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Home My WebLink About221721 07/02/2013 a CITY OF CARMEL, INDIANA VENDOR: 365945 Page 1 of 1 ONE CIVIC SQUARE SUPER QUICK CLEAN GUNS CHECK AMOUNT: $206.40 CARMEL, INDIANA 46032 12178 N BETH ANN DRIVE CAMBY IN 46113 CHECK NUMBER: 221721 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 25341 411864H 206 .40 CLEANER/LUBE Super Quick Clean Guns Invoice 1415 Fourth St. NW Grand Rapids, MI 49504-4807 6/20/2013 0411864H Sgt. Ryan Jellison Sgt. Ryan Jellison Training coordinator Training coordinator Carmel Police Dept Carmel Police Dept 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 .Z' b 1 PO#25751 Net 15 DN 7/5/2013 6/20/2013 Delivered Grand Rapids 24 4 oz SQCG A 4 oz Super Quick Clean Guns 8.60 206.40 Thank you for your Order Total $206.40 888-381-6162 616-453-3826 Harald @Supergcg.com www.superquickcicanguns.com INDIANA RETAIL TAX EXEMPT PAGE C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 _79 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 8/1312093 4 Super Quick Glen Guns Carnal Police Department VENDOR SHIP TO Square i 12178 N. Beth Anil thrive Cannel, IN 48M C2amb . IN 48113 - (3171. 871 2ffa9 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 .90 24 Each 4 oz cleaner J Tube for weapons $8.60 $200.40 Sub Total: $206.40 °co Send Invoice To: Carmel Police Department Attn:Tefta Anderson 3 Civic Square Caoo PLEASE INVOICE IN DUPLICATE IN 4R(M DEPARTMENT, ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police De t. PAYMENT 4A • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS - I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. -THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • _. ggii •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE'-,\ ni i R a�.ti a vex AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2'z J CLERK-TREASURER DOCUMENT CONTROL NO. A.P.1 COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ 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)) 06/20/13 411864H weapon cleaner $206.40 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. Super Quick Clean Guns ALLOWED 20 IN SUM OF $ 12178 N. Beth Ann Drive Camby, IN 46113 $206.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25341 I 411864H I 42-390.10 I $206.40 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 Monday, July 01, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund