniture, LLC PO B.- 856300 317.216.1600 Page 1 of 2 Business Furniture le,t No 129 800.774.5544 www.businessfurniture.net Louisville, KY 40285-5300 FAX 317.216.1601 BUSINESS FURNITURE INDIANA w n �4, ,S ales Ship r: 0 nvo,CF,, 6 N us 6 O RIM d" Rp t A C cou r er!No: Repr MR 404378 5/30/2012 26117 219817 5/25/2012 JOLYNNE WILHOIT SOLD TO: CARMEL POLICE DEPARTMENT SHIP TO: KERRI WRIN 3 CIVIC SQUARE CARMEL POLICE DEPARTMENT CARMEL, IN 46032 3 CIVIC SQUARE CARMEL, IN 46032 P: 1.317.571.2515 P: 1.317.571.2532 F: 1.317.571.2512 Due Date: 6/29/2012 Terms: NET 30 DAYS CARPOL Tax No: 0031201550020 Quote: 194663 AWf 'ten e cl r i C ata I dd Num in b 6f 7,;* D 6s 6; j e RIV P ric e mount I M Invoice Messages This is the Final Billing 1 1.00 TS31902 STEELCAS 265.50 265.50 Chair-Executive 319, Full Back, Swivel Tilt, Mechanical, Plastic Open Arms Ord:8 Prev:7 3 1.00 TS31911SR STEELCAS No Charge No Charge Arm Kit Tag For: replacement for damaged TS31902, 4572118, 10, 04/26/12, A219817-1 QN 400337991 JSB PUT IN CAGE/STOCK, PLEASE 5 1.00 TS31902 STEELCAS No Charge No Charge Chair-Executive 319, Full Back, Swivel Tilt, Mechanical, Plastic Open Arms Tag For: REPLACEMENT FOR INSERT STRIPPED OUT. JSB QN 400337991 Business Furniture LLC 6102 Victory Way Invoice Indianapolis, IN 46278 PLEASE REMIT TO Business Furniture, LLC Business Furniture PO Box 856300 317.216.1600 Page 2 of 2 R] Dept No 129 800.774.5544 www.businessfurniture.net Louisville, KY 40285-6300 FAX 317.216.1601 BUSINESS FURNITURE INDIANA 0 nvoic Date' es YTInvqice'�'- X.-R4 Ship m'0 1 N L-FTIR iiw- O'ed ow ,ate::: Representat 4 1 1 6 D' W"Difibe Order Number t A#66riI resentat 6 v 404378 5/30/2012 26117 219817 5/25/2012 JOLYNNE WILHOIT La El 404: 1"M Exti§ 4d anded,` Line !KQuantitsr xt Nuihb6V1.;D scription Unit Price.K� UffAmount INVOICE TOTALS Sub Total 265.50 INDIANA SALES TAX EXEMPT 0.00 Please Pay This Amount: 265.50 *******End of Invoice******* INDIANA RETAIL TAX EXEMPT PAGE C ®f Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26W 35- 60000972 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 3127M`12 Musinegs Furn LL C Carmel Pollce Dopartment VENDOR SHIP 3 CIVIC squmm 0902 VIBtoii Vft TO Carmel, IN 4 Indianapolis, IN 46279 (397) 5571 9 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 4440.E 9 Each Executive 399 chair TS31902 Sleelca$e $205.50 $2,924.00 1 Each labor $225.00 $225.00 Seat Total: $2,349.00 S o Send Invoice To:,� Cumel Pol 13epadmen9 Attn: Twos@ Andomon 3 CIVIC squ Carmel, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $2,349.00 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 THE RE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATIONS FFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f ,....ri PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 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 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)) 05/30/12 404378 chair $265.50 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 Business Furniture LLC IN SUM OF 6102 Victory Way Indianapolis, IN 46278 $265.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26117 I 404378 I 44- 630.00 I $265.50 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 Friday, June 15, 2012 E h�a Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund