HomeMy WebLinkAbout227807 1/8/2014 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER-LITE
CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE CHECK AMOUNT: $1,889.78
CARMEL IN 46032 CHECK NUMBER: 227807
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4464000 4923 16 . 78 OFFICE EQUIPMENT
1110 4464000 31422 4923 1, 873 . 00 SCANNER
Invoice
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1711 Wood Valley Drive
Carmel. IN 46032 DATE INVOICE#
12/24/2013 4923
BILL TO
City of Carmel
Three Civic Square
Carmel,IN 46032
P.O. NO. TERMS DUE DATE
31422 Net 30 1/23/2014
DESCRIPTION QTY RATE AMOUNT
Fujitsu Scanner 6140 1 1.675.00 1.675.00
Advance Exchange Warranty for 2 additional years 2 99.00 198.00
Freight 1 16.78 16.78
Subtotal $1.889.78
Sales Tax (0.00) $0.00
Total $1.889.78
Phone# Fax# E-mail
812-350-5044 317-581-9409 nancya gopaperlite.com
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carm,e l CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
M4
22
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
92J901�93
Paper-Lite Carmel Policia Department
VENDOR SHIP 3 Civic Squam
1711 Wood Valley Drive TO Carmel, IN 46032
Camel, IN 4M (317)579 2x74
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-640.09
1 Each Fujitsu Scanner 8140 $1,873.00 $1,873.00
Sub Total: $1,873.00
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Send Invoice To: � Y,
Carmel Police Department
Attn: Pat Young
3 Civic Squam
Carmel, IN 4 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $9,x73.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATIHERE IS AN UNOBLIGATED BALANCE IN
•
THIS APPROPRIATIQ SUF
SHIP REPAID. FICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ���a
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ChIeF of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 4 2 2 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. .WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
P�;e
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
Paper-Lite
IN SUM OF $
1711 Wood Valley Drive
Carmel, IN 46032
$1,889.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 4923 44-640.00 $16.78 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
31422 4923 44-640.00 $1,873.00
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 4923 shipping cost $16.78
01/01/14 4923 Scanner for Kerri Wrin $1,873.00
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