HomeMy WebLinkAbout226464 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 367760 - Page 1 of 1
`,. ONE CIVIC SQUARE SCOTT MERRIMAN INC CHECK AMOUNT: $1,144.50
CARMEL, INDIANA 46032 11212 GOODNIGHT LANE#200
oa DALLAS TX 75229 CHECK NUMBER: 226464
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230000 25419 051780 1, 144 . 50 TRAFFIC TICKETS
`Invoice NO] 051780
MERRIMAN I _",., ;Date 10/28/13
`,;Cu'stomerlD GAT462
.. INCORPORATED
11212 Goodnight Lane#200 972-484-7113
Dallas, TX 75229
Bill To-
CARMEL POLICE DEPARTMENT
CARMEL POLICE DEPARTMENT-GAT
3 CIVIC SQUARE
3 CIVIC SQUARE
CARMEL, IN 46032
CARMEL, IN 46032
Purct%ase:Order; Ordered.B _ `, ;;:, Ship Via ,; 'Ship Date=.' Due Date.:F °. Salesperson,;" Terms .
rr . Y
25419 ROBERT ROBINSON FEDEX 10/28/13 11/27/13 2200 NET 30 DAYS
Product: :Qty. '•' De`scription`s; ;>: Pric"e Disc /o• Taz:. Amount'':
4040.22 1.00 IN-17-4 INDIANA4 PART UNIFORM TRAFFIC TICKET(13288) $1,050.00 0.00 $0.00 $1,050.00
4300.0 1.00 WE ARE HAPPY TO ANNOUNCE GREGG THOMPSON IS NOW $0.00 0.00 $0.00 $0.00
SELLING FOR SCOTT-MERRIMAN,INC.
4200.22 1.00 SHIPPING AND HANDLING-GAT $94.50 0.00 $0.00 $94.50
;``'Sufi`total $1,144.50
:Freight $0.00
Sales Tax $0.00
Amount Paid $0.00
Balance-Due $1,144.50
*****PLEASE INCLUDE CUSTOMER NUMBER AND INVOICE NUMBER ON ALL PAYMENTS*****
PLEASE DISREGARD IF PAID
THANK YOU
TO BETTER SERVE OUR CUSTOMERS, WE NOW HAVE A WEBSITE
WWW.SCOTTMERRIMAN.COM
OR CALL US AT 1-800-648-7022
INDIANA RETAIL TAX EXEMPT PAGE
City of-. Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 26419
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. LVENDOR NO. DESCRIPTION
W12013
OF Thompson Carmol Police Departmont
VENDOR TOIP 3 CIVIC SgUa1f '
iM,Wnslolry Lane Carmel, IN
GrapoVine, TX 76MI (317)671
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
I I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 ,00
5000 Each Iii-17-4 Indiana Uniform Traffic Tickets 4-part $0.22 $1,090.00
Sub Total: $1,090.00
o ... °A
• A>
.°.. • Q
Send Invoice To:
Carmel Police Department
Attn: Teresa Anderson
3 CIVIC 6quar
Cabral, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT 59,080.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. .,,
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. tt
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY '�'��t"u•�.<Lri,t�i,.-�
SHIPPING LABELS. \-'f.`'� �o�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �.. Chiof of Polico
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
J �
CLERK-TREASURER
DOCUMENT CONTROL NO. A�• . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. ._
ALLOWED 20
_ IN THE SUM OF$
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_____.________ _
.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))
10/18/13 51780 traffic tickets $1,144.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Scott Merriman Incorporated
IN SUM OF $ ,
11212 Goodnight Lane #200
Dallas, TX 75229
$1,144.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
25419 ' 51780 I 42-300.00 I $1,144.50 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
Thursday, November 14, 2013
_ Chief of Police
Title
Cost distribution ledger classification if 1
claim paid motor vehicle highway fund
t