190859 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 359069 Page 1 of 1
s ONE CIVIC SQUARE MARKETING INFORMATICS CHECK AMOUNT: $10,000.00
CARMEL, INDIANA 46032 5739 PROFESSIONAL CIRCLE
INDIANAPOLIS IN 46241 CHECK NUMBER: 190859
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 27043 63819 10,000.00 SURVEY
Invoice
Marketing Informatics Date Invoice
5739 Professional Circle 10/4/2010 63819
Indianapolis, IN 46241
1 1/3/2010 Due Date
BILL TO
City of Carmel Police Department
Micheal Dixon
3 Civic Square
Carmel, IN 46032
Job Name 2010 Resident Survey Rep P.O. Terms
Mail /Ship Date 10!4/2010 Net 30 days
DESCRIPTION QTY RATE AMOUNT
Carmel Police Department 2010 Resident Survey 1 10,000.00 10,000.00
(Sample 500 Respondents)
IN Sales Tax 7.00% 0.00
by
Total $10,000.00
Balance Due $10,000.00
Phone Fax
317- 788 -4440 317 -788 -4411 www.MarketingInformatics.com
INDIANA RETAIL TAX EXEMPT PAGE 1 of 1
City of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
s
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 2 043
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
October 202 survey
VENDOR Marketing Informatics SHIP City of Carmel Police Department
579 Professional Circle TO 3 Civic Squarer
Indianapolis, IN 46241 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2010 City of Carmel Poitee Department survey 10,000°00
"ter
?A
9
ro
Send Invoice To:
r
PLEASE INVOICE IN DUPLICATE
DE PARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 41999 other profession fees
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
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 UNOBLIGATEO 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 P lice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
o CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. NO.__
ALLOWED 20
IN THE SUM OF
C�
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 (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
Marketing Informatics Purchase Order No. 27043F
5739 Professional Circle Terms
Indianapolis, IN 46241 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/4/10 63819 payment for survey 10 000.00
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 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
M arketing Informatics IN SUM OF
5739 Professional Circle
Indianapolis, IN 46241
10,000.00
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
27043F 63819 419 --99 10,000.00 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
October 6 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund