187993 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