196776 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00350630 Page 1 of 1
e ONE CIVIC SQUARE EWING PRINTING CO INC CHECK AMOUNT: $489.18
CARMEL, INDIANA 46032 PO BOX 537
VINCENNESIN 47591 CHECK NUMBER: 196776
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230100 27731 80565 489.18 A13ONDONED VEHICLE STI
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RmmitTo:RO.Box 537
61@ Vigo St. °V|moenmea.|@47681 ACCOUNT 03186
Tel: (812)M82-2415° Fax: (S12)808'6g12
800-982-2415
Gold To: Ship To:
CARMEL INDIANA POLICE DEPT. CARMEL INDIANA POLICE DEPT.
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL IN 46032
QUANTITY DESCRIPTION REF.# UNIT AMOUNT
4,000 ABANDONED VEI-41CLE STICKER 1050'P4 120.00M 480.00 N
FREIG14T 9.1B
P.O.#.- 27731 Salesman: MN Term5 of Sale: NET 30
PLEASE PAY FROM TI-116 INVOICE
0 r INDIANA RETAIL TAX EXEMPT PAGE
of �t� grme CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT zM`1
35- 60000972
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.
I
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
EvAng panting Cott paw Curnol Pollco DopmftmGnt
VENDOR SHIP 3 Civic squ
690 Vigo s trwt TO CSI Ymol, IN
Vincennes, IN 47 ll (317) 671-209
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
a d
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 -M9.00
9 Each abandoned Vehide $480.00 M80 -00
Seib Totml $480.00
R 4o r
Send Invoice To: U l
Aft Tams@ Andorson
3 Civic I qum
omol, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT MOD
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 ;A T T. IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIA P S FICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. c o P
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE is I IR•' lE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL No-27731 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #CTITLE 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 it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Ewing Printing Company ALLOWED 20
IN SUM OF
516 Vigo Street
Vincennes, IN 47591
$489.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27731 80565 42- 301.00 $489.18 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
Wednesday, April 20, 2011
Zo
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))
04/11111 80565 payment for abandoned vehicle stickers $489.18
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