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HomeMy WebLinkAbout257866 04/26/16 `% ��p''f� CITY OF CARMEL, INDIANA VENDOR: 360681 ® ONE CIVIC SQUARE DAVID DICKENS PHOTOGRAPHY CHECK AMOUNT: $*****2,210.00* =9, i?�; CARMEL, INDIANA 46032 6020 S ROUTIERS AVE CHECK NUMBER: 257866 ''�roN"�°' INDPLS IN 46259 CHECK DATE: 04/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4463000 33790 042216 2,210.00 RETIREE BOARD VOUCHER NO. WARRANT NO. DAVID DICKENS PHOTOGRAPHY ALLOWED 20 6020 S ROUTIERS AVE IN SUM OF$ INDPLS, IN 46259 $2,210.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police •#/ ept. INVOICE NO. ACCT#/Fund AMOUNT Board Member; g0 0 44-630.00 j $2,210.00 1 hereby certify that the attached invoice(s), or 1110 101 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 Monday,April 18, 2016 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 04/18/16 0 retiree board $2,210.00 1110 101 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 Photography Services Invoice PhgtographieArtists David Dickens 6020 S. Routiers Avenue Indianapolis IN. 46259 317-987-5590 Client: Carmel Police Department Three Civic Square Carmel IN. 46032 Quantity Description Subtotal Total 13 Hours Computer.DesignLLayout/Editing $50.. 0 $650;00. 8 Printed Proofs $15.00 $120.00 8 - 12!24 Composites/.Hardboard Mount $180.0:0, $1440:00. ------ – -- ----- - _ -_ ___ _—- --�-- ------Total .---- ----- ---I . $2210:00 Tax Grand.Total ` . $2210.00 Deposit -Balance TAIL EXEMPT Page 1 of I C 'ty ®lr Carmel CERTFICA EENO0031015 002 0 PURCHASE ORDER NUMBER Jl FEDERAL EXCISE TAX EXEMPT 33790 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP 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 4/18/2016 360681 DAVID DICKENS PHOTOGRAPHY Carmel Police VENDOR 6020 S ROUITIERS AVE SHIP 3 Civic Square TO Carmel, IN 46032- INDPLS, IN 46259- PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 4096 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department: 1110 Account 44-630.00 Fund: 101 General Fund 1 Each retiree board $2,210.00 $2,210.00 Sub Total $2,210.00 R Send Invoice To: Carmel Police 3 Civic Square4"" a�`".p np Carmel,IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $2,210.00 SHIPPING INSTRUCTIONS `A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A 'SHIP PREPAID. 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 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 33790 CLERK-TREASURER