188429 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 195901 Page 1 of 1
�S ?r ONE CIVIC SQUARE MATTHEW BENDER
,ro CARMEL, INDIANA 46032 PO BOX 7247 -0170 CHECK AMOUNT: $872.98
oN PHILADELPHIAPA 19170 -0178 CHECK NUMBER: 188429
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4469000 4891813 872.98 LIBRARY REF MATERIALS
LexisNexis 0 Return Products to:
Matthew Bender' LexisNexis Matthew Bender
136 Carlin Road
Conklin, NY 13748 -1531
Payment Remittance
Address Below
BILL TO ACCOUNT: 3999273001 SHIP TO ACCOUNT: 3999273001
CARMEL METRO POLICE DEPT
INVOICE# 04891813 TERESA ANDERSON
3 CIVIC SQUARE
CARMEL IN 46032
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INVOICE LexisNexis Matthew Bender CUSTOMER COPY
Fed I.D. No. 14- 0499170
GST No. 8124610999
Invoice Date PO Payment Terms Ship Method
04891813 07 -22 -10 30 UPS Ground
PKGS ITEMS ISBN UNIT PRICE LAN VALUE TOTAL
1 1 0006426062004 800.00 800.00
BURNS IN 10 SUPPS /INDEX /RT22 4 -15 S& H 72.98
TAX
TOTAL 872.98
BILL TO ACCOUNT: 3999273001 SHIP TO ACCOUNT: 3999273001
CARMEL METRO POLICE DEPT CARMEL METRO POLICE DEPT
TERESA ANDERSON TERESA ANDERSON
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
RETURN BOTTOM STUB
Carton 1 of 1
UPS GROUND SHIPPER No ISBN 0006426062004
CARMEL METRO POLICE DEPT MD 767 -Y1X
TERESA ANDERSON QTY 1 Seq.# 616
3 CIVIC SQUARE Package Id. 04891813
CARMEL IN 46032 IN 462 9 -02
TRACK 1 Z767Y1 X0300867955
UPS GRCUN®
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
Matthew Bender Co., Inc. Purchase Order No.
P.O. Box 7247 -0178 Terms
Philadelphia, PA 19170 -0178 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/22/10 4891813 payment for Burns IN 10 Supps Index Rt 22 872.98
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
M atthew Bender Co., Inc. IN SUM OF
P.O. Box 7247 -0178
Philadelphia, PA 19170 -0178
872.98
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 4891818 690 872.98 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
July 29" 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund