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
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DESCRIPTION UNIT -AMOUNT
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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