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192577 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350370 Page 1 of 1 ONE CIVIC SQUARE WEST GROUP PAYMENT CENTER 4 0 CHECK AMOUNT: $1,533.00 CARMEL, INDIANA 46032 P.& BOX szsz .t oM.o� CAROL STREAM IL 60197 -6292 CHECK NUMBER: 192577 CHECK DATE: 12/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4469000 821425182 320.00 LIBRARY REF MATERIALS 1180 4469000 821619267 320.00 LIBRARY REF MATERIALS 1180 4469000 821707541 893.00 LIBRARY REF MATERIALS ACCT# 1000359094 CARMEL LAW DEPT ESTO I CIVIC SQ ANEY ,Aj A Thomson Reuters business CARMEL IN 46032 -2584 INVOICE 821425182 WEST INFORMATION CHARGES INVOICE PAGE SEP 01, 2010 SEP 30, 2010 1 CHARGE TAX TOTAL CHARGE DESCRIPTION IN USD IN USD IN USD WEST INFORMATION CHARGES 320.00 0.00 320.00 IMPORTANT NEWS Thank you for your business. For more information about West, a Thomson Reuters business, or to shop online visit west.thomson.com. FOR BILLING INFORMATION CALL 1000359094 A 1- 800 -328 -4880 REMITTANCE LVSTRUC770NS: 0 Terms: Net 31) 0 Camadian Registration Numbers 4 Us;_ l: I w cnrloticd envelope to •end your paymcm. Cxn;utr GST 1 304 1 4480 0 I7enroh and rentrn the remittance portion and make paymE!nt payai Ne tr,r Ciritish Columbia PSI R375653 federal Employer Identification Number 41- 7426973 Quebec ()ST 1 02 1623 93 4 Do uoi cnclo. co cask or lol(eivn curt'ercv. Ontario PST 5002 -0' +60 0 RcmcrnhL�r. chucks mast be d1 akkvn Fran a It -S. hank accormt. Stiskalchewan PST 95 0 Wri(e vour <iCLMrnt numberon flT [roni of vanr Check- 0 Do 1101 lold or,t"W;c! your check or rcmil(ance portion. bVL'ST RETURN POLICY. if ytui me itut ccaurplcteiti satisfied with the products you pRrrch;i or Iiceusc from West. Vent may return diem within 45 days of the ori,LilMl 111Voice WCSt whip dine) 10J Lull credit or refund, Pack seti'ttrdy and return Al merchandise, insuring contents fur its vtrtuc. All expwtscc ;L sWciated tadth returns ar'e the respottsihilily or the cosmnter. Custorners will rorRlt arty applicable di.�coun.ts wlicr3 returning part of a promotional sale. To ensure :tecuraw' procc sing. nlwiivs enclose with your rcRUrtt a copy of the urigiaal dclivcty or billing, ttuculucni, includine a brie( cspi,'MAiun u1 the. rrta.son ror the return. *This West policy does lint apply to online SLSVICCS, such as 4Vestlaw. Suhscriber is respoosiiAc for any 1tpplicairle char"es atsancinle'd with 0ilimc products. Picric refer to Vora' suhs ribe.i a�Rrecll enl for specific tenus turd candifions. ONLINE RESOURCE: To acres. ;my of I* account information 24 ipi nshtav: 0 Access nnlitau :t4 �Vly at wCst.thnmson.com: o Make payments 4 Rettun products 0 1'sssword mmnagemeni o Check of is stalus 0 Make atkdres, clr.tngcs 0 Request duph(alc hikirra doc+rments 4 II&IMUtion about lustpnymeni roce-iv(ttl and creclits E -acted 0 Access bv' iephone at 11800/328/4880. 0 Account P :rsnrent infurnrttion A 1 History inform:rEiun 0 �lakc iurymettts 0 Return information 0 Sales cr `F'rAiMT]; Contact information FORA SSISTANCE WITH BILLING, SUBSCRIPTIONAND GENERAL INQUIRIES, Telephone 7:9.1' 1 woil 0 Custoatel 118001328 -4880 1/800/340 -9378 raestcuvlomcr .sc :rvicota�Ihonison.c m (1,00 AM 7 1)0 PM {k,irr.rl Mi F) 0 sales 11800/328.9372 "vest aEesrn tirutu,.ort.cUm 0 Federal Government Accounts: 1/800/328 -2781 1/(,_51/687 -6857 west.red. nett iJwmson.ctim r? :rV)AM 5:00 Pat Criltr.d �l -Pl Ilookstorer\ccuunls: 1/80111328 -2209 116511687.6857 werst.buokstoreCmghutnson -cons t7 �0Ab1 5 (UP P41 C'rm nitV4 -Fp 4 hrtern rtionat Accounts: 11/651/687 -6857 wesl.internationaLaccount.se.i FteeC'tEwm,on.CUm 0 "Vest Main Well site: Avest.thornson.colu 3'ou truly write ns crr— )ixt may innrl pavinertrs to Mu moo return rnercham fise to sf !Vest Pavr'a cut treat -er WVes1 RO. Box 04S33 P.U. Box 6292 Returns tIldr; 11 St, Paul. A1N 5516=4 -0833 Carol Stream Its60197 -6292 525 Wescott !toad E'al;an. MN 55123 crttrtiE: l4ir. t." Rt :.trm €ntCcnterCathnlatsna.eom r- ruaE1; A 1` esfi. AR' C{ Yfui rtt :ciatcr�uthurnbt�ra.c0tu c mail; 14' ist. ItEtcl' u udE'errfer(? :iltornsorr.cnno t i"Oi shipping Pukit ACCT# 1000359094 CARMEL LAW DEPT DOUGLAS HANEY 1 CNIC SQ CARMEL IN 46032 -2584 IMPORTANT NEWS *INDICATES A SYSTEM CREDIT Thank you for your business. For more information about West, a Thomson Reuters business, or to shop online visit west.thomson.com. INVOICE 821425182 BILLING SUMMARY PAGE POSTING 6068737588 SEP 01, 2010 SEP 30, 2010 1 CHARGE TAX TOTAL CHARGE DESCRIPTION UNITS IN USD IN USD IN USD DETAIL OF CHARGES WESTLAW SELECT -WPack MONTHLY CHARGES DATABASE ALLOCATION 300.81 0.00 300.81 COMMUNICATION ALLOCATION 19.19 0.00 19.19 TOTAL MONTHLY CHARGES 320.00S O.00S 320.00S TOTAL WESTLAW SELECT -WPack CHARGES 320.00SG O.00SG 320.00SG TOTAL DETAIL OF CHARGES 320.00SG O.00SG 320.00SG TOTAL WEST INFORMATION CHARGES 320.00G O.00G 320.00G DETAIL OF INCLUDED USAGE (FOR INFORMATIONAL PURPOSES ONLY) SUBSCRIPTION USAGE WESTLAW USAGE CHARGES TRANSACTIONAL, SEARCHES 6 0.00 TOTAL WESTLAW USAGE CHARGES O.00S TOTAL DETAIL OF INCLUDED USAGE O.00G 1000359094 -.A INDIANA RETAIL TAX EXEMPT PAGE City. ®f C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER J FEDERAL EXCISE TAX EXEMPT r 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 ?URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESC RIPTION VENDOR f�} SHIP TO ax- CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Lg r' V '11�' tl JL A Send Invoice To:✓ t� PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT o 0 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. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. I THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. �1 CLERK TREASURER DOCUMENT CONTROL NO. 2 7 1 5 4 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. W ALLOWED 20 IN THE SUM OF C� s-3- b o ON CUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT �x I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the A 8 _3aOaaa materials or services itemized thereon for which charge is made were ordered and received 2Q 1 nature Tit1 Cost distribution ledger classification if claim paid motor vehicle highway fund SUBSCRIPTION INVOICE SUMMARY WEST, A Thomson Reuters business Bill To: From: CARMEL LAW DEPT Thomson West DOUGLAS HANEY P.O. Box 64833 1 CIVIC SQ St. Paul, MN 55164-0833 CARMEL IN 46032 -2584 Page 1 of 1 04 IMPORTANT NEWS Thank you for your business. For more information about West, a Thomson Reuters business, or to shop online visit vvest.thomson.com. Customer Service: 1/800-328-4880 See reverse side for contact and payment information Ei1LfINL�,ACCpU {VT EN VOICE::# lIvQI.QE RftiTl.. BfELING P!ERf4O PAYMENT:Ui1)= Tfl7AL II�fUOiGE :�1�00359094 8 97fl 5:41 11/04t201p; OCT 05 20110 12f04f2L?10 AMOUNT fN USfa sr... ftfG7V 04 2590 893dr7 p SCRIPTJ PRfCl= IN L]SD TAX IN USD TOTAL IAt DISCOUNT PLAN CHARGES 67.00 0.00 67.00 S SUBSCRIPTION. PRODUCT CHARGES 826.00 0.00 826.00 S 893.00 T TOTAL INVOICE AMOUNT RED JTIANCE INSTRUCTIONS: �0 Tertns: Net 30 0 Canadian Registration Nuuihers 0 Use the ettrlosed e nvclope to send }'our paymcut. Cuniedu CST' 1 364 1 8480 0 Deutch mtii return the remittance portion and make payment payable to "WcsY British Columbia PST R3 lrederal Eniplt yer tdeulff iattion Number 41- 1 42 69 73 Quetiec QST 1021623 0 Do lint enclose- cash or lbreigii curreucy. Chnnrio PSI 5002 -0560 0 Rememher, checks ivu be damn from a U.S. haitk account. Naskatdu:wan PST IS95663 0 Wtite your account nunthcr nn the front of your check- 0 Do not fold or staple y. check or rcmituijicc portion. WEST RETURN POLICY: if yon are not completely ,atiSfied with the praduct,' you punch t o of iicense front West. you rng ncturn them 4v irhin 45 (;1ys of the original invoice \'4'est ship date) lot full credit or refund. Puck securely and return all mcrchaudise., insurwo contents for its value. AH expenses a.4SOCia0ed with returns are the re pvnsibility of the cuetotner, Customers will forfeit an} allplicthle discounts whew rewming part of a prontotionai Sale. To encm'e acetu te pro. ssitia,:ihvays encip5e with your r €turn it cony of the original de.livcry or hilling docutueoi:- inciuding it hrici expltm;llion of the reaSC)n for the return- *'phis West pu3icy does not apply io online. services, such as Wesdaw. Suhscriber is respons ibla for any applicahle char -o,-, associstted with omlinc products. Please refer to your suhscribet g-wci tcni 1br specific terms and coudirions. ONLINE RESOURCE: Co access any of the FCCi :unt information 24 hoursiday: 0 Access online nt My Account at went.thumson.com: 4 Maka payments b Rettu7t products 0 1 man t 0 Check vrcler stafius 4 Nl.tke Request dut)licate bil3im, tlnctunews a hilt ?mZ ation'thorn last paynicrntreceivcd and credits posted 0 ,4ccc�ss by Tt I. phone ai 1!800!328!4880: 4 Accotwrt 1 ayment infornuulon o I'as meat I l i.toty 40_ornu tiun 4 R1uke hnly3nents 0 Reriirn tnforrnatirtn 4 ,Salo frainin cow tea in30rrn iti FOR ASSISTANCE WITH BILLING, SUBSCRIPTION AND GENERAL LN"QUIRIE_ S: Tcicj�lume ir;4X C -anal! 0 CustomerScriice: 1/8001328 -4880 1/800/340.9378 west. customerserc 'icaCuthoms'tut.com {7:00 A vt 7_un IM -(%,A, a M -rr 0 sales 1/8001325-9352 tivest.valcti'( #homson.coial 0 Federal GovernmentAceourils: 11:400/328 -2781 1/651/687 -6857 wesi.fedwovtC cum r7:no ,wst Sun t�Nt Cainra a -t�1 0 BookstoreAccrounts: 11801,11328 -2209 1/651/ 687 -6857 west.4 >tx?kstore«sthuntson.cont ('7:311 .A x4 iU0 N,19 (:aurrnl 11 -F� i 01nlernatiotialAccuunls: 1/651/687 -6857 com 0 West Mitiut'lveh Site: weSt,thurnsonxom Yon anciw trrile ins al }'ntr rnav Inail pavirlewY lo Ywi rnav return mer°f handisc to West West Payment Center Wes# P.O. Box 64833 P.O. Box 6292 Returns Bid- B St, Paul, !VIN 55.164-0833 Carol Stream, II, 60197 -6292 525 Wescott. Road Eauan, MN 55123 e- snail: West.ARPaymentCentcr@Ahomson -cons e. trail: 11' est. �It [iatntnCcnterCs�tltunuon.iotn e- trail: West.A H RefuntlCenter thontson.cmn FOB 'shipping Point I WEST SUBSCRIPTION INVOICE DETAIL A Thomson Reuters business Bill To: From: CARMEL LAW DEPT Thomson West DOUGLAS HANEY P.O. Box 64833 1 civic so St. Paul, MN 5 5 1 64 -0833 CARMEL IN 46032-2584 Page 2 of 2 04 Customer Service: 11800-328-4880 NVOIC RAYMENT�: 0UE.:p:.�.q­q:p:::.":.;:" TOTAL::: IE::: INVOICE iBILLIlRGPERIQD-:'s� AMOUNT. YO4 2 Oil 0 OC T q;-1'OQO8S9U M 824707541i'r AA 1 mi i:�i ii: is 20 Z DELIV E Y::::; ESCRIPTION:1- UNIT TA U... 1. N:: is N UMBER E O'N E 01 E E AN:;:: U :.0 POSTING: SD' EN U 1 012 9 606909199 688473608 eDISCOVERY FOR CORPORATE COUNSEL PAMPHLET 1 220.00 0.00 220.00 S 2010 SUBSCRIPTION PRODUCT CHARGES TOTAL 826.00 T Thank You WEST® SUBSCRIPTION INVOICE DETAIL A Thomson Reuters business Bill To: From: CARMEL LAW DEPT Thomson West DOUGLAS HANEY P.O. Box 64833 1 civic so St. Paul, MN 55164-0833 CARMEL IN 46032-2584 Page I of 2 04 Customer Service: 1/800-328-4880 11 I J]NVOICE�DA E BIILLIN11�PERIO.D.:�::��::i E T 0TAK �j:LjRV.P1C9.'-- :SILLING��:A:CCOUNT INVOICE N DU I...........,..., V 821.70. 75.11; 1110.4. il�:�: OC T 1 2 104/201 0 .1-., 1... 1, 1... I I r:' SHIP_.. ZA.-TE:�,:'.:':::: DELIVERY.. �OP-StR IPTIO N: N IT ;TO T AL U r 1. 1 -X N UMBE R: M PRICE POSTINQ:;:NU i!!: -i! lk t FOR::� PAY. N1 E N.T� tj E FER EN C r DISCOUNT PLAN CHARGES 1011 6068868041 688066489 WEST LEGALWORKS: ELECTRONIC DISCOVERY AND 1 134,00 134.00 RECORDS MANAGEMENT GUIDE: RULES, CHECKLISTS AND FORMS 2010-2011 PAMPHLET WICID WestPack 50% Discount -67.00 Subtotal 67.00 0,00 67.00 S DISCOUNT PLAN CHARGES TOTAL 67.00 T I I ANNUALIMONTHLY CHARGES Nov 01, 2010 Nov 30, 2010 11/01 6069222024 IN LEGISLATIVE SERVICE DISCOUNTED SUB 1 42.46 42.46 Subscription Service Discount -42.46 Subtotal 0.00 0.00 0.00S ANNUAL/MONTHLY CHARGES TOTAL 0.00 T SUBSCRIPTION PRODUCT CHARGES 10/26 6069004968 688124172 MCQUILLIN LAW OF MUNICIPAL CORPORATIONS 1 395.00 0.00 395.00 S 3D V1 (2010) 10/22 6068960842 688188401 WESTS IN CRIMINAL AND MOTOR VEHICLE 2011 2 54.00 0.00 108.00S PAMPHLET 101271 6069032011 688393174 e DISCOVERY V1 AND V2 2010-2011 PIP, FOCD eDISCOVERY V1 2010-2011 PIP 1 51.50 51.50 eDISCOVERY V2 2010-2011 PIP 1 51.50 51.50 CID ROM eDISCOVERY 2010 FORMS ON CID 1 0.00 0.00 Subtotal 103.00 0.00 103.00 S ACCT# 1000359094 ST CARMEL LAW DEPT D CIV C CIVIC DOUGLAS 1 A Thomson Reuters business CARMEL IN 46032 -2584 INVOICE 821619267 WEST INFORMATION CHARGES INVOICE PAGE OCT 01, 2010 OCT 31, 2010 1 CHARGE TAX TOTAL CHARGE DESCRIPTION IN USD IN USD IN USD WEST INFORMATION CHARGES 320.00 0.00 320.00 IMPORTANT NEWS Thank you for your business. For more information about West, a Thomson Reuters business, or to shop online visit vvest.thomson.com. FOR BILLING INFORMATION CALL 1000359094 A 1 -800- 328 -4880 RE41ITTA NCE INSTRUCTIONS: 0 '.Germs: Net 30 0 Canadian Registration Numbers 0 Ucc the enclaied e-Imelupe to send your payment. Canada G3 T 136418480 0 Detach 3111 vellum the remittance purtior2 and make payment payable to "Wes!". tit itish Columbia PST 1Z3756.53 Federal Emplqyer ldenlificalion Number 41-142697-4 Quebec OST 10- 0 Do not enctow catsh or forei;,n currency Ontario PST �002 -0460 0 R.eme-mher, checks must be drawn i'rom a U.S. bark account. SaskatchcseIm PST 1895663 0 Write your account number on the front of your check. 0 Do not fold or staple your chuck or remitfismce porfion. VVEST RETU RN POLICY If you arc nut completely satisfied with the products* you ptnchjsc tsr license From Nresr, yotl may return them cs Whin 45 (lays ofihe original ittvnice iavust ship d: rtel for full credit or refund, Pick securely an f return ail me- rc)andise- insuring artotents It>r its value. All expenses iASSOCia:tCd With reurrm are the responsibility of the cuss mte3: Customers will forfeit any applicable discounts when returner purl of .r proamtional sale. 1 ensure accurate; ptnce—mi ,.:dways enclose with your return a copy of the original de m livery or hilling docueni. including; .a brie! exlsEanution of the reason for the return. 111iti West policy does not apply in online rvices, such as Westlttw. Subscri.bca is responsihle for :any tipplicarhle char associAocl with emline- products. Ploace rcter to _your subscriber aerecmeW for specific terms :ntd coudirions. ONLINE RESOURCE: 10 access .inV of tlm. accotnV mfOrmaiion 24 hours/dav: Q Acu•ss online at My Account at 0 Makc payments 0 Rsturu produelc 0 Password management 4 Check order status 0 Make addre ss eh1mves 0 Rucluest dupkeate billing documents o fnftnmatiort .iboul. last payment receives and cractits posted 4 Access by Tv.1cphoi ic rrt 1/800/328/4880- 0 f1cCCwnl t'irvmeiit iufom'ration e Paiym(!m History information 0 My )kc payments 0 Retunr information 0 Sale. R Concoct information FOR ASSISTANCE WITH BILLING, SUBSCRIPTIONAND GENERAL INQUIRIES: Telephom F;tk' F. -moil 0 Customer Service: 118001328 -4880 1/800/340-9378 west customer .sc.rviceCmtlinmstsn.r_om t7 M10 .AM TOO i'yI -Ccmml M F? 0 :Sales 1/8001328-9352 w;;sl- saICSCQ?thumsnn.cum 0 Federal Government Acccnmts: 1/800/328 2781 1./01/687 6857 w est tcci,goytCathumsan cum 0 R(>tlkstoreAccoorim: 1/8001328 -220 1 /651/ 687 5857 avost.b uksu�reC� titotrtspn.ccatn :30: ,M 4:00 I'M -C nrrnl M -F) 01nlernationalAccounts: 1 /65 11087-68i7 e�cti t, internt rcrnunl..stnsect +thom�nn.cs�ut 0 West Main Well Site west.(honison.com Yn. a maY lurite us crt Yrut miry mail payments to Yom meiv return mere! undisc to West West Payment Center West RO. Box 0'4833 RO. Box 6292 Returns Bldg R St. Parts, N'IN =5164 -0833 Carol Stream, IL 60197 -6292 525 Wescott Road Eagan, NIN 55123 e mail: bWest.A11PayinentCenter(4,thomson.com a mail: 11' est. ARReturuC 'enterC''thuntsan.cottt e mail: AVcst.AI1H -lboutson.cmn 1-013 Shippim- Purr! ACCTII 1000359094 CARMEL LAW DEPT DOUGLAS HANEY 1 CIVIC SQ CARMEL IN 46032 -2584 IMPORTANT NEWS *INDICATES A SYSTEM CREDIT Thank you for your business. For more information about West, a Thomson Reuters business, or to shop online visit vvest.thomson.com. INVOICE N 821619267 BILLING SUMMARY PAGE POSTING 6069278255 OCT 01, 2010 OCT 31, 2010 1 CHARGE TAX TOTAL CHARGE DESCRIPTION UNITS IN USD IN USD IN USD DETAIL OF CHARGES WESTLAW SELECT- W MONTHLY CHARGES DATABASE ALLOCATION 300.81 0.00 300.81 COMMUNICATION ALLOCATION 19.19 0.00 19.19 TOTAL MONTHLY CHARGES 320.00S O.00S 320.00S TOTAL WESTLAW SELECT -WPack CHARGES 320.00SG O.00SG 320.00SG TOTAL DETAIL OF CHARGES 320.00SG O.00SG 320.00SG TOTAL WEST INFORMATION CHARGES 320.00G O.00G 320.00G 1000359094 A INDIANA RETAIL TAX EXEMPT PAGE City f C� armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER k ll FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 J ONE 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. 'UR ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1 P g VENDOR L#1 4� SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION C j d le 1� 4 ni k a a Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT 1� ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Y 6? 9PJ O PAYMENT /',T o loo /f /y NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. /CAU 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. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. h THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE J f''� l �lS�. f,/ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL No-27145 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._ WARRANT NO. c ALLOWED 20 IN THE SUM OF$ O ACCOUNT OF APPROPRIATION FOR Board Members PO# or lrivoicEo. ACCT #mTL� AMOUNT i hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the 3 :t materials or services itemized thereon for which charge is made were ordered and received except 0 20 /D i ure 1 Title Cost distribution ledger classification it claim paid motor vehicle highway fund