251291 11/04/15 y u!.4Ag3`
i CITY OF CARMEL, INDIANA VENDOR: 362584
ONE CIVIC SQUARE WORD QUE CHECK AMOUNT: $*******625.00*
s �_� CARMEL, INDIANA 46032 5282 E 156TH STREET CHECK NUMBER: 251291
9M�)ON�` NOBLESVILLE IN 46062 CHECK DATE: 11/04115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 33222 625.00 VIDEO TRANSCRIPT
WORDQUE
CAPTIONING& TRANSCRIPTION
Owner: Charles M. Ferguson
Contact: Glenda S. Ferguson
5282 East 156"'Street Office: 317-846-0900
Noblesville,Indiana 46062 Cell: 317-439-1160
E-mail: cgfergusongsbcglobal.net Fax: 317-569-8666
INVOICE Invoice Date: September 4, 2015
Due Date: October 4, 2015
Tax ID#315581749
Chief Tim Green
Carmel Police Department
Carmel, IN 46032
Transcription of three DVD recordings of
Interviews of Carmel Policemen and
A Carmel Policewoman regarding
Carmel Police Department
(125 pages @$5.00/page) $ 625.00
TOTAL AMOUNT DUE $ 625.00
Please make check payable to "WordQue."
CARMEL POLICEI
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/� 0� ®f�° Carmel
INDIANA RETAIL TAX EXEMPT PAGE
Ili/}111111 y ,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�1 FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
i 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
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WordQu@ Gabriel Police Dopartment
VENDOR SHIP 3 CIVIC SgUarO
5282 East 956tH St TO Carrnel, IN 460
Noblesvilie, IN 4-6032 (W)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 43-419.99
1 Each ilidev transcription $625.00 $625.00
Sub Total: $625.00
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Send Invoice To:
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Carmel Pollee Department
,eft Pat Young
3 Civic Squam,
Carmel, 1N 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Crept. PAYMENT $625'00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRI 10 SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY -
SHIPPING LABELS. 4�lef of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 33222 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
WordQue
IN SUM OF$
5282 East 156th St
Noblesville, IN 46032
$625.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
33222 I I 43-419.99 I $625.00
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
Friday, October 30, 2015
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))
09/04/15 video trascription $625.00
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