216106 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00352387 Page 1 of 1
ONE CIVIC SQUARE LOWE'S COMPANIES INC
CARMEL, INDIANA 46032 PO BOX 530954 CHECK AMOUNT: $449.10
ATLANTA GA 30353-0954 CHECK NUMBER: 216106
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4467099 25521 98000219612 449 . 10 98000219612
Oft
Commercial
SERVICES
Account: 9800 0219612 Statement Date:12125112 Page: 1 of 3
Call ahead, fax or order online
before 3 PM, pick up In Just 2 hours.
Order by 6 PM, pick up the next day at 7 AM.
See Lowesforpros.com for details.
CITY OF CARMEL POLICE DEP 61780
3 CIVIC SQUARE x109
° CARMEL, IN 46032-2584
Customer Service Online at www. lowescredit.com
This account is- not registered.
'The--authent i cation code Is-: STTRC216-
�_I Account Balance Summary
Current Invoices 8�Returns `( v $449.10
1 1 l l i I
a 1-30 Days Past Due _f i $0.00
J, L
3� 1-60 Days Past Due — $0.00
® Over 60 Days Past Due $0.00
0
Unapplied Payments&Adjustments $0.00
Statement Balance $449.10
Send payments to: Send Inquiries
a Lowe's (not payments)to:
P.O.Box 530954 P.O.Box 965054
Atlanta GA 30353-0954 Orlando,FL 32896-5054
For Customer Service:call 1-866-232-7443
Cm
Purchases,returns,and payments made Just prior to the statement date may not appear
until the next month's statement.Any payments received after 5pm on any business day or
on any day other than a business day,at the address above,will be credited on the next
business day.If the payment is made at a location other than such address,credit may be
delayed.
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5879 0097 001 07 PAGE 1 of 3
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Definitions
Payments Received: Money received and posted to
the account since the previous billing period.
Current Invoices & Returns: New purchases and
credits given for merchandise returned since the
previous billing period.
Past Due Invoices & Returns: Previously billed
invoices that have not been closed (by a payment or a
credit) or merchandise returns that have not been
applied to a specific invoice.
Unapplied Payments & Adjustments: Payments or
non-merchandise credits that have been applied to the
account, but not applied to a specific invoice.
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PAYMENT STUB
Page 2 of 3
SERVICES
Account: 9800 0219612 Statement Date:12/25/12 Page:2 of 3 Account:9800 021961 2
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Oft ACCOUNT ACTIVITY
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Account Number : 9800 021961 2
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Current Invoices & Returns
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Date Invoice Original Due Date Store/City Reference I Date Invoice Amount
Amount Due
I Please Indicate by 2] Invoices You are Paying
11/21/12 995806 $449.10 01/15/13 1525 11/21/12 995806 ❑ $449.10
CARMEL,IN
Subtotal $449.10 Subtotal $449.10
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Account Balance
Summary
9800 0219612
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Total
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$449.10
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5879 0097 001 07 PAGE 2 of 3 COLR649A 61780
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Commercial �
SERVICES
Account: 9800 0219612 Statement Date:12/25/12 Page:3 of 3 !
Current Invoice Details
Mail Payments to: LOWE'S
P.O. BOX 530954
ATLANTA, GA 30353-0954 !
CITY OF CARMEL POLICE DEP Date of Sale: 11/21/12
Account: 9800 0219612 Invoice: 995806
Store/City: 1525/CARMEL,IN P.O./JOB:
Buyer: ROBINSON ROBERT
SHIP TO: !
CITY OF CARMEL FIRE DEPT
USA
— -CARMEL,-IN-46033
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
000000000155670- PROMOTIONALDISCOUNT-----, i 1.00 EA 0.00 0.00
000000000042631 FG UP FREEZER LFUH17F2NW 1.00 EA 449.10 449.10
.
Subtotal: 449.10'—�`; 1 {{ Tax:1�0.00 s,,; Balance Due: 449.10
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5879 0097 001 07 PAGE 3 of 3 COLR649A 61780
INDIANA RETAIL TAX EXEMPT PAGE
City of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
'4 FEDERAL EXCISE TAX EXEMPT
35-60000972 2%21
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
11ARM2
Lo a°s Camel Police Depadmenf
VENDOR SHIP 3 CIvIc Squmt
P.O. Box 630964 TO Carmol, IN 46032
Atlanta, CA 4 (317)571 i 9
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-670.99
1 Each Freezer LFUH17F2NW $499.10 $490.0
Sub Total. $499.10
f��u
'���'�.',..�t N Cfgf�pyy t a°•9,_.4 L'.g.�3{ t
Send Invoice To:
Carmel POHCO Department
Attn: Tams@ Andmson
3 Civic Squaro
Carmel, IN 4 I2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. ✓ PAYMENT $4%.10
�. A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIONPSUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. _ - - 1• T `!
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
� f
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of of
Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
�w
CLERK-TREASURER
DOCUMENT CONTROL NO. A. l COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO......... __...____WARRANT
ALLOWED 20
IN THE SUM OF$a
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
20
............................................__._..........._....._...---............_........ --
Signature
......................................._.__..._._..................----........._..........................................................................---......................_..........
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lowe's
IN SUM OF $
P.O. Box 530954
Atlanta, GA 30353-0954
$449.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
( 9�I
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encunibereri I hereby certify that the attached invoice(s), or
25521 995806 I 44-670.99 I $449.10
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
9
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 995806 refrigerator $449.10
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