HomeMy WebLinkAbout210822 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 362266 Page 1 of 1
t, ONE CIVIC SQUARE END RESULT COMPANY LLC
CARMEL, INDIANA 46032 3426 TOWNE POINTE DRIVE CHECK AMOUNT: $1,100.00
'v r ? BETTENDORF IA 52722 CHECK NUMBER: 210822
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 26187 559 1, 100 . 00 TIMING AND SCORING SE
End Result Company, LLC
End Result Company,LLC Invoice
3426 Towne Pointe Dr
Bettendorf,IA 52722 Date ." - Invoice#
(317)846-0078 07/12/2012 559
service @endresultcompany.com ,Terms' `Due Date
Net 10 07/22/2012
BIII To"
Gary Bowman
Cannel Police Department
Amount Dtae: ;Enclosed"
$1,100.00
Please detach top portion and return with your payment_
.Salbs-Rep;•
Josh Drew
4, Rat A
wF, Dates ,r rN4' �.• ...; ��� b;w,,.;',�'rt�;��"Actlulty - .. �," �t � =° :'Quantity, - e, `mount
06/23/2012 timing&scoring(applicant testing) 2 550.00 1,100.00
Total $� 4'$1,10000
City of `YQ sane i CEINDIANA RTIFICA EENO. 03 2 0
0155 2 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
q�
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
0092
End RGoult CompaW, LLC C&fmGI Police D¢partmont
VENDOR
SHIP 3 CIVIC Squam
3428 Tomo PoInto Driyo TO Czrmol, IN 4M
iofto19dorF, IA 62122 (317)674250
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account n,�gUNIITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.4ig.29
9 Each timing &scoring s0aice $1,100.00 $1,100.00
Sub Total: $1,100.00
i
..........
°•� as
Send Invoice To: - i
F
Camel Palk@ DapmAmont
Attn:Tomas Andomon
3 CIVIC squam
ComaI, IN 460'32- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT K100•00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION.SUFFICIENT+ TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY- .'�,..,._.y ,,/q
SHIPPING R ISSUED �hlog®f P®llco®f Pollen
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE-.�_'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 26187 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _. WARRANT NO.__
ALLOWED 20
IN THE SUM OF$
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))
07/12/12 559 timing company for applicant testing $1,100.00
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.
End Result Company, LLC ALLOWED 20
IN SUM OF $
3426 Towne Pointe Drive
Bettendorf, IA 52722
$1,100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
26187 ( 559 I 43-419.99 I $1,100.00 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
Thursday, July 12, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund