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