HomeMy WebLinkAbout224902 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 00352891 Page 1 of 1
ONE CIVIC SQUARE GRAND CHAMPION TACK&SADDLERY �N
CARMEL, INDIANA 46032 3905 W 96TH ST,SUITE 600-700 CHECK AMOUNT: $674.95
INDIANAPOLIS IN 46268 CHECK NUMBER: 224902
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 261332 9 . 95 OTHER MISCELLANOUS
1110 4239099 25377 261332 665 . 00 MOTORCYCLE BOOTS
09-30-2013 12:26 PAGE2
invoice
CPD Invoice Date: 09. 13.13
CITY OF CARMEL POLICE DEPT. Page:
3 CIVIC SQUARE Salesperson: 1
Invoice 261332
CARMEL, IN. 46268 Due bat.e:09. 13. 13
Disc Datc: 09. 13.1 :3
Time: 2: 90 PM
-------------------------------------
Quantity : Item Number :List Price :Sale Price :Extension :Tx
: Item Description
-------------------------------------------
1 MISC 0.00 674 . 95 674 .95 N
PATROL BOOTS AND JACK
------------------------------------------
Subtotal 6'14.95
Grand Champion Tack
3905 Wert. 96th Street. Net Total 674.95
Indianapolis, IN Sales Tax
46268 Invoice Total: 674 .95
www.grandchampiontack.com Received
(317) 872-4248 On Account 674 . 95
Your Change
I
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2M
35-60000972
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 DATEI DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
71 '11
Grand Champion Tack Carmel Police Department
VENDOR SHIP 3 CIVIC Squam
TO
305 Mkst 98th Stmet Cam@l, IN 46
Indianapolis, IN 4I (397)671-25N
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-0.
1 Each boot rack $9.95 $9.95
Sub Total: $9.95
Account 430.09 =r
9 Each re-sole motor � `
�cle boots �� " .-;� �,�,..�, $180.00 $900.00
1 Each motorcycle patrol boots �I S. ,..� ,x � r g $425.00 ?425.00
1 Each stretch motor ale boots ,® '�':4" $50.00 $50.00
Sub Total: $665.00
r°
SY
. a.. t
rr��Ion-, a boots- gf,Mablo t j . .. � 3 j°°
Send nvoice To: -
Camel Police Department
Attn:Terssa Andemon
3 CIVIC Squam
Camel, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT -,, ACCOUNT PROJECT T PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $674.95
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY;THATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIAT O /SUFFICIENT &PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE •AW of Polieo
_AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
f CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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))
09/13/13 261332 boot rack/Mabie $9.95
09/13/13 261332 motorcycle boots/Mabie $665.00
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.
Grand Champion Tack ALLOWED 20
IN SUM OF $
3905 West 96th Street
Indianapolis, IN 46268
$674.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25377 261332 42-390.99 $9.95 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
25377 261332 43-560.01 $665.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursda , October 03, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund