188548 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00350512 Page 1 of 1
t ONE CIVIC SQUARE TEN -8 INC CHECK AMOUNT: $1,175.00
CARMEL, INDIANA 46032 1838 E INVERNESS CIRCLE
COLUMBIA CITY IN 46725 -7504 CHECK NUMBER: 188548
CHECK DATE: 813!2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 26939 72110 -B 1,175.00 PLANNERS
BEN INC.
INVOICE
1838 E. Inverness Circle
Columbia City, IN 46725
1- 877- 783 -3544 Fax 260- 244 -4147
DATE SHIPPED INVOICE DATE INVOICE No. PURCHASE ORDER No. PAYMENT DUE
7/21/2010 7/21/2010 72110 -B 26938 8/20/2010
Sold To: Quantity Item No. Color Product Description Price Total
City of Carmel Police Department 1st 504 50 PSP11 Blue 2011 Public Safety Planner 10.00 500.00
3 Civic Square over 504 135 PSP11 Blue 2011 Public Safety Planner 5.00 675.00
Carmel, IN 46032
Ship To:
Same as above
Attn: Vicki Bailey
Order Date: sub- Total: $1,175.00
7/1/2010 Shipping 0.00
Ordered By Phone: Sales Tax 0.00
Chief Fogarty by P.O. faxed TOTAL 1 $1,175.00
317 571 -2523 Thank you.
For Vendor Office Use Only: Imprint Instructions Used Assembly Instructions Used
Ship By: Use Bright Gold Foil. 7/16" black binding wire.
Payment Received: Same as 2010 planners.
Check No.:
RF:
C ity INDIANA RETAIL TAX EXEMPT PAGE
J�Lr CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 26
CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CAR L, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
July 1, 2010 fanners
VENDOR Ten -8, Inc. SHIP Cit of Carmel Police Department
1838 E. Inverness Circle TO 3 Civic Square
Colubbia City, IN 46725 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
189 2011 PfLhMerSafety Planners 10.00 500000
135 2011 Public Safety Planners 5.00 675
Gt
(01
F a B
•�f
I l
1
Y i� k i Y�� m
Eit of Carmel Po l f ce e %e�par�ti
Send Invoice To: ATTN: Teresa And era
t>t
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
1,175.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 302 office supplies PAYMENT
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 IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
k /w/cit, C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY L/ 1 1 ,l
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Policed
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
DOCUMENT CONTROL NO. 26938 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO..
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
C
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Farm 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
Ten-8, Inc. Purchase Order No. 26938F
1838 E. Inverness Circle Terms
Columba,City, IN 46725 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/21/10 72110 --B paymenti: for planners 1,175.00':
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ten -a, Inc. IN SUM OF
1838 E...Inverness Circle
Columbia City, IN 46725
1,175.00
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
26938F 72110 -B 302 1 175.00t 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
Chi ef'of 'Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund