HomeMy WebLinkAbout219911 05/07/2013 „Mf CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
0 t ONE CIVIC SQUARE T B A WAREHOUSE CHECK AMOUNT: $599.30
CARMEL, INDIANA 46032 2425 E 30TH ST
INDIANAPOLIS IN 46218 CHECK NUMBER: 219911
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03LH2583 6 . 59 REPAIR PARTS
1110 4237000 03LH5730 194 . 28 REPAIR PARTS
601 5023990 03LH7131 152 .42 OTHER EXPENSES
1110 4237000 27512 3LH2580 246 . 01 FUEL PUMP
TBA North Invoice
309 Gradle Dr. No. 03LH5730
Carmel, IN 46032
1 0 317-574-1957 FAX: 317-574-1982 IIN IIIII I l l i l l i i l II l i l II If I iill II
Page 1
11:26:10 Apr 25 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LH5730 04/25/13 03SX4445001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Illll�l��lllllllll'�111I1I1I111II111Illllllllll'i�l�
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS 0 R
04/25/13, 11:17:25 000001 ONLINE ORDERS N NORTH A ACX
*** ACX Reference No: AM2392 ***
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ACD 18A2321-/19169879 KEEP 4 CARMEL U EA 3 0 4 98.90 0.00 48.57 0.00 194.28
TX: 010 1
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
194.28 395.60 194.28 0.00 0.00 0.00 194.28 0.00 194.28
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
--------------------------------------------------
TBA North Invoice
309 Gradle Dr. No. 031-1-12583
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 y�IIIIIII�IIIIIII�III�I�IVIIIII�II�I�IIIIII I III(Ilf I IISII
i I I I I Page 1
12:38:19 Apr 19 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LH2583 04/19/13 03SX0736001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact: /317-733-4600 Route: NORTH Direction:
PL R P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
25709 04/19/13, 12:38:17 400005 TOM SMITH N NORTH A 405
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED OTY PRICE PRICE PRICE CORE PRICE
****Ship when in****
MOP 5175960AB FUEL MODULE ACCESS COVER U EA 1 0 1 8.35 0.00 6.59 0.00 6.59
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
6.59 8.35 6.59 0.00 0.00 0.00 6.59 0.00 6.59
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
---------------------------------------------------------
TBA North Invoice
309 Gradle Dr. No. 031-1-112580
Carmel, IN 46032
317-574-1957 FAX: 317-574-19112 IIIIIIIII IIIIII 11�1�[�Jj jjjII jj jj��j I IIII��J�III Pag e 1
12:35:55 Apr 19 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LH2580 04/19/13 03SX0520001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
lllr+1,llulinlrllll III till llllllllllItIllII III III[ obrien
Dept: 002 CARMEL POLICE CITY GARAGE Contact: 07 r1500 Up chuck/317-733-4600 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
04/19/13, 1 400005 TOM SMITH N NORTH A 405
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN OTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
indy bpu
MOP RL134554AF FUEL PUMP/LEVEL UNIT MODU U EA 1 0 1 272.00 40.00 206.01 40.00 246.01
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
246.01 272.00 206.01 40.00 0.00 0.00 246.01 0.00 246.01
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
------------------------------------------------
City .E, INDIANA RETAIL TAX EXEMPT PAGE
® II Carmel CERTIFICATE NO.003120155 002 0.Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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
Q > 1 3
TBA North Carm al Police Department
SHIP VENDOR SH SH 3 Civic Square
3309 Cr=adle Drive Carrnel, IN
C ameL IN 46M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-370.00
1 Each fuel pump $252.$$ $252.60
Sub Total; $252.60
q- tp>J
�, •. t,:.ti �i
• b..S ]} � s I ,�
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SeF5
ndlll'nvolce To:
7T' r 1 «sr
Carmel Police Department
Attn: Toresa Anderson
3 Civic Square
Carmel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept, 61) PAYMENT 2.60
• 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 THATITHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. ���
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / f
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE b3 At w#0^11or ww
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. IV-- �•
,�) CLERK-TREASURER
DOCUMENT CONTROL NO. A• • COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF a
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 motor vehicle highway fund
VOUCHER NO. WARRANT NO.
TBA-fdefth p,.{'�I1.WJA-� ALLOWED 20
IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$446.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 3LH2583 42-370.00 $6.59 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
27512 3LH2580 42-370.00 $246.01
materials or services itemized thereon for
1110 3LH5730 42-370.00 $194.28 _ which charge is made were ordered and
received except
Wednesday, May 01,2013
ol
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))
04/19/13 3LH2583 repair parts $6.59
04/19/13 3LH2580 fuel pump/car 126-Graham $246.01
04/25/13 3LH5730 repair parts $194.28
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
t
TBA North Invoice
309 Gradle Dr. No. 031-1-17131
Carmel, IN 46032
1 0 317-574-1957 FAX: 317-574-1982 ��I���I��SIISISSI�IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII�IIII�
Page 1
09:12:27 Apr 29 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03LH7131 04/29/13 03SX6083001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY OF CARMEL WATER Contact: /317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
04/29/13, 09:121:23 400003 JIM RATLIFF N NORTH A 403
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN OTY ORDERED CITY PRICE PRICE PRICE CORE PRICE
ACD 17DI334MH 19241705 PAD SET RR DISC NONE EA 0 0 1 107.95 0.00 64.33 0.00 64.33
TX: 010 1
2008 FORD F250 SUPER DUTY P/U V8-330 5.41,SOHC
ACD 18A2330A 05-08 FORD TRK F250 SUPER U EA 1 0 1 142.23 0.00 88.09 0.00 88.09
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
152.42 250.18 152.42 0.00 0.00 0.00 152.42 0.00 152.42
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
Qj
T� 7
----------------------------------------------------------
VOUCHER # 131481 WARRANT # ALLOWED
354275 IN SUM OF $
TBA WAREHOUSE-INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218 i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
}
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
03LH7131 01-6500-04 $152.42 ;
1
Voucher Total $152.42
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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
354275
TBA WAREHOUSE-INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 4/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/30/2013 03LH7131 $152.42
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
112
Date Officer