190338 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00350378 Page 1 of 1
0 ONE CIVIC SQUARE KAESER AND BLAIR INC CHECK AMOUNT: $142.14
CARMEL, INDIANA 46032 4236 GRISSOM DRIVE
•�,,..oN E�. BATAVIA OH 45103 -1696 CHECK NUMBER: 190338
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 27010 830829 7.14 PROMO ITEMS
1110 4345002 27010 830829 135.00 PROMO ITEMS
1 h 4236 Grissom Drive
a SEIC Batavia, Ohio 45103
(800) 607 -8824 V v
LAIR INCORPORATED FAX (800) 322 -6000
credit@kaeser- blair.corn
Promotional Advertising Corporate Identity Wearables Writing Implements Calendars INVOICE NO. 00830829
DATE: 9/15/10
CUSTOMER NUMBER 001168247 DEALER NUMBER 52880
TO: SHIP TO:
CITY OF CARMEL POLICE DEPT CITY OF CARMEL POLICE DEPT
ANN GALLAGHER ANN GALLAGHER
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
YOUR PO NUMBER DATE SHIPPED SHIP VIA TERMS
27010 9 /07 /10FED EX GROUND 1 -10 NET -30
QUANTITY PRODUCT NO DESCRIPTION AMOUNT
500 BF20550 MOOD PENCIL 135.00
YOUR AUTHORIZED K &B DEALER IS
MICHAEL MARSH SUBTOTAL 135.00
TO REORDER CALL 317 439 -8321
SALESTAX .00
LESS: PAYMENT /DEPOSIT .00
SHIPPING HANDLING 7.14
TOTAL DUE 142.14
IF PAID BY 9/25/10 PAY THIS AMOUNT 140.79
Please enclose remittance coupon with payment. See back for additional information
YOUR COMPLETE SATISFACTION IS OUR TOP PRIORITY. TO REPORT A PROBLEM WITH YOUR
SHIPMENT, PLEASE CALL CUSTOMER SERVICE WITHIN 10 DAYS OF RECEIPT OUR TOLL FREE
NUMBER IS (800) 607 -8819
FINANCE CHARGE: A FINANCE CHARGE APPLICABLE TO PREVIOUS MONTHS' UNPAID
BALANCE WILL BE COMPUTED BY APPLYING A PERIODIC RATE OF 1'1% PER MONTH
ANNUAL PERCENTAGE RATE OF 18
0 IF ITEM PURCHASED IS TAX EXEMPT WE ARE REQUIRED BY YOUR STATE LAW TO
CHARGE TAX UNLESS A SIGNED EXEMPTION CERTIFICATE ACCOMPANIES THIS INVOICE
WITH PAYMENT.
0 MAKE ALL CHECKS PAYABLE TO: KAESER BLAIR, INC. MAIL PAYMENT DIRECT TO
BATAVIA OFFICE. WE DO NOT AUTHORIZE OUR DEALERS TO MAKE COLLECTIONS.
0 IMPORTANT- PLEASE RETURN THE "REMITTANCE COPY" OF THE INVOICE WITH YOUR
PAYMENT. REFERENCE YOUR INVOICE NUMBER ON ALL CORRESPONDENCE AND
PAYMENTS.
City Carmel RT A RE 003 E 155 00 PAGE
1 of 1
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 27010
3MMCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, N
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIP:
=OflM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1987 SHIPPING LABELS AND ANY CORRESPONDENCI
RCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
Ig ust 25 2010 promotional items
VENDOR Kaeser 0 Blair SHIP City of Carmel Police Department
4236 Grissom Drive TO 3 Civic Square
Batavia, OH 45103 Carmel, IN 46032
ATTN: Ann Gallagher
)NRIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
500 Mood Pencils .27 135.00
500 6500 Sof -Loop key tags .69 345.00
shipping 33.00
Mood pencils: Carmel Police Dept.
(317) 571 725'00
(black print)-
Key Tags: Carmel Police. `Dept
(317) 571 -25.00
(tahte tags with navy /:dark blud print)
.1
421 33.00 i
450 -02 $480.00 y
City of Carmel Police Department
Send Invoice To:
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 513.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 421 postage PAYMENT
1110 450 -02 promotional d spe al A P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
p nting NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS j I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID"
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS"
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATOHY THEREOF AND SUPPLEMENT THERETO.
ll• rl lu;:MT (`C1NIT0nl mr, 27010 CL VENDOR COPY
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
Kaeser Blair Incorporated Purchase Order No. 27010P
P.O. Box 644085 Terms
Cincinnati, OH 45264 -4085 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/15/10 830829 payment for promotional items 142.14
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
K aeser Blair Inc.
IN SUM OF
P.Q. Box 644085
nc nnat H
142.14
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
27010P 830829 421 7.14 bill(s) is (are) true and correct and that the
27010P 830829 450 -02 135.00 materials or services itemized thereon for
which charge is made were ordered and
received except
September 24 2 0 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund