HomeMy WebLinkAbout217601 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 366925 Page 1 of 1
q ONE CIVIC SQUARE RH COWAN
CARMEL, INDIANA 46032 5857 CHRUCHMAN AVE CHECK AMOUNT: $639.60
INDIANAPOLIS IN 46203 CHECK NUMBER: 217601
CHECK DATE: 2126/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 25635 11553 639 . 60 REPAIRS TO BRAKE LATH
INVOICE
R. H. COWAN CO. LLC
5857 CHURCHMAN AVE.
INDIANAPOLIS, IN 46203 N°- 11553
Phone: 317.787.5152 • Fax: 317.787.5173
SOLD TO SHIPPED TO
CUST MER'S ORDER SAL 71\1 TER S S ICE T H SHIPPED VIA DATE� G/
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•
DESCRIP • AMOUNT
_ ••• •
l 33 D�2 71�, d
9,-A
L11
A Lad-
I 14�4U&24�t daZ
1.5% PER MONTH OVER THIRTY (30) DAYS
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER
E_ FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA SQUARE 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
21403113 °
RH Cogs Carmel Police D®WWent
SHIP
VENDOR TO 3 Civic Squam
7 Churchman Avenue Carmel, IN 46W2
Indianapolln. IN A62 t 471974
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account: 43 .00
1 Each repairs to brake lathe $$664.60 $564.60
Sub Tout: $584.80
Al
nm
Send Invoice To:
Camel Police Department
Attn: Teresa Anderson
3 Civic Square
C rural, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �� PAYMENT $564.60
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. . THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY -
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL v -
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE W�a hisf of Police!
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
r) ;r CLERK-TREASURER
DOCUMENT CONTROL NO. A .§. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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))
02/08/13 11553 repairs to brake lathe $639.60
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
RH Cowan
IN SUM OF $
5857 Churchman Avenue
Indianapolis, iN 46203
$639.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
25635 I 11553 I 43-500.00 I $639.60 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, February 22, 2013
oe
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund