HomeMy WebLinkAbout213668 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 361937 Page 1 of 1
ONE CIVIC SQUARE T B A NORTH
;`. CARMEL, INDIANA 46032 309 GRADLE DRIVE CHECK AMOUNT: $1,292.20
CARMEL IN 46032 CHECK NUMBER: 213668
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 25490 3KWO667 759 . 64 OIL
1110 4237000 3KW3624 220 . 46 REPAIR PARTS
1110 4237000 3KW4113 69 . 46 REPAIR PARTS
1110 4237000 3KW5477 242 . 64 REPAIR PARTS
TBA North Invoice
Ar 309 Gradle Dr. NO. 03KW4113
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 IIIIIIIIIIII II lll� II Illlllrlllllll IIII��III�III
Page 1
09:18:44 Oct 02 2012
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03KW4113 10/02/12 03SK4798001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept:.002 CARMEL POLICE CITY GARAGE Contact: 1 Route:NORTH Direction:
F���50�1022 DATE CSR SHIPPED VIA CARTONS OPER 09:18:43 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AJ8919 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED OTY PRICE PRICE PRICE CORE PRICE
2009 CHEVROLET IMPALA
V6-3880cc 3.91-FLEX/FI
Vin M ID#39056
ACD 213-1677 15911983 05-10 GBSENSOR U EA 1 0 1 118.97 0.00 69.46 0.00 69.46
TOTAL PURCHASE TOTAL LIST TOTAL MOSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
69.46 118.97 69.46 0.00 0.00 0.00 69.46 0.00 69.46
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
TBA North Invoice
309 Gradle Dr. No. 03KW3624
Carmel, IN 46032
1 0 317-574-1957 FAX: 317-574-1982 IIIIIIIIIIIIIIIIIIIIIII�I{II�IIIII�IIIIIIIIIIIII( IIIIIIIIIII�I�
I III I II II Page 1
13:42:45 Oct 01 2012
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03KW3624 10/01/12 03SK4224001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
LII�ILII��IL�I��11�„I�III���II��III���II����I�I�I
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
10/01/12, 13:42:43 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AJ8826 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE -PRICE CORE PRICE
ACD 18A2322 19169879 KEEP 4 CARMEL U EA 2 0 2 98.88 0.00 48.46 0.00 96.92
RAF ATD 1159P AT POLICE PAD SET U EA 3 0 3 92.85 0.00 41.18 0.00 123.54
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
220.46 476.31 220.46 0.00 0.00 0.00 220.46 0.00 220.46
2.08% service charge on past dud accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
----------------------------------------------------------
TBA North Invoice
309 Gradle Dr. No. 03KWO667
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II I I I I II I III I II II l�II
I I I I Page 1
08:17:24 Sep 26 2012
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP j TERMS WHSE
318 03KWO667 09/26/12 03SK0916001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317-733-4600 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
09/26/12, 08:17:22 300007 BRIAN HALPER N NORTH A 290
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
BUY 55GALDEXOS Buyout Template NONE EA 1 0 1 1000.00 0.00 759.64 0.00 759.64
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
759.64 1000.00 759.64 0.00 0.00 0.00 759.64 0.00,, ; 759.64
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resaleable. No return after 30 days without invoice.
----------------------------------------------------------
TBA North Invoice
309 Gradle Dr. No. 03KW5477
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II ii II III III I III I I II I)( III
Page 1
08:05:29 Oct 04 2012
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03KW5477 10/04/12 03SK6439001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
10/04/12, 08:05:28 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AJ9207 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD698P AT POLICE PAD SET U EA 4 0 4 90.32 0.00 40.07 0.00 160.28
RAF ATD1159P AT POLICE PAD SET U EA 2 0 2 92.85 0.00 41.18 0.00 82.36
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
242.64 546.98 242.64 0.00 0.00 0.00 242.64 0.00 242.64
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
----------------------------------------------------------
INDIANA RETAIL TAX EXEMPT PAGE
City o CERTIFICATE NO.003120155 002 0 Jl Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i0=12
`lBA North Camel Police Dopartmont
VENDOR SHIP 3 Civic Square
TO
Cradle Drive Camel, IN 461
Caih @l, IN 46M (317)671 2VA
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-370.10
9 Each 55 galled drum $759.64 $759.64
Sub Total: � $759.64
�I � Ism '- ,� J,, �";` 'aw•
)� `.:F♦J ,r4'> -
.r
b.
Send Invoice To: =- r
Carmel Pollee Depaftmant
Attn: Teresa Anderson
3 Civic Square
Camel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $759.64
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
.-
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• '��
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �)
•
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY v^. '� '`s.-h
SHIPPING LABELS. �� '`
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE' fit- \1 Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
g�
%J490 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.—_-.-.__.._..._..WARRANT NO.... .-._-__-_-_
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
P
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
TBA North
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$1,292.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25490 3KW0667 42-315.00 $759.64 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 3KW3624 42-370.00 $220.46
materials or services itemized thereon for
1110 3KW4113 42-370.00 $69.46 which charge is made were ordered and
1110 3KW5477 42-370.00 $242.64 _ received except
Friday, October 05, 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))
09/26/12 3KWO667 55 gallon drum oil $759.64
10/01/12 3KW3624 repair parts $220.46
10/02/12 3KW4113 repair parts $69.46
10/04/12 3KW5477 repair parts $242.64
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