HomeMy WebLinkAbout214101 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00350512 Page 1 of 1
ONE CIVIC SQUARE TEN-8 INC
s
CARMEL, INDIANA 46032 1838 E INVERNESS CIRCLE CHECK AMOUNT: $1,100.00
4 0M r COLUMBIA CITY IN 46725-7504 CHECK NUMBER: 214101
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 25485 101612C 1, 100 . 00 PUBLIC SAFETY JOURNAL
Sold To: Ship To: Please Remit To:
Carmel Police Department Same TEN-8. INC.
Attn: Vicki Bailey ®�
3 Civic Square 1838 E. Inverness Circle
Carmel, IN 46032 Columbia City,IN 46725
Order Date: 9/17/2012 By: lVicki Bailey INVOICE
Phone: 317-571-2559 E-Mail: vbailey @carmel.in.gov $1,100.00
Shipped Purchase Order No. Invoice No. Invoice Date Due Date
Del'vd 10117 101612C 10/16/2012 11/15/2012
Item No. Product Description Ordered Shipped Price TOTAL
Mi Journal w/TEN-8's 2013 Month At A Time@ 160 160 $6.50 $1,040.00
calendar option at front followed by in
order:Contacts, In-Service Training Record,
Vehicle Maintenance Record, Postal
Abbreviations pages followed by:
60 lined sheets ( 120 pages).
New Stamping Die for Front Cover 1 1 $60.00 $60.00
Item Color:I Blue limp. Color: B. Gold Wire: Black
Sub-Total: $1,100.00
Imprint: Customer approved Shipping:
Sales Tax:
TOTAL $1,100.00
Questions? Phone 1-877-783-3544 or E-mail: ten-8 @mchsi.com Thank you O
Carmel Police Department
Attn: Vicki Bailey
3 Civic Square
Carmel, IN 46032
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 254M
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
W412012
Tort, Inc. Carmol Pollee Dap2irtment
VENDOR SHIP 3 Civic Squam
IBM E. IMOM000 ClFCle TO Cwaol, IN 4603
Columbia City, IN 46M 6 1 X50
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-302.00
460 Each. 2093 Public Safety Journal Month at a $6.50 $9,040.00
Time
1 Each stamping die $60.00 $60.00
Sub Total: $9,900.00
4
-4
Send Invoice To:
Camel Pollco Depattmont
Attn: Toreein Anderson
3 Civic Squam
Camiiei, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $91100.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIONeSUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL (�`/,�j
SHIPPING LABELS. lf�[@ Police
�olle�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. A4.5. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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))
10/16/12 101612C calendar/journals $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.
ALLOWED 20
Ten-8, Inc.
IN SUM OF $
1838 E. Inverness Circle
Columbia City, IN 46725
$1,100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
25485 ( 101612C I 42-302.00 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, October 18, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund