HomeMy WebLinkAbout210121 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $3,384.09
RICHMOND IN 47374 CHECK NUMBER: 210121
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467099 26114 1252916 3,058.44 MISC EQUIPMENT
1120 4237000 12530I4 325.65 REPAIR PARTS
Safety Systems Nmlwauc[E
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1253014
Invoice Date: May 30, 2012
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765 935 -9713
BiII To Ship to.
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
x z, r "Customer ID Customer PO Raymenf Term's
d 9
cartel f.d. Net 30 Days
p.n r,� .,�:q ncw.^• y. r .fi P.• 'Y4 to
3hippmg'�Methotl Due; Da
Saf
Hand Deliver 6/29/12
3 r r z' a
Quantity' Item ath p.
Descri tion Unit -P ric
3.00 ION Red /White 108.55 325.65
Subtotal 325.65
Sales Tax
Total Invoice Amount 325.65
Check /Credit Memo No: Payment/Credit Applied
TOTAL ,s b, w 7 ��325 65'
Drescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
✓vhom, 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))
1253014 $325.65
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER N WARRANT N
ALLOWED 20
Safety Systems
IN SUM OF$
4113 Turner Road
Richmond, IN 47374
$325.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT
Board Members
1120 I 1253014 I 42- 370.00 I $325.65 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
JUN 18 2012
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Safety Systems 0 IM WO C IE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1252916
Invoice Date: May 29, 2012
Page: 1
Voice: 765 -935 -3566 Duplicate
Fax: 765 935 -9713
Ship to`
Carmel Police Department
3 Civic Square
ATTN: Teresa Anderson
Carmel, IN 46032
ID Customer PO Payment'Terms
Carmel P.D. 26114 Net 30 Days
Sales Rep .ID Shipping, Method °Ship Date Due Date °.i
Hand Deliver 6/28/12
Qu'ant�ty f :Item g i F.; Des:criptiori s *u: Urnt a ":Amounts
2.00 C -TM W -G MC -02 70.58 141.16
2.00 C -ARM -103 55.00 110.00
2.00 C -HDM -208 40.11 80.22
2.00 C -HDM -402 38.33 76.66
2.00 C -VS -18 00 -CAP R -1 187.40 374.80
50.00 C -SP -36 2.84 142.00
5.00 Whelen TIR3 Blue 48.15 240.75
5.00 Whelen TIR3 Red 48.15 240.75
20.00 Havis Shield Charge Guard Select 58.50 1,170.00
10.00 C- EB- 30 -LF -1 P 12.72 127.20
10.00 C- EB- 30 -EOR -1 P 12.73 127.30
20.00 C -SW -1 11.38 227.60
Subtotal 3, 058.44
Sales Tax
Total Invoice Amount 3,058.44
Check /Credit Memo No: Payment/Credit Applied
TOTrAL s
3.058.4*
INDIANA RETAIL TAX EXEMPT PAGE
C i t y of C armel CERTIFICATE NO.003120155 002 0 li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 281114
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. tVENDOR NO. DESCRIPTION
3=092
SdGty Systems Carmol Pullco Department
VENDOR
SHIP 3 Civic Sgwro
4113 Tumor Road TO Cool, IN 4
Fichmond, IN 47374 (317) 579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44470.M
2 Each C -T OMC-02 $70.50 $949.92
2 Each C -103 $55.00 $910.00
2 Each C-HDW-208 $40.91 $80.22
2 Each C4il3'1i -402 $38.33 $76.00
2 Each C-V5- 9800 CPR -1 C a $987.40 $374.80
50 Each HS blank switch panel label ^C °.lc4b�iiW $2.84 $142.00
5 Each Melon TIR blue $48.15 $240.75
e
5 Each Whelen TIR 3 red $48.15 $240.73
20. Each Navis Shield charge Ou select C,C X $58.50 $1,170.00
10 Each Nevis Shloid C -E ®-30 I �iIII� ink bq,0*qt $12.72 $927.24
90 Each Nevis Shield C- ES- 304FOR -9P e Q 7100 0 brir*t $12.73 $127.30
20 Each Nevis C- X141 -1 rockers os p $11.36 $227.20
Saab Total:
a $3,058.00
Send Invoice To: m?l
Carmel Police Dopmrtmont
Attn: Toros@ Andomon
3 Civic square
Carf'soi, IN 42. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. Q $3,0
PAYMENT 53.01]
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
THIS APPR �RIAT N SUFFICIENT FOR THE ABOVE ORDER.
SHIP REPAID. AJ
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL J
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE I Chlef of Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 6 11 4 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT
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))
05/29/12 1252916 vehicle equipment $3,058.44
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 N
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$3,058.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
26114 1252916 44- 670.99 $3,058.44
I hereby certify that the attached invoice(s), or
I 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
Friday, June 15, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund