226478 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC
O CARMEL, INDIANA 46032 CHECK AMOUNT: $279.99
6680 E.21ST.STREET
INDIANAPOLIS IN 46219 CHECK NUMBER: 226478
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 25452 175302 279 . 99 JACKET
STEVEN R JENKINS CO INC Invoice
INDIANAPOLIS IN 46219-2200 Date Invoice#
1-317-352-0184
6680 E 21ST ST 11/9/2013 175302
Bill To Ship To
CARMEL' POLICE DEPT' PICKED UP BY JAMES MORRIS
3 CIVIC SQUARE
CARMEL,IN 46032
P.O. Number Terms Rep
Net 30 SOUT
Quant... Item Code - -Description Price Each Amount
I 40000 GEN... BLauer 9915Z IKE Leight Jacket Med 279.99 279.99
Sales Tax 0.00% 0.00
$279.99
SHOP srjco . com Total
C0 INDIANA RETAIL TAX EXEMPT PAGE
1II armel CERTIFICATE NO.003120155 002 0
� ®Jl ��..// 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. DESCRIPTION
1D112d13
Btcvon R. J@fikins Co., Inc. Cannel Policy Department
VENDOR SHIP 3 CIVIC SgUaF@
TO
Sim East 21st Street Carmel, IN
Indlanapolio, IN 46219 (317)571=M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-W0.01
4 Each Blauer 9995? Ike length jacket -Nwy 40300 $299.99 $299.99
Sub Total: $299.99
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Send Invoice To.
Carmel Police Department
Attu: Tamsa Andemon
3 Civic Squam
Carynal, IN 46 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carrrlel Police Dept. �`� �`� PAYMENT M99
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT SHIP REPAID. TO PAY FOR THE ABOVE ORDER.
• �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1 •�'«f •""''—may
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL /
SHIPPING LABELS. J/�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE i.�G., of of
Palle 4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
7.452
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
i
r
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
.20
............................................................---..._..__..............................-............__............._......._...._............_.................-....__......_._....-................
Signature
-.....................................--.............................. .....-
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Steven R. Jenkins Co., Inc.
IN SUM OF $
6680 East 21 st Street
Indianapolis, IN 46219
$279.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
254521C-1 hereby certify that the attached invoice(s), or
FI 175302 I 43-560.01 I $279.99
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, November 15, 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))
11/09/13 175302 IKE length Jacket-Officer Morris $279.99
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