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Home My WebLink About212425 08/29/2012 ,F CITY OF CARMEL, INDIANA VENDOR: 364574 Page 1 of 1 ONE CIVIC SQUARE E M P TECHNICAL GROUP CHECK AMOUNT: $1,060.00 CARMEL, INDIANA 46032 15309 STONY CREEK WAY +. NOBLESVILLE IN 46060 CHECK NUMBER: 212425 CHECK DATE: 8/29/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 14274 65 . 00 POSTAGE 1110 4230200 26237 14274 995 . 00 20 PERFORATED ROLLS a= ° _ Invoice REMIT TO: r 15309 Stony Creek Way Date Invoice# Noblesville,IN 46060 317-776-6700 8/23/2012 14274 TECHNICAL GROUP Bill To Ship To Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel,IN 46032 Carmel,IN 46032 ATTN:ACCOUNTS PAYABLE ATTN: Teresa Anderson P.O. Number Terms Rep Ship Via F.O.B. 26237 Net 30 BV 8/22/2012 Fed Ex Ground Factory Quantity Item Code Description U/M Price Each Class Amount 20 LB3663-CASE Perforated roll,6 roll pack, 100 sheets per ea 49.75 11474 995.00T roll,priced per case. Shipping Shipping/Handling 65.00 11474 65.00T Sales Tax 0.00% 0.00 Thank you for your business. Total 1 $1,060.00 Phone# Fax# 317-776-6700 317-219-0535 CA_ INDIANA RETAIL TAX EXEMPT PAGE ilyOf Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 2M 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. 3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION GtW2092 Entorpr1so` ochnlcal rDroup Carol Police Dopzftmsnt VENDOR@on TOIP 3 Civic Squad IM Stony Crook Way Carmel, IN 4mv NoblGsbllle, IN 4M 591 9 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT ,g QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 .00 20 Each Perforated roll LB3663 $49.75 $995.00 Sub Total: $995.00 Send Invoice To: 11t'E C@mol Police Dopartmont Attn:TGrusa Anderson 3 Civic SquM C@rmsl, IN 46032= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT •� • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. \_l NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PRO DER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY((((((pppp�HFAT HERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRRN FFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. �} g •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Ia o AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 2-6- 237 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 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)) 08/23/12 14274 shipping charges $65.00 08/23/12 14274 e-ticket paper $995.00 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. ALLOWED 20 Enterprise Technical Group Ben IN SUM OF $ 15309 Stony Creek Way Noblesville, IN 46060 $1,060.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 14274 43-421.00 $65.00 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 26237 14274 42-302.00 $995.00 materials or services itemized thereon for which charge is made were ordered and received except Thursday, August 23, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund