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Home My WebLink About187993 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1 r, ONE CIVIC SQUARE PAPER -LITE CHECK AMOUNT: $4,972.25 CARMEL, INDIANA 46032 4252 E WINDSOR LANE COLUMBUS OH 47201 CHECK NUMBER: 187993 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 3984 3,099.25 OTHER CONT SERVICES 911 4463201 26876 3986 1,873.00 SCANNER WARRANTY '4 PAPER -LITE Invoice Divsion of Mathes Assoc., Inc 4252 E. Windsor Lane DATE INVOICE Columbus, IN 47201 7/6/2010 3986 BILL TO City of CarmelHamilton County Drug Task Three Civic Square Carmel, IN 46032 Attn: Marie Doan P.O. NO. TERMS DUE DATE Make Checks Payable to Paper -Lite Division of Mathes Assoc., Inc. 26876 Net 15 7/21/2010 DESCRIPTION QTY RATE AMOUNT Fujitsu Scanner 6140 1 1,675.00 1,675.00 Advance Exchange Warranty for 2 additional years 2 99.00 198.00 Sales Tax (0.0) $0.00 Payments Total $0.00 Phone Fax E -mail Balance Due $1,873.00 812- 350 -5044 812- 378 -9820 nancy @gopaperlite.com City. O' INDIANA RETAIL TAX EXEMPT PAGE Of 1 1 CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26876 35- 60000972 3 §ffl( CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 7/1/10 VENDOR Paper- 4 Lilba TO Hamilton County Drug TAsk Force A Division of Mathes Assoc. Inc. 3 Civic Square 4252 E. Windsor Lane Carmel, IN 46032 Columbus IN 45201 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT U QUANTITY OF NIT MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 ea. Fujitsu Scanner 6140 $1,675.00 $1,675.00 1 ea. Advance Exchange Warranty for 2 additional years 99.00 198.00 X 77' 7 7' ,4i w V t Send Invoice To: Hamilton County Drug Tap,,, S Fr ce_ 3 Civic Square Carmel, IN 46032 Attn: Marie Doan PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 911 22I ERR 2010- -911 PAYMENT 2010 -2 1,873.00 632 -01 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 M SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE O DER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY L Goodman PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ma o r I N m vrN AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO, CLERK TREASURER DOCUMENT CONTROL NO. 26 8 76 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFI E VOUCHER NO. WARRANT NO.---- ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members., PO# or INVOICE NO. ACCT7#tTITLE 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. 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 4 r Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) r ca Total d 75 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 IN SUM OF v S A rJ 117 a 0 L j -�7,3_ ON ACCOUNT OF APPROPRIATION FOR Board Members Po# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or &ja -o/ /f73 a 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 /[3- 10 ri tire, Title Cost distribution ledger classification if claim paid motor vehicle highway fund PAPER -LITE Invoice Divsion of Mathes Assoc., Inc 4252 E. Windsor Lane DATE INVOICE Columbus, IN 47201 7/13/2010 3984 BILL TO City of Carmel Fire Department Two Civic Square Carmel, IN 48032 P.O. NO. TERMS DUE DATE Make Checks Payable to Paper -Lite Net 15 7/282010 Division of Mathes Assoc., Inc. DESCRIPTION QTY RATE AMOUNT Scanning Labor Aug. thru December 2009 Paid Invoices 12,476 0.125 1,559.50 Scanning Labor 5 Boxes Collections 12,318 0.125 1,539.75 Sales Tax (0.0) $0.00 Payments Total $0.00 Phone Fax E -mail Balance Due $3,099.25 812- 350 -5044 812 378 -9820 nancy @gopaperlite.com VOUCHER NO. WARRANT NO. ALLOWED 20 Paper -Lite Division of Mathes IN SUM OF 4252 E. Windsor Lane Columbus, IN 47201 $3,099.25 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# l Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 3984 43- 509.00 $3,099.25 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 JUL 19 2010 /;f /7 d Fire Chief 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)) 3984 $3,099.25 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