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HomeMy WebLinkAbout215008 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 365197 Page 1 of 1 ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $1,055.00 CARMEL, INDIANA 46032 15309 STONY CREEK WAY .a� NOBLESVILLE IN 46060 CHECK NUMBER: 215008 CHECK DATE: 12/4/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 15382 60 . 00 POSTAGE 1110 4230200 25529 15382 995 . 00 PERFORATED ROLL Invoice ° M, REMIT TO: 'g ° �e 15309 Stony Creek Way Date Invoice# H... ..:..e:::... . : Noblesville,IN 46060 317-776-6700 11/29/2012 15382 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:Robert Robinson P.O. Number Terms Rep Ship Via F.O.B. 25529 Net 30 BV 11/29/2012 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 12344 995.00T roll,priced per case. Shipping Shipping/Handling 60.00 12344 60.00T Thank you for your business. Total $1,055.00 Phone# Fax# 317-776-6700 317-219-0535 City INDIANA RETAIL TAX EXEMPT PAGE Of r�armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25629 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Enterprise Technical Group Carmel Police Department VENDOR Boil SHIP 3 Civic Squaro i5=Stony Crwk Way TO Carmel, IN 46M Noblosvilia, IN 466M 6' ` ' yl osoA CONFIRMATION BVUNIT CONTRACT PAYMENTTERMS FREIGHT QUANTITY OF MEASU RE DESCRIPTION UNIT PRICE EXTENSION Aecou it 42-M.00 20 Each Perforated roil L133663 . $449.75 $995.00 Sub Total, $995.00 oc .• . . I O o� Send Invoice To: Carmel Police Department Attn:Teresa Anderson 3 Civic Square Carmel. IN 46032= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Police Dept. , PAYMENT '.00 j A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. -,✓t NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH{A/THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL d / SHIPPING LABELS. cwof of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 9✓I � YY rM1 DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 _ IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#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)) 11/29/12 15382 perforated rolls $995.00 11/29/12 15382 shipping charges $60.00 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 Enterprise Technical Group Ben IN SUM OF $ � 15309 Stony Creek Way Noblesville, IN 46060 $1,055.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25529 15382 42-302.00 $995.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 15382 43-421.00 $60.00 materials or services itemized thereon for which charge is made were ordered and received except Friday, November 30, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund