HomeMy WebLinkAbout213491 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 361361 Page 1 of 1
_,. ONE CIVIC SQUARE HELMETS R US
CARMEL, INDIANA 46032 2705 PACIFIC AVE CHECK AMOUNT: $228.50
TACOMA WA 98402 CHECK NUMBER: 213491
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 36098 228 . 50 OTHER MISCELLANOUS
Helmets R Us Inc Invoice
2705 Pacific Avenue
Tacoma,WA 98402 Date Invoice#
Ph:(253-627-2121) FAX:(253)572-4225
Federal ID#:91-2009438 9/20/2012 36098
Bill To Ship To
City of Carmel City of Carmel
Lisa M Stewart
Lisa M Stewart
I Civic Square
1 Civic Square Carmel IN 46032
Carmel IN 46032
S.O. No. P.O. Number Terms Rep/PROMO Ship
26476 Due on receipt 9/20/2012
Quantity Item Code Description Price Each Amount
5 9SMBL 09(V l ON-A)Small Blue Graphic Bike Helmet with Turnring 6.45 32.25
5 9SMRD 09(V l ON-A)Small Red Graphic Bike Helmet with Turnring 6.45 32.25
5 9SMSL 09(V l ON-A)Small Silver Graphic Bike Helmet with"Curnring 6.45 32.25
2 9MDBL 09(V ION-B)Medium Blue Graphic Bike Helmet with Turnring 6.45 12.90
2 9MDRD 09(VION-B)Medium Red Graphic Bike Helmet with'furnring 6.45 12.90
2 9MDSL 09(V ION-B)Medium Silver Graphic Bike Helmet with Turnring 6.45 12.90
2 9LGBL 09(V ION-C)Large Blue Graphic Bike Helmet with Turnring 6.45 12.90
2 9LGRD 09(V ION-C)Large Red Graphic Bike Helmet with Turnring 6.45 12.90
2 9LGSL 09(V ION-C)Large Silver Graphic Bike Helmet with Turnring 6.45 12.90
3 9XLBL 09(V l ON-D)X-Large Blue Graphic Bike Helmet with Turnring 6.45 19.35
30 S hipping cost Shipping Charges 1.00 30.00
Handling Handling 5.00 5.00
FedEx Ground Tracking Number(s):716257830719082,716257830719099
Total $228.50
SEE US AT www.helmetsrus.net Balance due is subject to 1.5%per monJdat,
NOTICE: RETURNS Subject to a MINIMUM 15%restocking fee. Must have"RMA" FINANCE charges,30 days from invoice
Authorizatiion Number for Returns. DAMAGED or MISSING items must be reported
within 20 days of shipment.
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))
09/20/12 36098 Bike Helmets-Public Safety Day $228.50
I 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
Helmets R Us, Inc.
IN SUM OF $
2705 Pacific Avenue
Tacoma, WA 98402
$228.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
I PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 36098 I 42-390.99 I $228.50 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
Monday-Octo er 8 12
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund