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Home My WebLink About228497 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1 ONE CIVIC SQUARE DONLEY SAFETY CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK AMOUNT: $4,800.00 + � INDIANAPOLIS IN 46203 CHECK NUMBER: 228497 CHECK DATE: 1/28/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4239011 31409 41136 4 , 800 . 00 CANISTER/MILLENNIUM M DONLEY iNv®�cE SuElyPlease visit us on ffie web at www.donleysafety.com DATE INVOICE# Phone 317-786-2268 5546 Elmwood Ct. Fax 317-786-2632 1/14/2014 41136 Indianapolis, 1N 46203 BILL TO SHIP TO CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SQUARE ATTN:PAT YOUNG CARMEL,IN 46032 3 CIVIC SQUARE CARMEL,IN 46032 **JERRY J-TO DELV** P.O. NO. TERMS SALES ORDER# Rep SHIP VIA FOB Order Date 31409 NET 30 14295 SJB SALESMAN DESTINATI... Prev. Inv... Ordered Shipped B/O Item Description Unit Price UOM Amount 0 120 120 1-3-14 10046570 CBRN CANISTER 40.00 4,800.00 PRICE DISCREPANCIES,RETURN REQUESTS OR SHIPMENT Subtotal $4,800.00 ERRORS MUST BE REPORTED WITHIN 30 DAYS TO RECEIVE CREDIT. Questions about this invoice? Please call 317-786-2268 Sales Tax (7.0%) $0.00 Total $4,800.00 INDIANA RETAIL TAX EXEMPT PAGE C 14ty ®f ,Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT WIM) 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 92D�8d209� ' Donley Smf* Carmel P®lieo Dopalrtmont VENDOR SHIP 3 CIVIC squama WS Elmwood Coult TO C@fMQI, IN 489 IndianzIpoIIs, IN 482 (397)579-M74 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 .99 920 Each CBRW Canisters for Millennium Mask 40048570 $40.00 $4,800.00 Sub Totd:' $4,800.00 / a°4, •°• f ® q 0'0 , tt� � .. 1� I Send Invoice To.. _��--��-0____ ,� Cannel Pollco DopatrtmGnt Attn: Pzt Young 3 CIVIC squairra Carmel, IN 48 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $418M.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERVFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APP O ATION SUF ICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Chid SHIPPING LABELS. Chi dl of pollco •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 31409 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.— _--WARRANT NO._--_.__ ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR 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 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)) 01/14/14 41136 CBRN canisters $4,800.00 1 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Donley Safety IN SUM OF $ 5546 Elmwood Court Indianapolis, IN 46203 $4,800.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members cnew nh r«l I hereby certify that the attached invoice(s), or 31409 I 41136 42-390.11 $4,800.00 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 Thursda , January 23, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund