185471 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 00350370 Page 1 of 1
ONE CIVIC SQUARE WEST GROUP PAYMENT CENTER CHECK AMOUNT: $210.00
CARMEL, INDIANA 46032 P.O. Box 6292
CAROL STREAM IL 60197 -6292 CHECK NUMBER: 185471
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239002 6064035035 210.00 REFERENCE MANUALS
To- From :Thompson —A02 Fax:Thompson —A02 KOFAX!,� at= MAY -07- 2010 -08:29 Doc :455 Page:001
New Sale Invoice
BILLING ACCOUNT# 1000258677
NEW SALE INVOICE# 6064035035
ORDEf4 5633925
INVOICE DATE 0112912010
Thomson West PAYMENT DUE DATE 02/28/2010
P.O. Box 64779
St.Paul, MN 55164 -0779 AMOUNT DUE IN USD 210.00
CUSTOMER SERVICE: 118001328 -4880 04 PAGE 1 OF 1
For payment instructions and contact information see reverse
SALES REPRESENTATIVE ORDER DATEI SHIP DATE PURCHASE ORDER# DELIVERY
01127/2010 0112912010 682757944
MATERIAL DESCRIPTION QTY UNIT PRICE TAX TOTAL
IN USD IN USD IN USD
20087017 IN ANNO CODE T36 SECTIONS 7.5 to 9 -27 LOCAL 1 210.00 210.00 S
GOVERNMENT FULL SET
The terms for this order are net 30 days. Thomson
West's normal terms of payment is net 30 days. In the
unfortunate event your new order delivery is incomplete,
payment from you is not expected until full shipment is
received.
TOTAL
THANK YOU IN USD 210.00
RETURN BOTTOM PORTION WITH PAYMENT
VOUCHER NO, WARRANT NO.
West ALLOWED 20
IN SUM OF
P.O. Box 64833
St. Paul, MN 55164
$210.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #rTITLE AMOUNT Board Members
1120 6064035035 42- 390.02 $210.00 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
MAY 10 2010
s�
Fire Chief 1
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts (ity 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))
6064035035 $210.00
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
2Q
Clerk- Treasurer