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HomeMy WebLinkAbout214983 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366344 Page 1 of 1
ONE CIVIC SQUARE CENTRAL SERVICE CENTER
? �I CHECK AMOUNT: $176.75
+` CARMEL, INDIANA 46032 715 NORTH BRIGHT STREET
DECATUR IL 62522 CHECK NUMBER: 214983
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 25514 21095 176 . 75 RADAR REPAIRS
Central Service Center InV®ICS
715 N Bright St
' Date Invoice#
Decatur IL 62522
11/21/2012 21095
Bill To Ship To
Carmel Police Dept Carmel Communication Center
Teresa K Anderson Greg Bedell
3 Civic Square 31 1 st Ave NW
Carmel IN 46032 Carmel,IN 46032
Sales Rep
P.O.No. Terms Tech Service Date Account# Via Serial Number
25514 Net 30 11/21/2012 0031201550020 GVPD-05898
Qty Ord Qty B/O Item Description Price Each Amount
1.25 RHR-Repair Handheld Radar Repair 65.00 81.25
1 CSC-S780-20 I GHD LCD Display Module 68.00 68.00
1 Shop Shop Supply 7.50 7.50
1 Shipping Shipped UPS INSURED 20.00 20.00
IZ3Y6A550345939695
replaced LCD cracked screen with new screen
Please remit to above address.
Total $176.75
All Major Credit Cards accepted
Phone# Fax# E-mail
217-423-3900 217-423-3904 jackie @centralservicecenter.org
C4 INDIANA RETAIL TAX EXEMPT PAGE
ily o Qa� rmel CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT `14
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
COMM 801vide C&Aor Camel Polico Departmont
VENDOR SHIP 3 Civic Squam
TO
795 North Bright Street Carmel, IN Q
Decatur, I6 M22 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account. 43 .0
1 Each radar ropair, $176.75 $176.75
Sub Total; $176.75
T...
9
° t o
Send Invoice To: `` G
Carmel Police Wpa+rtment
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. r �c,� PAYMENT $176.75
\- A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS-THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• f
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY .�.
SHIPPING LABELS. /Chief THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �i Pollee
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25514 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.___—__
ALLOWED 20
_ IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#EP 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__V.
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))
11/21/12 21095 radar repairs $176.75
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
Central Service Center
IN SUM OF $
715 North Bright Street
Decatur, IL 62522
$176.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
25514 21095 43-500.00 $176.75
I hereby certify that the attached invoice(s), or
I I I
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
Wednesday, November 28, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund