HomeMy WebLinkAbout224519 09/25/2013 s CITY OF CARMEL, INDIANA VENDOR: 361361 Page 1 of 1
Q � ONE CIVIC SQUARE HELMETS R US CHECK AMOUNT: $526.50
®G� CARMEL, INDIANA 46032 2705 PACIFIC AVE
TACOMA WA 98402 CHECK NUMBER: 224519
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356003 38897 526 . 50 SAFETY ACCESSORIES
Helmets R Us Inc Invoice
2705 Pacific Avenue
Tacoma,WA 98402 Date Invoice#
Ph:(253-627-2121) FAX:(253)572-4225
Federal ID#:91-2009438 9/6/2013 38897
Bill To Ship To
City of Carmel City of Carmel
Lisa M Stewart
Lisa M Stewart I Civic Square
1 Civic Square Carmel IN 46032
Carmel IN 46032
S.O. No. P.O. Number Term!, Rep/PROMO Ship
26615 Due on receipt 9/6/2013
Quantity Item Code Description Price Each Amount
7 9SMBL 09(V l ON-A)Small Blue Graphic Bike Helmet with Turnring 6.45 45.15
15 9MDBL 09(V ION-B)Medium Blue Graphic Bike Helmet with Turnring 6.45 96.75
15 9MDRD 09(V l ON-B)Medium Red Graphic Bike Helmet with Turnring 6.45 96.75
15 9LGBL 09(V ION-C)Large Blue Graphic Bike Helmet with Turnring 6.45 96.75
15 9LGRD 09(V l ON-C)Large Red Graphic Bike Helmet with Turnring 6.45 96.75
3 9XLRD 09(V ION-D)X-Large Red Graphic Bike Helmet with Turnring 6.45 19.35
70 S hipping cost Shipping Charges 1.00 70.00
Handling Handling 5.00 5.00
FEDEX Tracking: 546412086304;546412086315;546412086326
Total $526.50
SEE US AT www.helmetsrus.net
NOTICE: RETURNS Subject to a MINIMUM 15%restocking fee. Must have"RMA" Balance due is subject to 1.5%per month
Authorizatiion Number for Returns. DAMAGED or MISSING items must be reported FINANCE charges,30 days from invoice date
within 20 days of shipment.
VOUCHER NO. WARRANT NO.
Helmets R Us, Inc. ALLOWED 20
IN SUM OF $
2705 Pacific Avenue
Tacoma, WA 98402
$526.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 38897 I 43-560.03 I $526.50 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
Monday, September 23, 2013
-7T / i
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))
09/06/13 38897 Bike Helmets for Public Safety Day $526.50
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