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HomeMy WebLinkAbout221490 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 365197 Page 1 of 1 ONE CIVIC SQUARE EMIR TECHNICAL GROUP INC CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK AMOUNT: $1,049.00 NOBLESVILLE IN 46060 CHECK NUMBER: 221490 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230200 18070 1, 049 . 00 OFFICE SUPPLIES Invoice REMIT TO: W. 15309 Stony Creek Way Date Invoice# : Noblesville, IN 46060 317-776-6700 6/26/2013 18070 TECHNICAL GROUP Bill To Ship To Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel,IN 46032 Carmel, IN 46032 ATTN:ACCOUNTS PAYABLE ATTN:Teresa Anderson PO#25345 P.O. Number Terms Rep Ship Via F.O.B. 25345 Net 30 BV 6/25/2013 Fed Ex Ground Factory Quantity Item Code Description U/M Price Each Class Amount 20 LB3663-CASE Perforated roll,6 roll pack, 100 sheets per ea 49.75 14460 995.00T roll,priced per case. I Shipping Shipping/Handling 54.00 14460 54.00T Thank you for your business. Total $1,049.00 Phone# Fax# 317-776-6700 317-219-0535 INDIANA RETAIL TAX EXEMPT PAGE City ® II Carmel CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT /4 35-60000972 zw-65- L� 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 61J 91J 3 Enterprise Technical Group Cannel Police Department VENDORBon SHIP 3 CIVIC Square TO ISM Storey Crook Way Camel, IN 46M Noblesville, IN 4M 13M 671 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY, s UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42.302.0 20 Each Perforated roll L 83663 $49.75 $905.00 1 Each shipping charges $58.00 $58.00 Saab Total: $1,053.00 Send Invoice To: Carmel Police Department Attn:Terosa Anderson 3 Civic Squara Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police DerA. PAYMENT K053,00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. k} •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY,. :.p'••+ �� ��'»...>< 4ti,.+S .� SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE l-'�Y�1 t Chipf fif piss etnt AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,) 5 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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)) 06/26/13 18070 e-tickets $1,049.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Enterprise Technical Group Ben IN SUM OF $ 15309 Stony Creek Way Noblesville, IN 46060 $1,049.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25345 I 18070 I 42-302.00 I $1,049.00 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 Mond y, my 01, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund