192800 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 364574 Page 1 of 1
0 ONE CIVIC SQUARE E M P TECHNICAL GROUP
CARMEL, INDIANA 46032 17450 TILLER COURT CHECK AMOUNT: $481.00
WESTFIELD IN 46074
o CHECK NUMBER: 192800
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 27087 8405 481.00 OFFICE SUPPLIES
REMIT 1'0: Invoice
EA4P'fechnical Group
17450 Ti I ler Court Date Invoice
ENIP Westfield, IN 46074
317 -867 -7600 12/1/2010 8405
Bill To Ship To
Cite of Carmel Police Department City of Cannel Police Department
3 Civic Square 3 Civic Square
Ctirmel. IN 46032 Carmel, IN 46032
Ault feresa Anderson Attn: Robert Robinson
P.O. Number Terms Rep Ship Via F.O.B.
27087 Net 30 BV 11/330/2010 Fed f x Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
10 1.133663 -CASE Perforated roll, 6 roll pact:, 100 sheets per ea 45.00 6800 450.00
roll, priced per pack..
Shipping Shipping /Handling 31.00 6800 3 L00
Thank Non for your business.
Total X49 1.00
Phone Fax
317 -867 -7600 317- 867 -2718
INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1
City of 1 Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department
FEDERAL EXCISE TAX EXEMPT
35- 60000972 2 087
3 _QR CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2554 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. DESCRIPTION
November 23 2 lid F office supplies
VENDOR Group SHIP City of Carmel Police Department
TO 3 Civic Square
Carmel, IN 46032
ATTN: Ben on Order ATTN: Robert Robinson
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
10 LB3663 Perforated rods (6 pk) 45000 450°00
g °Os
Al
d7
City of Carmel PoYiCe r, t
Send Invoice To: r
ATTN: Teresa Anders6
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECTACCOUNT AMOUNT
1110 302 office suptide 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.B. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Chief of P
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO-27087 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 /TITL.E 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
EMP Technical Group
IN SUM OF
17450 Tiller Court
Westfield, IN 46074
$481
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
27087 8405 42- 302.00 $481.00 1 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
Thursday, December 09, 2010
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
12/01/10 8405 perforated rolls $481.00
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