229613 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 00352763 Page 1 of 1
ONE CIVIC SQUARE PAPER DIRECT CHECK AMOUNT: $224.92
CARMEL, INDIANA 46032 PO BOX 2933
uh o COLORADO SPRINGS CO 80901-2933 CHECK NUMBER: 229613
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 31482 W20674680001 224 . 92 CERTIFICATES
•
PLEASE REMIT TO:
Note PAPERDIRECT
PAYMENT ADDRESSP.O. Box 2933
Colorado Springs, CO 80901-2933
1-800-272-7377
FEIN 41-0852411
PLEASE REFER TO YOUR ACCOUNT NUMBER AND OUR INVOICE/ORDER t
NUMBER IN ALL COMMUNICATIONS REGARDING THIS INVOICE 0037884 368
2
N
MIKE DIXON MGR. / SUP.
o CARMEL POLICE DEPT
0 3 CIVIC SQUARE
CARMEL. IN 46032
o P00028436 01/23/14
YOUR PURCHASE ORDER NUMBER AND ..
Invoice
.• • - . . . PayiiienL Due by C2i22iNumer
4 — `—
W206746800 1UPS Ground 0112311.4
]. 1. KEF202BL ELITE BLUE CERT JCKT FDI STAMP 50CT 89.99 89.99
5 5 KE200RD CREST RI-D CERT JCKT GOLD FOIL IOCT 20.99 104.95
1 1 TEMRECOI. CERTIFICATE HEADINGS FOR PAPER TEMPLATES 9.99 9.99
Award Banquet
Thank you again for your continued business.
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1'/z%PER MONTH ._
WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE. -
—Please rleturii belo:u portionwit{your p�Jmrenti tenors are net 30 days. -- -- ---- C O 10 r d C1 O S 19_99 - 224 _92
/�° Carmel
INDIANA RETAIL TAX EXEMPT PAGE
Ci� ®,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 314M
35-60000972
iONE 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
DM4
i
P�pGeDI� Cmrmol Pollco DGp�AmGn4
VENDOR SHIP a CIVIC squm
P.O. Box 2M TO C&9GI, IN 4662
Colomdo SpHwgo, CO SM-M (317)57 1-25574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-=.00
9 Each caftific ates $224.92 $224.92
Sub Total: $224.92
f/J
Ok
Send Invoice To: '—— U�
Cn`1mof PoIICG Dapa Rent
Attn: Pat Young
3 Civic Squm
Camd, IN 462- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Comel Police Dept. PAYMENT W4.92
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THk PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CEIJITIFnTHAT THERE IS.gN•UNOBLIGATED BALANCE IN
THIS A7
PPR REPAID. RI ION SUFFICI NT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY _
i
SHIPPING LABELS. Chid O Pollen
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 314 8 2 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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))
01/23/14 W206746800010 certificates $224.92
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
PaperDirect
IN SUM OF $
P.O. Box 2933
Colorado Springs, CO 80901-2933
$224.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31482 I W2067468000101 42-302.00 I $224.92 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
Thursday, February 06, 2014
i
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund