249708 09/23/15 °�"C�qM
CITY OF CARMEL, INDIANA VENDOR: 359188
® ONE CIVIC SQUARE THE GREAT FRAME UP CHECK AMOUNT: $ ...."369.65"
:. CARMEL, INDIANA 46032 21 1ST STREET SW CHECK NUMBER: 249708
�Ml uM.�°. CARMEL IN 46032 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4463000 33052 45224 369.65 CUSTOM PICTURE FRAME
THS GREAT INVOICE Invoice #
45224
FRAME UP #285
21 1 st St. Sw Page 1 of 1
Carmel IN 46032
317-843-2030 Your framing will be ready on approximately September 17, 2015.
Bill To: Remit To:
ANN GALLAGHER Home: The Great Frame Up#285
CARMEL IN 46 Work: 21 1st St. Sw
Cell: 317-571-2720 Carmel IN 46032
Fax: 317-843-2030
Account# Sold By Reference # Terms Invoice Date
18009 TW 09/01/15
Quantity Item Number Description Unit Price Discount Ext. Price
1 W/O 54845 2015 WORLD POLICE & FIRE 528.07 158.42 369.65
GAMES (ANDY GERDT)
Sale Amount $369.65
Tax $0.00
Order Total $369.65
Deposit $0.00
Total Due $369.65
INDIANA RETAIL TAX EXEMPT PAGE
City ®fCarme FCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M2
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
'Sha coromt Rwo Up Cm1>r�" Gl P®llco Dowtmont
VENDOR SHIP 3 ei'dic squm
29 gat St. 8W TO cafflo+l, IN 4=
Cumal, IN 4M (39 t)571_2w
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION
UNIT PRICE EXTENSION
Account 44430.09
9 Each Custom Pidure Framing $359.65 $350.55
Sub Total: $359.65
I\
.,+� •°say F "�a `'"`it
I 1095 t%rld Pcllts&Faire Games
Send Invoice To: �
Com®l Police DepotmGnt
Attn: Pat Yung
3 Civic Squm
Comel, IN a PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT .65
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT T ERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIA N S FICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. a?pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ��NG? If
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 33052 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO,__`.__-.WARRANT NO.-......
ALLOWED 20
IN THE SUM OF$
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))
09/17/15 45224 Framing $369.65
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
The Great Frame Up
IN SUM OF $
21 1 st St. SW
Carmel, IN 46032
$369.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33052 45224 44-630.00 $369.65 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
Thursday, Sept tuber 17, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund