HomeMy WebLinkAbout224661 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 362878 Page 1 of 1
ONE CIVIC SQUARE T B A WAREHOUSE
CARMEL, INDIANA 46032 2425 E 30TH ST CHECK AMOUNT: $1,750.36
INDIANAPOLIS IN 46218
CHECK NUMBER: 224661
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 03LQ3626 18 . 24 OTHER EXPENSES
1110 4231500 25407 3LP5929 1,479 . 70 55 GALLON DRUM
1110 4237000 3LQ4636 252 .42 REPAIR PARTS
TBA North Invoice
K 309 Gradle Dr. NO. 03LQ3626
i Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II III) III III III III II III I II
Page 1
14:01:32 Sep 16 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
314 03LQ3626 09/16/13 03TH6415001 NET 10TH 030
BILL TO: SHIPPED TO:
CITY OF CARMEL WATER CITY OF CARMEL WATER
3450 W. 131ST ST. 3450 W. 131ST ST
CARMEL, IN 46074 CARMEL, IN 46074
Dept: 002 CITY-OF CARMEL WATER Contact: /317-733-2853 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
STOCK 09/16/13, 14:01:31 400003 JIM RATLIFF N NORTH A 1 403
ITEM DESCRIPTION UNIT ORDER BACK INV LIST CORE NET NET EXT
BIN CITY ORDERED CITY PRICE PRICE PRICE CORE PRICE
HAS LF110F HASTINGS OIL FILTER U EA 12 0 12 5.99 0.00 1.52 0.00 18.24
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
18.24 71.88 18.24 0.00 0.00 0.00 18.24 0.00 1
8.24
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
------
VOUCHER # 132779 WARRANT # ALLOWED
X354275
IN SUM OF $
'TBA WAREHOUSE-INDY
2425 E 30TH STREET
INDIANAPOLIS, IN 46218 i
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Y
f
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
03LQ3626 01-6500-05 $18.24
t,
,
1
Voucher Total $18.24
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354275
TBA WAREHOUSE-INDY Purchase Order No.
2425 E 30TH STREET Terms
INDIANAPOLIS, IN 46218 Due Date 9/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2013 03LQ3626 $18.24
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
Date Officer
TBA North Invoice
3; 309 Gradle Dr. NO. 03LQ4636
Carmel, IN 46032
317-574-1957 FAX: 317-574-1982 II II II II I I III I I I II II III I II
Page 1
15:33:36 Sep 17 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE::]
318 03LQ4636 09/17/13 03TH7597001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
�Illllil'If"I�IIIIIIIIIIIIIIIIIIIIJ.11'�IIIIIIIIIIIII' - -
Dept: 002 CARMEL POLICE CITY GARAGE Contact:JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS - OPER
09/17/13, 15:33:35 000001 ONLINE ORDERS N NORTH A 1 ACX
** ACX Reference No: A01390 ***
ITEM DESCRIPTION BAN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
RAF ATD1159P AT POLICE PAD SET U EA 6 0 6 94.88 0.00 ,42.07 0.00 .252.42
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
252.42 569.28 252.42 0.00 0.00 0.00 252.42 0.00 252.42
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
VOUCHER NO. WARRANT NO.
ALLOWED 20
TBA-Plar-I:k�-`�:�;r;�u,-u,.'l�
a`J - IN SUM OF $
309-Or-adle-Dr-ive-
6ar-rGe1-1,N-46032—W-P6 i,'( 1A,-2-t.6
$252.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 3LQ4636 I 42-370.00 I $252.42 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
Thursday, September 19, 2013
Chief of Police
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))
09/17/13 3LQ4636 repair parts $252.42
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
I;
TBA North Invoice
309 Gradle Dr. NO. 03LP5929
i Carmel, IN 46032
I` 317-574-1957 FAX: 317-574-1982
II II II II II II I I II II II it( III
Page 1
10:10:45 Sep 04 2013
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LP5929 09/04/13 03TG7600001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
.Dept: 002 CARMEL POLICE CITY GARAGE Contact: ,JASON OIL/317-733-4600 Route: NORTH Direction:
E YOU!sP.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER HOP 09/04/13, 10:10:43 400005 TOM SMITH N NORTH A 1 405
ITEM UNIT ORDER BACK INV LIST CORE NET NET EXT
DESCRIPTION >BIN OTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
OIL DIST WILL DEL
ODC 5W30DEXOS55GAL 5W30 DEXOS FULL NONE EA 2 0 2 1352.57 0.00 739.85 0.00 1479.70
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
1479.70 2705.14 1479.70 0.00 0.00 0.00 1479.70 0.00 1479.70
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
INDIANA RETAIL TAX EXEMPT PAGE
City ® ,.,C°,�rmei CERTIFICATE NO.003120155 002 0�./IVS. 111111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 4�7
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 ORD!71 DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
TBA North Caramel Police Department
VENDOR TOIP 3 CIVIC 5qu
3D2 Cradle Drive Carmol, IN 46M
Carm@l, IN 45 (W)5fi11 26559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4215.E
2 Each 55 gallon drum $740.00 $1,480.00
Serb Total: $1,480.00
11
Ad
m �a
'6 $� •�
ARA
$ �
4CU aim ' r
• a 0
Send Invoice To: }
t
Carmel Police Department
Attn., °l omsal Anderson
3 Civic Square
Carmel, IN 46M. PLEASE INVOICE IN DUPLICATE
DEPARTMENT "ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camiel Police Dept. % PAYMENT $1,480.00
\ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
v VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYITHAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAT ON 4 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I /t
SHIPPING LABELS. I/
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
is / CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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-_.....-...
--------_
y
- _ 1
20
........_---........................................-..........----................----......._........................................--.....................--......--...--..........----_._..............
Signature
-.-. . .-----............................_...................- .................................................--.............---................................-.........................
Title
.1 .
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
TBA Nor-thlj, t-(L' -w-� ALLOWED 20
IN SUM OF $
`?e9-Grad le-Drive
$1,479.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
25407 I 3LP5929 I 42-315.00 I $1,479.70 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
Thursday, September 19, 2013
Chief of Police
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))
09/04/13 3LP5929 2 55 gallon drums of oil $1,479.70
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