The URL can be used to link to this page

Home My WebLink About221088 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 362241 Page 1 of 1 ONE CIVIC SQUARE HORIBA INTERNATIONAL CORP CARMEL, INDIANA 46032 LOCKBOX 776013 CHECK AMOUNT: $151.50 6013 SOLUTIONS CENTER CHECK NUMBER: 221088 CHICAGO IL 60677-6000 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 25727 90445860 151 . 50 AERASOL SPRAY HORI A INVOICE Scien-tifi&.- "iso--9,001 HORIBA INSTRUMENTS INCORPORATED 3880 Park Ave -->REM/T TO: Lockbox # 776013 Edison, NJ USA 08820-3012 6013':Soluti6ns: Center: Phone: (732) 494-8660, Fax: (732) 549-5125 Chicago,.:IL 60677-6000 www.HORIBA.com/Scientific »>: > :<: > Bill To: 29379 Invoice Number 90445860 Invoice Date 05/16/2013 Purchase Order No. 25727 CARMEL POLICE DEPARTMENT Purchase Order Date ATTN: TERESA ANDERSON Sales Order Number 252437 3 CIVIC SQUARE CARMEL IN 46032-2584 Packing List Number 80350415 Shipping Terms FOB ORIGIN Actual Ship Date 05/16/2013 Payment Terms WITHIN 30 DAYS DUE NET Due Date 06/15/2013 _..:: ........_::_..: ..._.. .......... — Shi P::Ta;.;;29379 CARMEL:, Currency USD ATTN:.:JOH,WELLIOTT Bill of Lading 3 CIVIC>SQUARE';' Sales Office JY04 CARMEL IN' 46032-2584' Invoice Details Item Material Quantity Unit Price Amount Description 10 CP78500 10 EA 15.95 159.50 NIN-PRINT 250ML SPRA Customer Disc (Val) 2.00- 20.00- Net Value for Item 13.95 139.50 Freight 12.00 ----------------------- Total Amount.... $ 151.50 WE_CERTIFY>;THAT THESE GOODS,WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF-._SEC.:6,:J:AND:iI OF THE FAIR LABOR' STANDARDS ACT,AS AMENDED, AND OF REGULATIONS AND ORDERS OF THE U.S'r?DEPARTMENT-OF LABOR ISSUED UNDER SEC: 14 THEREOF, INDIANA RETAIL TAX EXEMPT PAGE City ® II Carmel CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 25'x`27 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 518120`13 SPEX Forensics Cannel Police Department VENDORHORIl3A Instruments incorporated TOIP 3 Civic Square 3880 Pare Avenue Camel, IN 4 Edieon NJ 0020.3012 M71571-2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 420.99 10 each Nin-Print Aer%ol Spay CP78500 $13.95 $139.50 I Each shipping charges $12.00 $12.00 Sub Total: $151.50 Ca4. tea•. a � �e �s::/ Send Invoice To: U V Carmel Pollee Department Attn: Tomsa Anderson 3 Civic Squares Camel, IN 4m PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. `- PAYMENT $9x1,50 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRI TIO (SUFFICIENT TO PAIF FOR-THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY i`• / �r� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. F .� t� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 'hla#�of Police) AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 4 IA .7. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ 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)) 05/16/13 90445860 lab supplies $151.50 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 SPEX Forensics HORIBA Instruments Incorporated IN SUM OF $ Lockbox#776013 6013 Solutions Center Chicago, IL 60677-6000 $151.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25727 I 90445860 I 42-390.99 I $151.50 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, June 14, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund