HomeMy WebLinkAbout210155 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00350674 Page 1 of 1
ONE CIVIC SQUARE ULINE
CARMEL, INDIANA 46032 2200 SOUTH LAKESIDE DR CHECK AMOUNT: $759.70
WAUKEGAN IL 60085 CHECK NUMBER: 210155
CHECK DATE: 6/2012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4463000 26170 44367361 759.70 STORAGE CABINETS
Em m INV OICE NO.
1- 800 295 -5510
uline.com 44367361
2200 S. Lakeside Drive Waukegan, IL 60085 I NVO IC E
SHIPPING SUPPLY SPECIALISTS ULINE FED ID 36 -3 3684738
THANK YOU FOR YOUR ORDER. ULINE CUSTOMER SINCE 2003
YOUR ORDER 47863102
SOLD TO: SHIP TO:
MDG2010 00012711 1 MB 0404
II II II I I 1 I- II 11 I I-I I I IIIII I II'II CARMEL CITY OF
CARMEL CITY OF POLICE DEPT
POLICE DEPT 3 CIVIC SQ
3 CIVIC SQ CARMEL IN 46032 -7570
CARMEL IN 46032 -7570
U -100 8 -2010
,PURCHASE ORDER N
No
1473396 26170 CONWAY FRT 5/25/12 5/25/12 NET 30 DAYS 5/25/12
e e
EM NUMBER DESCRI
2 EA H- 1105GR 36X18X72 GRAY STORAGE CABINET 260.00 520.00
2 EA H -2461 36X18" CABINET DOLLY 69.00 138.00
1 EA S- 144041ND2X NFL HOODIE -COLTS 2XL .00 .00
THIS ITEM AT NO CHARGE
ORDER PLACED BY: ROBERT ROBINSON SUB TOTAL SALES TAX FRTIHND AMOUNT DUE
INTERNET /1 Y 658.00 .00 101.70 759.70
i
INDIANA RETAIL TAX EXEMPT PAGE
City arme� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
ti FEDERAL EXCISE TAX EXEMPT 170
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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
`x32012
ullne Carmol Polito DopadmGnt
VENDOFAcco Rocolvable SHIP 3 Civic Square
2200 South Lakeside Drive TO Coal, IN
Wa ukegan, IL 6M (3 17) 579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-M9.09
2 Each Storage Cobinets H4105 $280.00 $320.00
2 Each Storage Cabinet Dollies H -2481 $89.00 $138.00
Sub Total: $858.00
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Send Invoice To:
Col Police Depmrtmsant r'
Attn: To=2 Anderson
3 Civic Squaro
Ca mol, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT F PROJECT ACCOUNT AMOUNT
Camel Polio Dept. PAYMENT $M.09
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 T. ERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIO II ICI ENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief og Pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 6 1 7
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 #ITITLE 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
VOUCHER NO. WARRANT NO.
Uline ALLOWED 20
Accounts Receivable
IN SUM OF
2200 South Lakeside Drive
Waukegan, IL 60085
$759.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26170 I 44367361 I 44- 630.00 $759.70
I 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
Friday, June 15, 2012
Chief of Police
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))
05/25/12 44367361 storage cabinet dolly $759.70
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