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