HomeMy WebLinkAbout216018 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 365197 Page 1 of 1
= t� ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: $1,053.00
CARMEL, INDIANA 46032 15309 STONY CREEK WAY
a roe.; NOBLESVILLE IN 46060 CHECK NUMBER: 216018
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4230200 25565 15638 1, 053 . 00 20 PERFORATED ROLLS
Invoice
;•::.� _:?:�: REMIT TO:
ee°, 15309 Stony Creek Way
2::•°�e� Noblesville,IN 46060 Date Invoice#
317-776-6700
12/20/2012 15638
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:Teresa Anderson
P0425565
P.O. Number Terms Rep Ship Via F.O.B.
25565 Net 30 BV 12/19/2012 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 12542 995.00T
roll,priced per case.
Shipping Shipping/Handling 58.00 12542 58.00T
Thank you for your business. Total
$1,053.00
Phone# Fax#
317-776-6700 317-219-0535
11 m C4 INDIANA RETAIL TAX EXEMPT PAGE
ity o Carel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25-Sffi
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
'12118M12
Enterprise Technical Group Camel Police Department
VENDORot'n SHIP 3 Civic: equ2m
-15M Stony Creek Way TO Carynal, IN 46M
Noblesville, IN 4 (327)571-26M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.00
20 Each Perforated roll 183663 X9.75 $095.00
1 Each shipping charges Su b$60
Qq$60.0�y0
maa.°•JJ j'f• b c m a x 4 ®; q•1 Pti+ iA\t
Send 4 t`•_Yf T T z �'� `��� i
Se d Invoice To:
Carmel Police Department
Attn. Toms@ Anderson
3 Civic Square
Csel, IN 46032. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cr'll'1nel Police Dept. : $1,055.00
PAYMENT
1 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
---' VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /Z'✓/,.1' �/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL !f
SHIPPING LABELS. f hlof of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE A
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
556 6 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO., WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
VOUCHER NO. WARRANT NO.
Enterprise Technical Group ALLOWED 20
Ben
IN SUM OF $
15309 Stony Creek Way
Noblesville, IN 46060
$1,053.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
25565 15638 42-302.00 $1,053.00
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, January 03, 2013
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))
12/31/12 15638 e-ticket paper $1,053.00
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