189319 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 364574 Page 1 of 1
ONE CIVIC SQUARE ENTERPRISE MARKETING PRODUCTS
s 0 CHECK AMOUNT: $968.00
CARMEL, INDIANA 46032 17450 TILLER COURT
WESTFIELD IN 46074 CHECK NUMBER: 189319
CHECK DATE: 8/31/2010
DEPARTMENT l ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 7690 14.00 POSTAGE
1110 4467099 27005 7690 954.00 PRINTERS
REMIT TO: I nv oice
EMP Technical Group
17450 "I filler Court Date Invoice
Westfield, IN 46074
317- 867 -7600
8/21/2010 7690
Bill To Ship To
City ol'Carmcl Police Department City of'Carmel Police Department
3 Citric Square 3 Civic Square
Carmel. IN 46032 Carmel, IN 46032
Attn: Teresa Anderson Attn: Major Luckie Carey
P.O. Number Terms Rep Ship Via F.O.B.
27005 Net 30 BV 8/19/2010 Fed Ex Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
2 ZEB- GX42 -1... Zebra GX4201 4 DT/TT 203dpi, ca 477.00 6298 954.00
Serial /Paratlel /USB
Shipping Shipping /1- landling 14.00 6298 14.00
Thank you for your business. To ta l l $968.00
Phone Fax
317 -867 -7600 317 -867 -2718
INDIANA RETAIL TAX EXEMPT PAGE
City of C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
P 6,lice Department FEDERAL EXCISE TAX EXEMPT
s 35- 60000972
CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P
CARMEL 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.
aURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
AURU t 19, 2010 rinters
VENDOR 'Enterprt ft Harketing Products SHIP City of Carmel Police Department
17450 Tiller Court TO 3 Civic Square
Westfield, IN 46074 Carmel, IN 46032
ATTN: Ben VanAlstine ATTN: MaJor Luckie Carey
COIVFit3Mn710N BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 zebra GX420T printers with USB /Serial /Parellel 477°00 954000
interface
w'(
City of Carmel Pollee DeparmesCr��
Send Invoice To:�✓�
ATTN: Teresa Anderson r
3 Civic Square
Carmel., IN 46032
PLEASE INVOICE IN DUPLICATE
f
DEPARTMENT ACCOUNT PROJ T PROJECT ACCOUNT AMOUNT
1110 670 -99 other equipment
PAYMENT
A/P 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 11 I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID,
THIS APPROP IATION SUFFICIENT TO PAY FOR jjHE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED $Y
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 66 Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-2700 5 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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 City Form No. 201 (9ev.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
EMP Technical Group Purchase Order No. O Q 1
17450 Tiller Court Terms
Westfield, IN 46074 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/21/10 7690 payment for pritners 968.00
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 -1.5.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
a P Technical Group IN SUM OF
c_
17450 Tiller Court
Westfield, IN 46074
968.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
DEPT or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
27005 7690 670 -99 954.00 bill(s) is (are) true and correct and that the
1110 7690 421 14.00 materials or services itemized thereon for
which charge is made were ordered and
received except
August 27 20 10
Signature
Chiefof Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund