HomeMy WebLinkAbout228716 1/28/2014 CITY OF CARMEL, INDIANA VENDOR: 354275 Page 1 of 1
ONE CIVIC SQUARE T B A &OIL WAREHOUSE, INC CHECK AMOUNT: $1,692.28
o CARMEL, INDIANA 46032 2425 E 30TH ST
`oINDIANAPOLIS IN 46218-2724 CHECK NUMBER: 228716
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 03LX3669 194 . 28 REPAIR PARTS
1110 4231500 31431 03LX3686 1, 498 . 00 55 GALLON DRUMS
I�
TBA North Invoice
309 Gradle Dr. No. 03LX3669
Carmel, IN 46032
is 317-574-1957 FAX: 317-574-1982 II IIII II II II III III II III I II
Page 1
12:16:21 Jan 10 2014
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LX3669 01/10/14 03TP6713001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
Dept: 002 CARMEL POLICE CITY GARAGE Contact:JASON /Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
01/10/14, 12:16:19 I 000001 ONLINE ORDERS I N NORTH A I 1 I ACC
*** ACX Reference No: AP7106 ***
ITEM DESCRIPTION BIN UNIT ORDER BACK INV LIST CORE NET NET EXT
QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
ACD 18A2322 19169879 KEEP 4 CARMEL U EA 3 0 4 98.90 0.00 48.57 0.00 194.28
TX:010 1
TOTAL PURCHASE NOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
194.28 395.60 194.28 0.00 0.00 0.00 194.28 0.00 194.28
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
TBA North Invoice
309 Gradle Dr. No. 03LX3686
Carmel, IN 46032
is 317-574-1957 FAX: 317-574-1982 II IIII II II II Iill II II VIII II
Page 1
12:34:33 Jan 10 2014
CUSTOMER NUMBER Invoice NUMBER Invoice DATE PACKING SLIP TERMS WHSE
318 03LX3686 01/10/14 03TP6736001 NET 10TH 030
BILL TO: SHIPPED TO:
CARMEL POLICE CITY GARAGE CARMEL POLICE CITY GARAGE
3 CIVIC SQUARE 3400 W 131ST
CARMEL, IN 46032 CARMEL, IN 46074
'I Dept: 002 CARMEL POLICE CITY GARAGE Contact: ,JASON/317-733-4600 Route: NORTH Direction:
YOUR P.O.NUMBER ORDER DATE CSR SHIPPED VIA CARTONS OPER
BRIAN 01/10/14, 12:34:32 400005 TOM SMITH N NORTH A 1 405
UNIT ORDER BACK INV LIST CORE NET NET EXT
ITEM DESCRIPTION BIN QTY ORDERED QTY PRICE PRICE PRICE CORE PRICE
WILL BE DEL OILDIST..
ODC 5W30DEXOS55GAL 5W30 DEXOS FULL NONE EA 2 0 2 1352.57 0.00 749.00 0.00 1498.00
TOTAL PURCHASE TOTAL LIST TOTAL MDSE TOTAL CORE FREIGHT TAX PCT TAX AMT INVOICE TOTAL PAYMENTS BALANCE DUE
1498.00 2705.14 1498.00 0.00 0.00 0.00 1498.00 0.00 1498.00
2.08% service charge on past due accounts(25% per annum).
Core returns must be in original box. All new returns must
be resalable. No return after 30 days without invoice.
--�-----------=--------------
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carm' el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31431
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9814114
TBA North Comral Police Dop@rtmen1
VENDOR THIP a Civic aqumm
WO Ofadl@ Wye Carmel, IN 46032
Carmel, IN 4M (317)571 2574
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-395.0
2 Each 55 gallon drum $740.00 $1,488.00
�. Sub`dotal: $1,488.00
Qc'of
(r
Send Invoice To:
Camel Police Dopwtrnont
Attn: Pato Young
3 Chic squama
Cool, IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT g�,4�•�
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERVS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFSUFF CIENT TO FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
��aa I
SHIPPING LABELS. Qy of Polio -
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 113 1 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE I
VOUCHER NO. WARRANT NO.�_
ALLOWED 20
IN THE SUM OF$
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))
01/10/14 03LX3669 repair parts $194.28
01/10/14 03LX3686 oil $1,498.00
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
VOUCHER NO. WARRANT NO.
��� ALLOWED 20
TBA North
' IN SUM OF $
309 Gradle Drive
Carmel, IN 46032
$1,692.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 03LX3669 42-370.00 $194.28 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
31431 03LX3686 42-315.00 $1,498.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday anuary 24, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund