HomeMy WebLinkAbout192577 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
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lk t
FOR::� PAY. N1 E N.T� tj E FER EN C
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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