HomeMy WebLinkAbout217692 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 362793 Page 1 of 1
ONE CIVIC SQUARE INTAPOL INDUSTRIES
t' CARMEL, INDIANA 46032 100 AMITY STREET CHECK AMOUNT: $497.91
JERSEY CITY NJ 07304 CHECK NUMBER: 217692
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 25612 192284-IN 253 . 93 MOTORCYCLE HELMETS
1110 R4356001 25501 192285-IN 243 . 98 HELMETS/ETC
CUSTOMER's INV®ICE Page: 1
INTAPOL INDUSTRIES,INC. INVOICE NUMBER: 0192284-IN
100 AMITY STREET INVOICE DATE: 02/08/2013
JERSEY CITY,NJ 07304
(201)432-5555
ORDER NUMBER: 0141520
ORDER DATE: 01/29/2013
SALESPERSON: LRB
CUSTOMER NO: 11-0700333
SOLD TO: SHIP TO:
CARMEL POLICE DEPT, CARMEL POLICE DEPT.
3 CIVIC SQUARE ATTN: TERESA ANDERSON
ATTN: TERESA ANDERSON 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: TRACKING NUMBERS: 1ZO569214200328938;
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
25612 UPS GROUND NET 30 DAYS
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
G4473-LR EACH 1 0 1 319.99 0.00
IKE JACKET PITTSBURGH LARGE/REG
SD70OVE-S EACH 1 1 0 234.94 234.94
POLICE MOUNTED HELMET w/e 7
NAVY FRONT/WHITE BACK
Net Invoice: 234.94
Freight: 18.99
Sales Tax: 0.00
Invoice Total: 253.93
CUSTOMER's INV®ICE Page: I
INTAPOL INDUSTRIES, INC. INVOICE NUMBER: 0192285-IN
100 AMITY STREET INVOICE DATE: 02/08/2013
JERSEY CITY,NJ 07304
(201)432-5555
ORDER NUMBER: 0139734
ORDER DATE: 10/12/2012
SALESPERSON: LRB
CUSTOMER NO: 11-0700333
SOLD TO: SHIP TO:
CARMEL POLICE DEPT. CARMEL POLICE DEPT.
3 CIVIC SQUARE ATTN: TERESA ANDERSON
ATTN: TERESA ANDERSON 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
CONFIRM TO: TRACKING NUMBERS: 1 ZO569214200328947;
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
25501 UPS GROUND NET 30 DAYS
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
SD70OVE-M EACH 1 1 0 224.99 224.99
POLICE MOUNTED HELMET w/e M
NAVY FRONT/BLUE BACK
Net Invoice: 224.99
Freight: 18.99
Sales Tax: 0.00
Invoice Total: 243.98
INDIANA RETAIL TAX EXEMPT PAGE
City o C:°,� mei CERTIFICATE NO.003120155 002 0 Jl CLA1r PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2%01
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
101W `12
Intapol Industries Camel Police Department
VENDOR SHIP 3 Civic Square
100 Amity Stmet TO Carmel, IN 4
Jersey City, NJ 07304 (317)911
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 .01
1 Each Police l olorcyle Helmet SD70OVe-ICI $234.94 $234.94
1 Each Imported Pittsburgh Leather Ike CQ•4731 $319.99 $319.99✓
2 Each Motcrcyle Breeches Year Round 1.0 X37 12 $129.99 $259.98 v
/
x , ^ i- Saab Total. 1
de
L y^
1 ',I' {�% �
Sgt.Breit Keith
Send Invoice To:
Carmel Police Department
Attn. Teresa Anderson
3 Civic Square
Cannel, IN 4I ° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. � PAYMENT $894.91
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS IHE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER TIFJ,Y THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �p
SHIPPING LABELS. � hlof of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
b0 �
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
--...--
........................
- - - -- _.- - -- - - ---
20
.......... .................................................................................................................-
Signature
....-...............------...-.-....-...-...............___......._..._._ . -.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Intapol Industries
IN SUM OF $
77 Amity Street
Jersey City, NJ 07304
$497.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25612 192284-IN 43-560.01 $253.93 I hereby certify that the attached invoice(s), or
Encunrbered bill(s) is (are) true and correct and that the
25501 192285-IN 43-560.01 $243.98
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 21, 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))
02/08/13 192284-IN helmet $253.93
02/08/13 192285-IN helmet $243.98
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