HomeMy WebLinkAbout227683 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 00351240 Page 1 of 1
ONE CIVIC SQUARE CHEM DRY BY KEVIN JONES
,
CARMEL, INDIANA 46032 1601 COUNTRY CLUB ROAD CHECK AMOUNT: $2,067.94 INDIANAPOLIS IN 46234
CHECK NUMBER: 227683
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4350100 31410 61294 2 , 067 . 94 WATER DAMAGE REPAIRS
Chem-Dry by Kevin Jones
1601 Country Club Rd. Invoice
Indianapolis, IN 46234 Order No. :Date
61294 12/16/2013
(317) 273-9814 stmt 11td
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Cusfomer lnfo � � _ .L.. SeruiceLocation` A ' :?
Nave:
City of Carrnel 1.Civic.Sq Technician:
Phone: Sales Rep:
Jones;Kevin
At 1: ,317-571:-2448 Carmel,IN 46032, LeadSwee R60cell
are: ;317=557=2845 CiossStieet: tast"Service:
12/162013
QTY .: �DescnptIoni , . Pace Amounts
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f VV-Err 6e g[6ncy:lNaterDamages: 21067:94 2;067.94
Notes:
SUBTOTAL $2;067.:94
TAX $0.00
TOTAL $2,0.67.94
ADDITIONAL
GRAND TOTAL
PAYMENT AMT.
PAYM ENT TYPE
REF.N0.
sit�unnre Date: BALANCE DUE
Date Printed: 12116201.3 Thank you for your business
J
Cit ®f Carmed
INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31410
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL— 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12d17=3
Camel Police Dapartmont
VENDOR SHIP 3 Civic Square
1001 Country Club mord TO Carmol, IN 46M
Indianapolis, IN 4 (317)571-2674
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 1.00
9 Each water damage repairs $2,047.94 $2,007.94
Sub Total: $2,047.94
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Send Invoice To: d t
Camol Poiloa Dopartmo t
Attn: Part Young
3 Civic Spina
Cmmel, IN 4SM28 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept, r .�C_'� PAYMENT $2,067•94
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 TIATTHERE IS AN
UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROP 1'TION S�iTO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I11eP of
Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK—TREASURER
DOCUMENT CONTROL NO. 3 1 4 1® A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO....,.__—.�-WARRANT
ALLOWED 20
IN THE SUM OF a
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
----------------
20
..............................................................
Signature
--..................._.......__.................._......_......-........--.................................................
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
ChemDry
IN SUM OF $
1601 Country Club Road
Indianapolis, IN 46234
$2,067.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31410 I I 43-501.00 I $2,067.94 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
R' materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 03, 2014
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))
01/01/14 water damage repairs $2,067.94
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