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159767 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00351912 Page 1 of 1 ONE CIVIC SQUARE AMERICAN RECORDABLE MEDIA INC CHECK AMOUNT: $1,200.00 CARMEL, INDIANA 46032 3744 WILLOW RIDGE ROAD LEXINGTON KY 40514 CHECK NUMBER: 159767 CHECK DATE: 5/28/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 16696 216060 1,200.00 VHS TAPES e4MERICe41V American Recordable Media Invoice 3744 Willow Ridge Road Date: Invoice t Lexington, KY 40514 800 598 -8273 5/14/2008 216060 859 296 -4737 fax RECORDABLE Bill to Customer 16145 TERESA ANDERSON PO 16696 CARMEL POLICE DEPARTMENT TERMS: NET 30 3 CIVIC SQ Salesman: DAN CASE CARMEL, IN 46032 -2584 Shipped via: UPS Item Description Qty_ Price Amount HQ T =120 VHS FUJI HQ 120 MIN. 10 /CASE 1000 $1.200 $1;200:00 Subtotal: $1,200.00 Sales Tax: $0.00 Shipping Handling: $0.00 INVOICE TOTAL: $1,200.00 PAID: No PAYMENT DATE: Amount Paid: $0.00 Thank You For The Order!! PAY THIS AMOUNT $1,200.00 1 Note: Finance Charges Of 1.5% Per Month Will Be Assessed On All Past Due Balances. f� INDIANA RETAIL TAX EXEMPT PAGE Ci�y o C rmel PURCHASE OR CERTIFICATE NO. 003120155 002 0 "4 li CSJS li DER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 3 ©�,NE'CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 4600 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION May i 2nn2 Iru 4n�+na SHIP VENDOR American Recordable Media To City of Cammel Police Department 3744 Willow Ridge Road 3 Civic Sgqarew Lexington, KY 40514 Carmel IN 46032 ATTN: Robert Robinson CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION. UNIT PRICE EXTENSION 1000 HQ.T -120 VHf 1.20 1,200.00 r. f� g -4 a r 'Z, p° r City Pole✓ �TC�� Send Invoice To: y of Carmel f ATTN: Teresa Andersoir' f{i. 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 390 -99 other miscellaneou 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. l I C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 041 1.: PURCHASE ORDER NUMBER MUST APPEAR ON ALL Y 4a �w 7" SHIPPING LABELS. J THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chi of Po irira AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 16 6 .V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO, ACCT #!TITLE 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) CITY OF CARMEL i 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 American Recordable Media Purchase Order No. 16696F 3744 Will6w Ridge Road Terms Lexington, KY 40514 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/14/08 216060 payment for VHS tapes 1,200.00 Total I 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 VOUCHER NO. WARRANT NO. ALLOWED 20 A mer =can Recordable Media IN SUM OF 3744 Willow Ridge Road Lexington, KY 40514 1,200.00 ON ACCOUNT OF APPROPRIATION FOR police genreal ufnd Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 16696F 216060 390 -99 1,200.00 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 May 22 20 08 Signature CHief of POlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund