HomeMy WebLinkAbout211293 07/31/2012 ±4 CITY OF CARMEL, INDIANA VENDOR: 362830 Page 1 of 1
ONE CIVIC SQUARE GIBBS AUTO INTERIORS, LLC
CARMEL, INDIANA 46032 18318 US HIGHWAY 31 NORTH CHECK AMOUNT: $125.00
WESTFIELD IN 46074 CHECK NUMBER: 211293
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 26202 2652 125 . 00 REPAIR VAN SEAT
Gibbs Auto Interiors Invoice
18318 US Hwy 31 N
Date Invoice#
Westfield, IN 46074
7/24/2012 2652
Bill To Ship To
CARMEL POLICE DEPT
3 CIVIC SQARE
CARMEL, IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
7/24/2012
Quantity Item Code Description Price Each Amount
Car Seats Labor VAN SEAT REPAIRED 75.00 75.00
Car Seats Material MATERIALS 50.00 50.00
7.00% 0.00
Total $125.00
PAGE
INDIANA RETAIL TAX EXEMPT
City. ®� Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26202
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
60=2
Gibbs Auto Intedom Carol Polico Departman@
VENDOR
SHIP 3 Civic SgUam
M8 U8 Hlghmy 31 N TO C@rmoi, IN 462
s4Piold, IN 46074 (W)379
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.610M
9 Each repotr ban sest $923.00 $925.00
Saab Total: $123.00
•off vo • � �S . 't:
car 122/Elliott
Send Invoice To:
Camol Police DGp2rtmon4
Attn: Tomsa Andorson
3 Civic Squ@m
ftmel, IN 4l PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Cwmel Police Dept. PAYMENT X3125'00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATI IC FFICI ENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS. iel��g{ Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 2 O2 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. -WARRANT NO._._...�
ALLOWED 20
IN THE SUM OF$
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gibbs Auto Interiors
IN SUM OF $
18318 US Highway 31 N
Westfield, IN 46074
$125.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26202 I 2652 I 43-510.00 I $125.00 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 26, 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))
07/24/12 2652 repairs to van seat $125.00
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