192480 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350378 Page 1 of 1
ONE CIVIC SQUARE KAESER AND BLAIR INC CHECK AMOUNT: $146.14
CARMEL, INDIANA 46032 PO BOX 644085
CINCINNATI OH 45264 -4085 CHECK NUMBER: 192480
CHECK DATE: 12/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 27059 1102561 11.14 PENCILS
1110 4345002 27059 1102561 135.00 PENCILS
T� 4236 Grissom Drive
Batavia, Ohio 45103
SER lvoV r (800) 607 -8824
LAIR 1NCORPORATIED X411 uie -6000
credit FAX (80 (80 0 r 322 322.com 01102561
Promotional Advertising Corporate Identity Wearables lAf MRW kements Calendars INVOICE NO.
DATE: 11/19/10
CUSTOMER NUMBER 001168247 DEAEE 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
27059 11 /04 /10FED EX GROUND 10 -10 NET -30
nCR
,u. vk 1z m •r !'�r1/�T T!f�R! I Tyr
x tiJCll \1111 "t'LIVLVt.l V.v tJE lFilvly avaMlJj:JNT
500 B20550 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 11.14
TOTAL DUE 146.14
1r PAID BY 11%Ly%lU >='HY 'THI-S AMOUNT
Please enclose remittance coupon with payment. See back for additional information
U 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'fi% 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.
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.
INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1
C ity o C arms l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3)QUE 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 26, 2010 p encils
VENDOR Raeser Blair Incorporated SHIP City of Carmel Police Department
P.O. Box 644085 TO 3 Civic Square
Cincinnati, OH 45064 -4085 Carmel, IN 46032
ATTN: Ann Gallagher
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
500 BF20550 Mood pencils 135000
shipping 7.14
421 a 7014,
450 -02 $135.00 J
°V4
City of Carmel Po l` ce�Department
Send Invoice To: ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 142014
DEPARTMENT ACCOUNT I PROJECT Pg6JECT ACCOUNT AMOUNT
1110 450-02 promotional an special
111U 421 p os tage 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.
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.27059 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
Board Members
PO# or INVOICE NO. ACCT #MTLE 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kaeser Blair Inc.
IN SUM OF
P.O. Box 644085
Cincinnati, OH 45264 -4085
$146.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
27059 1102561 43- 421.00 $11.14 1 hereby certify that the attached invoice(s), or
27059 1102561 43- 450.02 $135.00 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
Wednesday, December 01, 2010
40mt
Chief of Police
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/19/10 1102561 $11.14
11/19110 1102561 mood pencils $135.00
1 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