HomeMy WebLinkAbout226964 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 355678 Page 1 of 1
1 � ONE CIVIC SQUARE EMBLEMS INC CHECK AMOUNT: $160.65
CARMEL, INDIANA 46032 PO BOX 8713
ASHEVILLE NC 28814 CHECK NUMBER: 226964
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356002 25457 15201 160 . 65 CARMEL POLICE PATCH
T
Invoice HE EMBLEM
AM-OR"
1-4
1 .1 1/26/2013 Asheville,NC
-i)-ON 87113
28814
801'To Ship-
Tr":,
clmie!Pol;ce
3 C;vic Scivan-
Carmel,IN 46C-32 3 uVI '-,q7a.z,,-
T ::"hip-ate Pep Ship Via
f S.O.
12023
1!:26/20!3 SN-5 UPS
Item Des-cliplior, Price Fach Ordered Amount
1-71
F 1903 A Carme!Pfulic.�,C-SO Paich 50 7 178,50T
DISCOUTNI Ds S,-0T-TN-1--P--x S i 0,j0 0% 17.85
F I"33 6 4 Q� f" 0�00 O.00T
C'urm;el Pfil;c--
CAPS K�'--'C!�FS 61 k,)
0.001'
i atmchfnerit charce i atiach-m--nt cj"ar-
O.00T
packapc I
0.00
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4 t thc;foliowin ........................
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P 0, tx 873
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ALL CLAIMS P41UST BE MAD; WffHiN 20 DAYS AFT ER FRECEIFT OF COCOS. POSITIVELY NO GOODS TAKEN
BACK OR ALLOjVANCEIS ?,AADE OAN SAME 11";FYER PASSED T-HROUGH A6Q1Y PROCESS.
E-mail
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$160.65
Rayirnents'Credits $0.00
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Ttal A.m ti Due $160.65
CiINDIANA RETAIL TAX EXEMPT PAGE
ty of ' Carmei CERTIFICATE NO.0031201550020�/ J111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24x7
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
1013
The Emblem Authority Cartel Police Department
VENDOR SHIP 3 CIVIC Square
TO
P.O. Box 3713 Camel, IN 46M
Athaille, NC M14 (IM)Fj7l '9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OFMEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 .02
50 Each Carmel Police CSO Patch E1903A $3.57 $178.50
Sub Total: $178.50
•.
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Send Invoice To:
f;
Carmel Police Department
Attn. Teresa Andorson
3 Civic Square
Carmel, IN 46M2R PLEASE INVOICE IN DUPLICATE
DEPARTMENT. ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $178.50
_ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SHIP REPAID. ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. A �--^
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f Chief of Polio@
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$ i
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
The Emblem Authority
IN SUM OF $
P.O. Box 8713
Asheville, NC 28814
$160.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25457 I 15201 I 43-560.02 I $160.65 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
Monday, December 09, 2013
At
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))
11/26/13 15201 patches $160.65
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