257866 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