HomeMy WebLinkAbout210472 07/05/2012 CITY 01:'U RMEL, INDIANA VENDOR: 353788 Page 1 of 1
ONE CIVIC SQUARE NATIONAL LAW ENFORCEMENT SUPP gHECK AMOUNT: $22.70
CARMEL, INDIANA 46032 4019 EXECUTIVE PARK BLVD SE
SOUTHPORT NC 28461
CHECK NUMBER: 210472
CHECK DATE: 7/512012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 79756 22.70 OTHER MISCELLANOUS
INVOICE
4 }In�oice 79
V Date 6/13/2012
National law Enforcement Supply t 1D 201434
518.724.6464 fax 518,438.8799
www.nlescorp.com
Bill To: Ship To:
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SQ 3 CIVIC SQ
TERESA ADNERSON JOHN ELLIOT
CARMEL IN 46032 CARMEL IN 46032
?'u�ctiase0�d "er`No� Ordered�B Sales lD r,Shi iri nMethod�,,MPaymentTerms M =wShip Daterv, Order.
2 560276 LGb uROP Ship i Net 30 6o. 3120'i I 5125/2012
,x� x..e'!�:? ASS r s;" x�d(.,� Y,
Ordered >Shi ed� B/O Item "Number:; il .Descn tion,,� ,W,,4d .w.... Umt F�ice Ezt: P ice;
1.000 1.000 0.000 8006090 BX /5 NIK TEST O GHB DRUG TEST KIT LIGHTNIN $22.70000 $22.70
i
i
:Subtotal° $22.70
PAST DUE BALANCES SUBJECT TO 1 1/2% SERVICE CHARGE PER MONTH
Trade Disdoun "t $0.00
REMIT PAYMENT TO: i Misc���' $0.00
4019 Executive Park Blvd. SE
j Southport, NC 28461 !YrR ht $0.00
910- 457 -6600, 910 -457 -0094 fax ax' $0.00
T xs3r
22.70
0 4 j INDIANARETAIL•TAX EXEMPT PAGE
IN DIANA'
RETAIL
el CERTIFICATE NO. 003120155 002 0
��.J� lVS.1< JJLL PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
26974
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
X12
National Lm Enforcemod Supply Carnmmi Felice ®apartment
VENDOR
SHIP 3 CIVIC Squam
North Alien Street TO Cwmol, IN 46432
Albany, MY 1221 (317) 671
!CONFiRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Accou OUANTITYY sy UNIT OF MEASURE DESCRIPTION 1. --UNIT PRICE EXTENSION
Account 42 M .E f
5 Each 4' x 380' Transparent Tape 1441.4 $0.73 $48.65✓
1 Each 13 x 8 x 2 Evi -Paq Gun Box GN-BOX $32.72 $32.72✓
1 Each Lightning Pcwder drug test IM 00090 $22.70 $22.70
1 Each N ilt Test T Itetarnine $23.23 $23.23✓
1 Each N IK Test U Metharnphetarnine 0 "0604 $22.60 $22.60
3 Each 20 original black print powd °1� =0001 $5.65 $16.05✓
2 Each Lightning Pawder Lis Filrn o 4 -5003. $87.07 $175.04✓
2 Each 1 x 8 a-
o Silchie Sy;;ringe T��pert $17.6
es ECT2 4 $35.28✓
2 Each 7.2' x 14.4° transparent mil• littcars X618200 $11.32 $22.W-
1 Each 5 112 tt 8 1/2 Mho Carl1 1 X501 $15.50 $15.50✓
1 Each 4oz poly{ one collection r CJ4
�r $10.70 $10.70✓
1 Each 8ea p®IytWane c olleaai oar C,.FB_
1 Each 4eg glass collection jar ECO 6 $10.71 $10.71✓
1 Each 8oz glass collection jar -E $6.54 $6.54✓
8 Each 7.2° x 14.4 whhe gel lifters ®15500 $11.32 $90.56✓
Send Invoice To:
Carmral Pollen Dapartment
Attn: Tmom Andmon
3 Civic Squm
Calel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT h ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $7706.128
C'
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 UFF CIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No.26171 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
C
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
INDIANA RETAIL TAX EXEMPT PAGE
C ity of armei CERTIFICATE NO.003120155 002 0 ws i li PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26171
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
5=12
National Law En?omGmont Supply Camel P®lico Dep2rtmen4
VENDOR
SHIP 3 CIVIC Squm
226 North Allen Stmo4 TO CwmGI, IN 46M
Albany, Nit i2M (317) 571.2
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
9 Each 3° u 5° while numbered latent cards 1-2511 $142.76 $142.76
Sub Tot@]: $706.06
Ul e
Send Invoice To: o' U l�
CarmGI Polico D eparts melt
Attn: '1'wosz AfifdGruon
3 CIVIC Squm
Carmel, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
,arm el Police Dept.. PAYMENT
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 THA�THERE IS AN UNOBLIGATED BALANCE IN
THIS CIENT TO
SHIP REPAID. FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
iShc /p 1 Y' p,
BII�.�c
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO.�L 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
Sigriature I
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
06/13/12 79756 lab supplies $22.70
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
VOUCHER N WARRA NO.
ALLOWED 20
National Law Enforcement Supply
IN SUM OF
226 North Allen Street
A`Ibany, NY 12206
$22.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26171 79756 42- 390.99 $22.70 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
Thursday, June 28, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund