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HomeMy WebLinkAbout224836 10/08/2013 - "*E CITY OF CARMEL, INDIANA VENDOR: 366925 Page 1 of 1 ONE CIVIC SQUARE RH COWAN CARMEL, INDIANA 46032 5857 CHRUCHMAN AVE CHECK AMOUNT: $339.23 INDIANAPOLIS IN 46203 „o CHECK NUMBER: 224836 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350000 25432 12126 339 . 23 REPAIR BRAKE LATHE INVOICE R. H. COWAN CO. LLC 5857 CHURCHMAN AVE. INDIANAPOLIS, IN 46203 N° 12126 Phone: 317.787.5152 • Fax: 317.787.5173 SOLD TO P'J' SHIPPED TO dl 3V Old �7/• 035 �� CUST ER'S 05UR SALESPERSON TER S�V -E 1..ECF SHIPPED VIA DATEGj�/�//� • DESCRIPTION UNIT -AMOUNT / 9 na�s 7 1 a,6 /5�),06) a S 9,0- oo �39a�3 1.5% PER MONTH OVER THIRTY (30) DAYS INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 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 DATE DATE REQUIRED REQUISITION NO. VENDOR NO. L DESCRIPTION RH Cowan Carmel Police Dopartmont VENDOR TOHIP 3 CIVIC Square i7 Churchman Avenue Cwmel, IN 46M Indianapolis, IN 46263 (317)579 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-6W.00 B Each repairs to brake lathe $339.23 $339.23 Sub'dotal: $339.23 o .. 4 -4 : 0 Send Invoice To: Camel Police Depmrtmont Attn:T@resa Anderson 3 CIVIC Squam Carmol, IN 2- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. — j PAYMENT 533 .23 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPR PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. 1 / •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. ' •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE //Ch'lof of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V 2 5 4 3 2 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.— ALLOWED 20 IN THE SUM OF$ 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)) 09/10/13 12126 brake lathe repairs $339.23 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. ALLOWED 20 RH Cowan IN SUM OF $ 5857 Churchman Avenue Indianapolis, iN 46203 $339.23 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25432 I 12126 I 43-500.00 $339.23 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 Friday, October 04, 2013 / 4 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund