250204 10/07/15 s CAA .
w. CITY OF CARMEL, INDIANA VENDOR: 365197
® ONE CIVIC SQUARE EMP TECHNICAL GROUP INC CHECK AMOUNT: S'""'""262.50'
CARMEL, INDIANA 46032 15309 STONY CREEK WAY CHECK NUMBER: 250204
y,' oN LO\ NOBLESVILLE IN 46060 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 33162 31951 262.50 SCANNER KIT
:d`-;L.: REMIT TO: Invoice
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1. �R.16'Ya
a e EMP Technical Group
,/
:�,,;� 15309 Stony Creek Way
B�:L.IC.L;KJC Noblesville,IN 46060 Date Invoice#
E IN 01 P 317-776-6700
TECHNICAL 9/21/2015 3191
GROUP
Bill To Ship To
Cannel Police Department Carmel Police Department
3 Civic Square 31 1 st Ave.NW.
Carmel.IN 46032 Carmel,IN 46032
ATTN:ACCOUNTS PAYABLE Attn:Greg Bedell
PO#33162
P.O. Number Terms Ship UPS# FedEx# Ship Via F.O.B.
33162 Net 30 9/18/2015 na na Fed Ex Ground I-actory
Item Code Description Quantity U/M Price Each Amount
HON-1900GSR... Honeywell Xenon USB Scanner KIT(Replacing 1 ea 262.50 262.50T
4600GSF051 Scanner Kit)
Thank you for your business. Total
1 Ott I $262.50
Phone# Fax# Tracking 30 DAY RETURN POLICY:
In order for items to be eligible for return.items must be in
317-776-6700 317-219-0535 069991598182472 like new condition with all original unmarked packaging.
�
City
® (�° CarmelCERTIFICATE
INDIANA RETAIL TAX EXEMPT PAGE
,Jlr NO.003120155 002 0
n PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33962
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
x
IMP Tochnioal Group C@rmol Pollco Dopmi4mont
VENDOR SHIP 3 Cillo squm
IS=stony CmGh tfy TO Camol, IN 4
Noblosviilo, IN 4M P17)579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY gpgUNpITgOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43gi3130.03
9 Each HoneyIvell Xenon 9000 Scanner Kh 19000SR-2USS $262.50 $262.30
Saab Total: $202.30
j -
U
c ,
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oucto 050770
Send Invoice To: �-
C@rmGI Pollco DGp@Kmont
Attn: Pat Young
3 Chic Sgad@G
C2mol, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Curnel Police Dept. PAYMENT .5u
• 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.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROPRIATION SUF_FIGi�PAYE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. _ ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �a
SHIPPING LABELS. Chi Polleo
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,
CLERK-TREASURER
DOCUMENT CONTROL NO. 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))
09/21/15 31951 car scanner kit $262.50
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
EMP Technical Group
IN SUM OF $
15309 Stony Creek Way
Noblesville, IN 46060
$262.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33162 I 31951 I 43-500.00 I $262.50 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
Tuesday, September 29, 2015
oe
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund