249432 09/09/15 r Cq9 .
CITY OF CARMEL, INDIANA VENDOR: 364768
® ONE CIVIC SQUARE SYMBOL ARTS CHECK AMOUNT: $*****2,335.00*
CARMEL, INDIANA 46032 6083 SOUTH 1153 EAST CHECK NUMBER: 249432
' pN.Eor OGDEN UT 84405 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 33003 0240132IN 1,000.00 CHALLENGE COINS
1110 4230100 33004 0240133IN 1,250.00 CHALLENGE COINS
1110 4342100 33004 0240133IN 85.00 CHALLENGE COINS
*0240133 Page: 1
_ -� 6083 South 1550 East INVOICE
° ) Ogden, UT 84405 CUSTOMER NO: 00-0006435
`l INVOICE NUMBER: 0240133-IN
(801)475-6000 INVOICE DATE: 8/13/2015
Tracking Number:
ORDER NUMBER: 187402A
ORDER DATE: 7/20/2015
SALESPERSON: RIFT
SOLD TO: SHIP TO:
Carmel Police Department Carmel Police Department
3 Civic Sq 3 Civic Sq
Carmel, IN 46032 ASST. CHIEF BARLOW
Carmel, IN 46032
CUSTOMER P.O. Ship VIA F.O.B. TERMS
33004 UPS GROUND DEST NET 30
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
XMC18067 EACH 277 277 0 4.50 1,246.50
COIN,1.5" CARMEL PD
C-74503
/ADDITIONAL EACH I 1 0 3.50 3.50
ADDITIONAL CHARGE
We appreciate your business!
Visit us at www.symbolArts.com
Credit Card Payment Information Net Invoice: 1,250.00
Card"type: Less Discount: 0.00
Credit Card#(Last 4): Shipping/ Handling: 85.00
Expiration Date: Sales Tax: 0.00
Amount: 1,335.00 Invoice Total: 1,335.00
NOTE: Past due invoices may be subject to a 1.5%monthly(18%per annum)finance charge.
"0240132"` Page: I
6083 South 1550 East INVOICE
Ogden, UT 84405 CUSTOMER NO: 00-0006435
F% INVOICE NUMBER: 0240132-IN
(801)475-6000 INVOICE DATE: 8/13/2015
Tracking Number:
ORDER NUMBER: 0187402
1Z59E99W0343403236 ORDER DATE: 7/20/2015
SALESPERSON: RIFT
SOLD TO: SHIP TO:
Carmel Police Department Carmel Police Department
3 Civic Sq 3 Civic Sq
Carmel, IN 46032 ASST. CHIEF BARLOW
Carmel, IN 46032
CONFIRM TO: PAT YOUNG
CUSTOMER P.O. Ship VIA F.O.B. TERMS
33003 UPS GROUND DEST NET 30
ITEM NO. UNIT ORDERED SHIPPED BACK ORD PRICE AMOUNT
XMC 18067 EACH 222 222 0 4.50 999.00
COIN,1.5" CARMEL PD
C-74503/15-01673
XMC 18067 EACH 1 1 0 1.00 1.00
COIN,1.5" CARMEL PD
(OTHER$3.50 AS ADDITIONAL CHARGE ON OTHER SALES ORDER)
SG: Shipped on: 08/13/2015
Tracking#: 1 Z59E99 W0343403236
Number of Packages: 2
Invoice Number
We appreciate your business!
Visit us at www.symbolArts.coni
Credit Card Pavment Information Net Invoice: 1,000.00
Card Type: Less Discount: 0.00
Credit Card#(Last 4): Shipping/Handling: 0.00
Expiration Date: Sales Tax: 0.00
Amount: 1.000.00 Invoice Total: 1,000.00
NOTE: Past due invoices may be subject to a 1.5%monthly(18%per annum)finance charge.
INDIANA RETAIL TAX,EXEMPT PAGE
City Carmel® � CERTIFICATE NO:003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3=
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
�'j996�93
ftmbolAft, LLC Cmt>rMGI P0IICO Dep2lvteet
VENDOR SHIP 3 CIVIC squm
0. im E22t TO Cral➢5 QI' IN 4M
Ogden, IST 044M a
29-39
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42M9.09
9 Each Challenge Coins 01,230.00 01,230.00
Bub Tot2l: $1,230.00
Account 43-429.00
1 Each s hipping chargds i.�� � $83.00 $85.00
ee a dub T®t�I: $85.00
L Jt
4
Send Invoice To: �'�`�'�'•f'"�__.�,, ',�
Comol polleo Dip lt�01 ��r
Attn: PO Young
3 CIVIC squm
C@Mal, IN 2= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
"Urnel Police Dept.
PAYMENT
'1 7i A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT HERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATI S I FFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,, fay
SHIPPING LABELS. I�lo�/of pollco
'?KIS QftQEEIISSI�ED\N COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. .
CLERK-TREASURER
IOCUMENT CONTROL NO. ®N A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT NO.�_-�_
ALLOWED 20
IN THE SUM OF$
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 er classification if
e
claim paid motor vehicle highway fund
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carme ,_ CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3m
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
789��95
Ibo[Aft, LLC Camol Police Dopartmo t
VENDOR SHIP 3 Civic Squaw
GM south 900 12m2$ TO ftmol, IN 4
Ogden, UT W4ffi (349)571-2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account
QUANTITY.q UNIITOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account W 2.00
9 Each Challenge coins $9,000.00 01,000.00
Sub Total: $9,000.00
I j51— -Ma�' `
0
Send Invoice To: �
Camel Pollo®Dopaltment
Atte: M Young
3 Civic squm
Cumol, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
daranel Police Dept. PAYMENT y` .
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRI ISUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. IGf 0P P01190
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPL
`E
�MENT THERETO.
c��®®� A.P. CLERK-TREASURER
DOCUMENT CONTROL NO. V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. —WARRANT NO.•__-.,--.___
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
4
Board Members ; ; ; ,
PO#or ...
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the :R` 4; •
materials or services itemized thereon for
which charge is made were ordered and
received except
'f?iCJ
20
'
Signature
----—------.._ —---- ..__...-......... .:....__......-.-..........- -- —
Title
Cost distribution ledger classification if
claimaid motor vehicle highway '
p 9 Y 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))
08/13/15 0240133-IN shipping charge $85.00
08/13/15 0240133-IN Challenge coins $1,250.00
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
SymbolArts, LLC
IN SUM OF $
6083 S. 1550 East
Ogden, UT 84405
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33004 0240133-IN 43-421.00 $85.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
33004 0240133-IN 42-301.00 $1,250.00
materials or services itemized thereon for
'�30�� aZ4o132-1►� g J�— �� �O�' which charge is made were ordered and
received except
Wednesday, S tember 02, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund