182519 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00351065 Page 1 of 1
ONE CIVIC SQUARE RAY ENVELOPE COMPANY
e e CARMEL, INDIANA 46032 CHECK AMOUNT: $907.20
450 S KITLEY
PO BOX 19187 CHECK NUMBER: 182519
INDIANAPOLIS IN 46219
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230100 21338 25056 907.20 5000 CASE JACKETS
,ELOPE C
Ray Envelope Co. INVOICE
s 450 S. Kitley Avenue
P.O. Box 19187
Indianapolis IN 46219
Office, (317) 353 -6251 Fax: (3t7)353-6267
Website: www.rayenveIope.corn S
O U
L Carmel, City of Police I Police Department
D Attn: Robert Robinson r Michael Fogarty
T 3 Civic Square City of Carmel
O Carmel, IN 46032 o 3 Civic Square
Carmel, IN 46032
JOB NUMBER T RMS $TO ER Pm' PAYMENT DUE DATE INVOICE DATE INVOICE,NUMBER
P031788 11% 10 Days, Net 30 21338 03/10/10 02/08/10 0025056
ACCOUNT NUMBER SHIPPEOVIA -DATE SHIPPED FORM NO. ORDER DA TE
1810783 STONE BROS 02/08/10 02/02/10
QUANTITY DESCRIPTIO OF EXTENSIO
CASEJACKETS
7 -314 x 11 -314 Open Side Two Side Seams 28# Brown Kraft
1" unscored, ungummed, extended tab Printed on Back Side
5000 in Black ink. M 181.44 907.20
Non- taxable: 907.20 at .000%
Total: 907.20
If paid by 2118110 deduct $9.07 and pay only 898.13
Carmel INDIANA RETAIL TAX EXEMPT PAGE C 0 o I' 1i CERTIFICATE NO.003120155 002 0 n
�.1r PURCHASE ORDER NUMBER
y
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 )1 AR
3oN E;CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
January 29. 2010 case Jacketwo
VENDOR Kay Enve6lope Company SHIP City of Carmel Police Department
450 SOuth Kitley Avenue TO 3 Civic Square
P.O. Sox 19187 Carmel, IN 46032
Indianapolis, IN 46219 -0187
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5,000 case jackets Quyle #039727 -01 181.44 907.2.0
4
AIP
SN
Send Invoice To: City of Carmel Pal
ATTN: Teresa Anderson ,J
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT r F PROJECT ACCOUNT AMOUNT
1110 301 stationery and pti t ?d r e PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
'tI 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f�f i ,lip 9
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief og Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK 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 I
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Ray Envelope Company Purchase Order No. 21338F
P.O. Box 19187 Terms
Indianapolis, IN 46219 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/8/10 25056 payment for case jackets 907.20
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ray' Envelope Co. IN SUM OF
P.O. Box 19187
Indianapolis, IN 46219
907.20
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
POD! or INVOICE NO. ACCT #/TITLE AMOUNT I hereby DEPT. y certify that the attached invoice(s), or
21338F 25056 301 907.20 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
February 11 20 10
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund