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HomeMy WebLinkAbout216661 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00352978 Page 1 of 1 ONE CIVIC SQUARE CHEMSEARCH CARMEL, INDIANA 46032 23261 NETWORK PLACE CHECK AMOUNT: $2,491.50 CHICAGO IL 60673-1232 CHECK NUMBER: 216661 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 942504 138 . 87 OTHER EXPENSES 651 5023990 967146 1, 896 . 44 OTHER EXPENSES 601 5023990 968780 90 . 46 OTHER EXPENSES 1110 4232100 25614 971263 365 . 73 LUBRICANT _ INVOICE Page 1 of 1 ORIGINAL COPY J Y Remltfance Address�'T` CORRESPONDENCE TO CHEMSEARCHFE PO BOX 152170 REORDERS CALL # 1-800-527-9921 IRVING TX 75015 23261 NETWORK PLACE FAX # 1-972-438-0634 CHICAGO,IL 60673-1232 WWW.CHEMSEARCHFE.COM Sold T; is Sh1p:To . `, W r ,:I Y Attn: ACCOUNTS PAYABLE Attn: JASON OGLE e are going green! To pay electronically or CITY OF CARMEL CITY OF CARMEL POLICE POLICE receive invoices via 3400 W 131ST 3 CIVIC SQUARE CARMEL IN 46032 email or fax- CARMEL IN 46032 simply contact us at cac.credit @nch.com 1 Customer;No. Billing Date Terms. L"Due Date, Ship Date ?y- Sales Order:", 317917 11-JAN-13 10 NET 21-JAN-13 11-JAN-13 1014126 p Invoice Nu._. . ?Purchhse Order;Ao !;; ._A , Sales Rept No ,s, Sales<Re ,Name' 971263 USFEF001 DUNSCOMB,Mr.JAMES L i"; .Protluct., ;Qt ;Ordered „, „ ? Descnpton Eackaging; -, Q ;;Billed.,, ;IUmt":Price_„ . Amount,„ 10033250 2 FULLBACK AEROSOL,DZ,US NC DZ 2.00 170.50 341.00 1 Merchandise Zl State Tax''r Local Tax '? **Shipping Spht Inv,No Currency G Total Amount .11 341.00 0.00 0.00 24.73 USD 365.73 IN Tax ID#0003512371-001-3 Federal ID#75-0457200 CHEMSEARCH FE,DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST BE MADE -- --, WITHIN 15 DAYR__$ECE1P-T Or4i- 0 INDIANA RETAIL TAX EXEMPT PAGE CiA, o Ca- anal CERTIFICATE NO.003120155 002 0 lL. V Jl Jl PURCHASE ORDER NUMBER /J FEDERAL EXCISE TAX EXEMPT 35-60000972 201.4 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 1124W3 CI$amSearch Carmel Polico Department VENDOR TOIP 3 Civic Square M61 Network Place Camel, IN 4632 Chicau®, IL W934232 (3471 5741 CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-321.00 4 Each lubricant $365.73 $365.73 Sub Total: $365.73 ............. -4 Send Invoice To: Carmel Police Department Attu: Temsa Anders-o t 3 Civic Square Carmel, IN 46M2m PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $M.73 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIO SU NT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .a&oglfg^ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2:5 614 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ 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)) 01/11/13 971263 garage supplies $365.73 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 ChemSearch IN SUM OF $ 23261 Network Place Chicago, IL 60673-1232 $365.73 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25614 I 971263 I 42-321.00 I $365.73 1 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 Friday, January 25, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund INVOICE Page: 1 of 1 ORIGINAL COPY Remittance Address CORRESPONDENCE TO PO BOY 152170 REORDERS CALL #1-800-527-9921 CHEMSEARCHFE IRVINO Tx 75015 23261 NETWORK PLACE FAX #1-972-438-0634 CHICAGO,IL 60673-1232 WWW.CHEMSEARCHFE.COA4 Sold To Ship To Attn: JOE FAUCETT Attn: PAUL ARNONE We are going green! To pay electronically or CITY OF CARMEL CITY OF CARMEL UTILITY DEPT UTILITY DEPT receive invoices via 760 3RD AVE SW STE 110 901 N RANGELINE RD CARMEL IN 46032 CARMEL IN 46032 emailorfax- simply contact us at cac.credit @nch.com Customer No. Billing Date Terms Due Date Ship Date Sales Order 229475 08-JAN-13 10 NET 18-JAN-13 08-JAN-13 1008157 Invoice No. Purchase Order No.. Sales Rep:No. Sales Rep.Name 967146 513.142 USFEF001 DUNSCOMB,Mr.JAMES L PFodiict-- t_-Ordered _'r_ _ ..._. _- Descri rtion— - --- _ _ -. Q Y 1 Packaging ., Qtt�Billed `Unit Price Amount 10172090 4 CITRUS FLOW,2 X 25 GL.US FE GL 20.00 60.50 1.210.00 10172114 2 E-100,6 X 9 LB,US FE CS 2.00 306.50 613.00 Merchandise State Tai: Local Tax xY Shipping Split Inv.No. Currency Total Amount 1,823.00 0.00 0.00 73.44 1 USD 1,896.44 IN Tax 1D#0003512371-001-3 Federal Ill#75-0457200 CHEMSEARC'l�,�j„DIVSION OF NCFI CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR r\DJUS'rMENTS OF ANY KIND MUST BE MADE ...� �o — ---- wn ,nc nru , .,nvcp rna rvr-n T!-n:n: n:,:z PPi;a III 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 00352978 CHEMSEARCH Purchase Order No. 23261 Network Place Terms Chicago, IL 60673-1232 Due Date 1/23/2013 Invoice Invoice Description Date - Number (or note attached invoice(s) or bill(s)) Amount 1/23/2013 967146 $1,896.44 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 /L j�/3 yl-- Date Officer VOUCHER # 126541 WARRANT # ALLOWED 00352978 IN SUM OF $ CHEMSEARCH 23261 Network Place Chicago, IL 60673-1232 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 967146 01-7200-02 $1,896.44 Voucher Total $1,896.44 Cost distribution ledger classification if claim paid under vehicle highway fund INVOICE Page: 1 of 1 ORIGINAL COPY. Remittance Address.. CORRESPONDENCE TO PO BOX 152170 REORDERS CALL #1-800-527-9921 CHEMSEARCHFE IRVING TX 75015 23261 NETWORK PLACE FAX #1-972-438-0634 CHICAGO,IL 60673-1232 W W W.CHEMSEARCHFE.COM Sold To Ship To. Attn: ACCOUNTS PAYABLE We are going green! CITY OF CARMEL To pay electronically or CITY OF CARMEL UTILITIES / OPERATIONS UTILITIES FOREMAN receive invoices via 3450 W 131ST ST 4915 E 106TH ST WESTFIELD IN 46074 CARMEL IN 46033 emailorfax- simply contact us at cac.credit @nch.com Customer No. Billing Date Terms, Due Date" Ship Date Sales Order 441468 15-JAN-13 10 NET 25-JAN-13 10-JAN-13 979275 Invoice No. Purchase Order No. Salesa:ep.No. Sales Rep.Narne 968780 USFEF001 DUNSCOMB.Mr.JAMES L Product Qty Ordered "'Description - `= Packaging _Qty Billed Unit Price- Amount 10172981 1 SYSTEM CLEAN DUST MOP TREATMENT AEROSOL DZ 1.00 72.35 72.35 Merchandise State Tax, Local Tax- * *hipping Split Inv.No. Currency ',I Total.Amount 72.35 0.00 0.00 18.11 USD 90.46 IN Tax ID#0003512371-001-3 Federal ID#75-0457200 CHEMSEARCI-1 FE.DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS FOR ERRORS,OR ADJUSTMENTS OF ANY KIND MUST BE MADE WITSj 1N11i'Sl-:.YC A-,.FR ii F('FIi>'r nFi(1(iii: 1.AFR('14 Aiv-il1�F N()T iii('Fi%TFiI FOR RF'i�iT 1;Jil-fi(liTi�liR PRi(1R lURiTrFN"!'(IiJCFUT t INVOICE _ Page: 1 of 1 ORIGINAL COPY Remittance Address CORRESPONDENCETO PO BOX 152170 REORDERS CALL #1-800-527-9921 CHEMSEARCHFE ►RVINC Tx 7501-5 23261 NETWORK PLACE FAX #1-972-438-0634 CHICAGO,IL 60673-1232 WWW.CHEMSEARCHFE.COM Sold To -. Ship To Attn: ACCOUNTS PAYABLE We are going green! CITY OF CARMEL To pay electronically or CITY OF CARMEL UTILITIES / OPERATIONS UTILITIES FOREMAN receive invoices via 3450 W 131ST ST 4915 E 106TH ST WESTFIELD IN 46074 CARMEL IN 46033 emailorfax- simply contact us at cac.credit @nch.com Customer No. Billing Date Terms: _ Due Date Ship Date 1 Sales Order 441468 15-JAN-13 10 NET 25-JAN-13 1 1-DEC-12 979309 Invoice No. Purchase Order No. ,Sales Rep.No.. � Sales Rep.Name �: } 942504 MC120612A USFEF001 DUNSCOMB.Mr.JAMES L Product jtyOrdered` bescription T'ackagin gT Qty Billed Unit Price Amount_'; j 10029400 1 WHIP-IT WIPES,30 COUNT,US MM CS 1.00 126.00 126.00 1Vlerchandist State Tax Local Tas. * $hipping Split Inv.No.; Current$ Total Amount 126.00 0.00 1 0.00 12.87 USD 138.87 IN Tax 1D#0003512371-001-3 Federal ID#75-0457200 CHEMSEARCH FE,DIVSION OF NCH CORPORATION.ALL RETURNS CLAIMS I.OR ERRORS.OR ADJUSTMENTS OF ANY KIND MUST BE MADE 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 352978 CHEMSEARCH Purchase Order No. 23261 NETWORK PLACE Terms CHICAGO, IL 60673-1232 Due Date 1/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/23/2013 942504 $138.87 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 Date Officer VOUCHER # 123359 WARRANT # ALLOWED 352978 IN SUM OF $ CHEMSEARCH 23261 NETWORK PLACE CHICAGO, IL 60673-1232 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO # INV# ACCT# AMOUNT Audit Trail Code 942504 01-6200-03 $138.87 Voucher Total a J Cost distribution ledger classification if claim paid under vehicle highway fund