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Home My WebLink About218506 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 362793 Page 1 of 1 ' ONE CIVIC SQUARE INTAPOL INDUSTRIES CHECK AMOUNT: $340.98 CARMEL, INDIANA 46032 100 AMITY STREET o� JERSEY CITY NJ 07304 CHECK NUMBER: 218506 CHECK DATE: 3/2512013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4356001 25612 193164-IN 340 . 98 MOTORCYCLE HELMETS CUSTOMER's INVOICE Page: I INTAPOL INDUSTRIES, INC. INVOICE NUMBER: 0193164-IN 100 AMITY STREET INVOICE DATE: 03/13/2013 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: 1 Z0569214200334574; 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 1 0 319.99 319.99 IKE JACKET PITTSBURGH LARGE/REG Net Invoice: 319.99 Freight: 20.99 Sales Tax: 0.00 Invoice Total: 340.98 OtyINDIANA RETAIL TAX EXEMPT PAGE ®II Carr l CERTIFICATE NO.003120155 002 0 of Carmel�v PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 J2 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 J124013 Irltapol Industries Carmel Police Department VENDOR TOIP 3 Civic Square h4 W AmIty Wee Carman, IN J @Fse1 Clty. NJ 0739 W71571-2559 2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-6M.01 2 Each Motorcycle Breaches Year Rotund 106BR372212- 3q-/\< '6 / $129.99 $259.98✓ 1 Each Imported Pittsburgh Leather Ike G"731- � $319.99 $319:99 I Each Police Motorcycle Helmet �� $234.91 $234.9 z Sub Total: $814.91 -4 - Sends Invoice t&d Amat Carmel Pollee Department Attn: Tcr@82 Andemon 3 CIVIC $quam Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carmel Deluca#Dept. ��"� PAYMENT X394.99 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT THE ABOVE ORDER. •SHIP REPAID. ✓ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL y SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Of f P_ AI_I_ge' AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2.6�g CLERK-TREASURER DOCUMENT CONTROL NO. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.--- .-___WARRANT NO._ ALLOWED 20 IN THE SUM OF$ 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 i Cost distribution ledger classification if claim paid rnotor 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)) 03/13/13 193164-IN leather jacket $340.98 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Intapol Industries IN SUM OF $ 77 Amity Street Jersey City, NJ 07304 $340.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25612 I 193164-IN I 43-560.01 I $340.98 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 Wednesday, March 20, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund