246390 06/17/15 �u'��`'' CITY OF CARMEL, INDIANA VENDOR: 00350185
`� `` CHECK AMOUNT: $*******725.00*
.I; "�,• ONE CIVIC SQUARE BILL KEHL
r.. _� CARMEL, INDIANA 46032 8645 SOUTH STREET CHECK NUMBER: 246390
9M��rnN a�� FISHERS IN 46038 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4463000 32830 725.00 PORTRAIT BOARD
William D Kehl INVOICE
William D Kehl
8645 South Street Date Invoice#
Fishers IN 46038 3/26/2015
Bill To:
Carmel Police Department
3 Civic Sq
Carmel Indiana 46032
Comments or Special Instructions:
SALESPERSON P.O. NUMBER SHIP DATE SHIP VIA F.O.B.- POINT TERMS
BK N/A Pick Up Due on receipt
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
1 4ft X 8ft Portrait Board With Fluted trim and Rosette $ 725.00 $ 725.00
corners.
SUBTOTAL $ 725.00
TAX RATE 0.00%
SALES TAX -
SHIPPING & HANDLING
TOTAL $ 725.00
I
Please submit copy of invoice with payment.
Phone# Fax# Web Site
317-727-5579
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32830
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
411M,2 IS
willam D. Kohl Carmel Vallee Department
VENDOR
SHIP 3 Civic. Square
X45 South Glalot TO Carmel, IN 46032
Fislws, IN 460381, (317)571 29569
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-630.00
1 Each 4'x S'portrait board, labor&materials $725.00 $725.00
Sub Total: $725.Q�
F
N`�
�<'(€
' t
-� rr .• I '(�'�� .
Send Invoice To: j
Carmel Policy, Depalkl' ant
Attn: Pat Young
3 Civic Square
Carmel, IN 46M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept, PAYMENT $125.M
y A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYlTHATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIAT%OUFFICIENT.TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D.SHIPMENTS CANNOT BE ACCEPTED. JPURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY //�{/,jtlQg
SHIPPING LABELS. �[rG'�iliSl �1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE r Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 32830 A.P.V. COPD-SIGN.AND RETURN TO CLERK'S OFFICE
i
VOUCHER NO. _WARRANT NO.
ALLOWED 20
IN THE SUM OF$
r ; ,
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
--- Title _ -
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
William D. Kehl
IN SUM OF$
8645 South Street
$725.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32830 44-630.00 $725.00
1 hereby certify that the attached invoice(s), or
I I I
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, June 11, 2015
s 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))
03/26/15 portrait board $725.00
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