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Home My WebLink About218058 03/13/2013 a- f CITY OF CARMEL, INDIANA VENDOR: 00352891 Page 1 of 1 Q� ONE CIVIC SQUARE GRAND CHAMPION TACK&SADDLERYCWECK AMOUNT: $985.00 4 S.io CARMEL, INDIANA 46032 3905 W 96TH ST,SUITE 600-700 INDIANAPOLIS IN 46268 CHECK NUMBER: 218058 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356001 25666 255779 435 . 00 BOOTS 1110 4356001 25666 256045 50 . 00 BOOTS 1110 4356001 25666 256438 500 . 00 BOOTS 03-05-2013 16:30 PA@E1 Invoice CPDE Invoice Date :02. 19. 13 CARMEL POLICE DEPARTMENT Page : I TERESSA ANDERSON salesperson: 1 3 CIVIC SQUARE Invoice : F56438 CARMEL, %N. 46032! Due Date :02. 19. 13 Disc Datez02. 19. 13 Time : 2:3J PM -------------------------------------------------------------------------------- Juantity : Item Number :List Price :Sale Price : :Extension :Tx : Item Description ---------------------------------------------------------------------------- 1 MISC 0. 00 190. 00 190. 00 N LUG SOLE (8. KElTH) I MISC 0. 00 40' 00 40. 00 N SHIPPING (8. KElTH) 1 MISC 0. 00 190' 00 190' 00 N LUG SOLE: (C. AMOS) 2 MISC 000 40. 00 80. 00 N SH2PINQ (C. AMOS) ` ____-_________________-___-_- _______-_________________-_____-_-___- Subtotsl : 500. 00 Brand Champion Tack 3905 West 96th Street Not Total : 500. 00 ; | Indianapolis, IN Sales Tax � | 46268 Invoice Total : 500. 00 \ www. �randchampiontac4. cmm Received : } (�17�872-4248 On Account : 5001014 Your Change � { | 03-05-2013 16:17 PAGE2 CARMEL. P"C"LICE Pane I TERESSA. ANDERSDH Sales(ate osant 3 QVIL 80UPRE'., lnyuicc �: CARMEL, IN. 0 W:i Datevol . W. Qlj,tanti-Ly -. 1teill Number :List i-''j--%1(:-.- -.? Wtonzion A ; Item Desc-ription I ------------------------------------------------------ ------- --------------------- I MIS✓ 50. wil"i STRETCHINS BOUTS Grand Champion TaW.,,' 3905 West '36th 1.31treet Indianapolis, IN Sol ,, 70W 46268 invoiry Totalp 50100 (SID 8704248 On Account 50. 0c, vnuc change 03-05-2013 16:16 PA@E1 Invoice Invo�� D��e:01 14. �3 CPDE ^ CARMEL POLICE DEPARTMENT Page : 1 TERESGA ANDERSON Salesperson: 1 3 CIVIc SQUARE Invoice ; 255771 CARMEL., IN. 46032 Due Date :01. 14' 13 Disc Date :01. 14. 13 Time : 12;24 PM -______-_______-_-____________________________---__________-___________________ ]uantity : Item Number :List Price ;Sale Price z Nxtension Tx : : Item Description : __________________________________________________________________________ 1 MISC 0. 00 435. 00 435' 00 Y PATROL BOOK! ` Subtotal 435. 00 Grand Champion Tack � 3905 West 96th Street Net Total : 435. 00 Indianapulis* IN Sales Tax : 46268 Invoice Total : 435. 00 www. grandchampinntank' com Received : (317) 872-4248 On Account : 435' 00 Your Change : INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 256M 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 31612013 Grand Champion Tack Camiol Pollco Department VENDOR SHIP 3 Civic Square 3-905 We st 96th Stmet TO Carmel, IN Indianapolis, IN 46266 (W)571-26% CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43tI.0i 9 Each stretch motorcycle boots $50.00 $50.00 2 Each re-sole motorcycle boots $100.00 $380,00 1 Each motorcycle patrol boots $435.00 $435.00 3 Each shipping charges � $40.00 $920.00 ?� Sub Total: $985.00 f,i '• ,� � , 0 �iatt +i betsttatcl1i110, re-sale -A11i @fi; re-i . ti Send Invoice To. t . - j Ciarmal Police Department Attn:Teresa Anderson 3 Civic Square Cannel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT T ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel EtaIiCO ®plat, `?? PAYMENT $ °00 • 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;HA JTHERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. ! THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • r •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL d SHIPPING LABELS. �p,� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE t llof of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. AM. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._--_---..-___-.WARRANT -._--- ALLOWED 20 IN THE SUM OF a ON ACCOUNT OF APPROPRIATION FOR - i 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 I Cost distribution ledger classification if .claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Grand Champion Tack IN SUM OF $ 3905 West 96th Street Indianapolis, IN 46268 $985.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department ZZ PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25666 255779 43-560.01 $435.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 25666 256045 43-560.01 $50.00 materials or services itemized thereon for 25666 256438 43-560.01 $500.00 which charge is made were ordered and received except Thursday, March 07, 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)) 01/14/13 255779 motorcycle boots/Amos $435.00 01/29/13 256045 stretching boots $50.00 02/19/13 256438 re-sole boots $500.00 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