191204 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 105300 Page 1 of 1
0 ONE CIVIC SQUARE G.A. THOMPSON, INC
CARMEL, INDIANA 46032 PO BOX 720254 CHECK AMOUNT: $1,035.80
DALLAS TX 75372
CHECK NUMBER: 191204
CHECK DATE: 10/27/2010
DE PARTMENT T ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 80364 76.80 POSTAGE
1110 4230000 27001 80364 960.00 WARNING TICKETS /ALARM
G.A. THOMPSON CO. Invoice
PO BOX 720254
Date invoice
DALLAS TX 75372
214- 827 -1688 9/3/2010 80364
TAX 1D 75- 1540137
Bill To Ship To
CARMEL POLICE DEPT CARMEL POLICE DEPT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
317 571 2548 fax 2512
P.O. Number Terms Rep Ship Via F.O.B. Project
27001 Net 30 9/3/2010
Quantity Item Code Description Price Each Amount
7.500 CUSTOM custom warning citations 15 -2c 0.128 960.00
robert robinson
no changes, cotninue From last
I FREIGHT Shipping and Handling 76.80 76.80
We Accept Visa, Master
Card and American Total $1,036.80
Express
INDIANA RETAIL TAX EXEMPT PAGE
C ity of C armel. CERTIFICATE N0.003120155 002 0
x PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 2 7041
3=91CIVIC 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.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Augg st 18 201 warning tiekets alarm violatio
ns
VENDOR G.A. Thompson SHIP CLty of Carmel Police Department
P Box 720254 TO 3 Civic Square
Dallas, TX 75372 Carmel, IN 46032
ATTN: Robert Robinson
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
7,500 Custom warning citations 15 -2c Quote #11197 .128 960.00
5,000 Custom alarm vi &lationsnotices Quaaee #11179 .179
(three part, white canary, buff tag,
two backers, black ink, numbered in
red)
D ,r
q
e
e `m
City of Carmel Pol!'c��°Depa rtme�;�
Send Invoice To: ATTN: Teresa Andersorr
3 Civic Square r) J
Carmel, IN 46032
PLEASE INVOICE IN UPLICATE 1,855.00
DEPARTMENT ACCOUNT FIROJFeT 11 PROJECT ACCOUNT AMOUNT
1110 300 official forms 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.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. c .f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of POlice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. A.P.N. COPY SIGN AND RETURN TO CLERIC'S 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 W
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
GA Thompson Co Purchase Order No. 27001F
P.O. Box 720254 Terms
Dallas, TX 75372 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/3/10 80364 payment for warning tieckets 1,036.80
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
GA 'ihompson IN SUM OF
P.O. Box 720254
Dallas, TX 75372
1,036.80
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT# /TITLE AMOUNT voice(s), or
DEPT. I hereby certify that the attached in
27001F 80364 300 960.00 bill(s) is (are) true and correct and that the
1110 80364 421 76.80 materials or services itemized thereon for
which charge is made were ordered and
received except
October 21 20 10
Signature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund