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221600 07/02/2013
CITY OF CARMEL, INDIANA VENDOR: 358391 Page 1 of 1 QJ�f ONE CIVIC SQUARE LABOR RELATIONS INFORMATION SYSAFCK AMOUNT: $150.00 CARMEL, INDIANA 46032 3021 NE BROADWAY PORTLAND OR 97232-1810 CHECK NUMBER: 221600 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4355200 25747 26556 150 . 00 SUBSCRIPTION i LABOR RELATIONS INFORMATION SYSTEM Invoice 3021 NE BROADWAY PORTLAND OR 97232 Date Invoice# 503.282.5440 6/18/2013 26556 www.LRIS.com Bill To Ship To CARMEL POLICE DEPT. CARMEL POLICE DEPT. 3 CIVIC SQAURE 3 CIVIC SQAURE CARM EL, IN 46032 CARMEL, IN 46032 P.O. Number Order Number Terms Ship Via 25747 Net 30 6/18/2013 Quantity Item Code Description Price Each Amount 1 N NWSR RENEWAL OF SUBSCRIPTION TO PUBLIC SAFETY 150.00 150.00 LABOR NEWS I yr for Police Chief Timothy Green i I PLEASE RETURN ONE COPY OF THIS INVOICE WITH YOUR PAYMENT. Total $150.00 THANK YOU INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 li PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ATH 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 Labor Relations Information System Carmel Police Department VENDOR SHIP TO 3 Civic Square 3029 NE Broadway Carmel, IN 46M Portland,;OR 972 (317)571 2669 CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT QUANTITY 7UNIIOFIEASUIE DESCRIPTION UNIT PRICE EXTENSION Account 43-652.00 9 Each subscription $150.00 $150.00 Sub Total: $150.00 ey �• Send Invoice To: 'r Camel Police Department Attn: Tessa Anderson 3 Civic square Caren©l, IN 4M- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $150°00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. T 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. ORDERED BY -�! !.!•!. °"�"""'', •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS;' Achla'f THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of Pollen AND_ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 b 7.4 CLERK-TREASURER DOCUMENT CONTROL NO. A.P. 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)) 06/18/13 26556 renewal $150.00 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 Labor Relations Information System IN SUM OF $ 3021 NE Broadway Portland, OR 97232 $150.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25747 I 26556 I 43-552.00 I $150.00 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 Wednesday, June 26, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund