HomeMy WebLinkAbout226822 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC CHECK AMOUNT: $1,063.50
s�,? CARMEL, INDIANA 46032 6680 E.21ST.STREET
INDIANAPOLIS IN 46219 CHECK NUMBER: 226822
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239011 25428 176796 1, 063 . 50 FUSES
STEVEN R JENKINS CO INC Invoice
INDIANAPOLIS IN 46219-2200 Date nvoice#�
1-317-352-0184
6680 E 21ST ST 11/15/2!13 176796
Bill To Ship To
CARMEL POLICE DEPT PICKED UP BY Teresa Anderson/Robert Ro
3 CIVIC SQUARE
CARMEL,IN 46032
P.O. Number Terms Rep
^ Net 30 SOUT
Quant... Item Code Description Price Each Amount
30 40000 GEN... Cases OF Fusees 35.45 1,063.50
Sales Tax 0.00% 0.00
$1,063.50
SHOP sr jco . com Total
INDIANA RETAIL TAX EXEMPT PAGE
City O Caimel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 ne:aIM
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
ArIA01-1
Steven R Jmking Co., Inc. Camel Police Department
VENDOR SHIP
TO 3 Civic Square
Ea$t 21 st Street Camel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION - UNIT PRICE - EXTENSION
Account 42-390.11
30 Each Fusses $35.46 $1,063.50
Saab Total: $1,063.50
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Send Invoice To: it -
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Camel Police Department
Attn: Terosa Andarson
3 Civic Squam
CamiAl IN ARM9. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Cannef Police Dept, PAYMENT 1, -50
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT NLESS THE P.O.
GG4��I 1 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
f VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY jHAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �,�
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
✓i /!l . ""'�~'
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE !/r'SL�9.,...eY Re ft-11—
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
V
25428 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Steven R. Jenkins Co., Inc.
IN SUM OF $
6680 East 21 st Street
Indianapolis, IN 46219
$1,063.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25428 I 176796 I 42-390.11 I $1,063.50 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
Tuesday, November 26, 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))
11/15/13 176796 fusees $1,063.50
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