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Home My WebLink About160232 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361289 Page 1 of 1 ONE CIVIC SQUARE AMERICAN ACADEMY OF PEDIATRICS CARMEL, INDIANA 46032 37925 EAGLE WAY CHECK AMOUNT: $27.95 CHICAGO IL 60678 -1379 CHECK NUMBER: 160232 CHECK DATE: 6/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 900 4359005 16698 437422 27.95 CAR SAFETY SEATS GUID i 37925 Eagle Wa Anirican Academy g y Chicago, 60678-1379 �Aev of Pediatrics Chi IL y ��1I Phone: 847 434 -4000 UCDIC ATE 1) In YHp, OFAIATI ors Fax: 847 434 -7177 JNVOICE'NO INVOICE'DATE`.= gL! P ID': 437422 05/20/2008 1138866 BATCH: PUB9223G BILL TO Carmel Police Dept, City Of SHIP TO Carmel Police Dept, City Of Teresa Anderson Ann Gallagher 3 Civic Square 3 Civic Sq Carmel, IN 46032 Carmel, IN 46032 -2584 PURCHASE ORDER NUMBER SHIP METHOD TERMS DATE SHIPPED 16698 FedEx Standard Net 30 05/20/2008 Q TY OR ITEM DESCRIPTION SHIP QTY PRICE UNIT PRIC DISCOUN EXTENDE NUMBER ATTRIBUTE PRIC 1 HE50275- Car Safety Seats: A Guide for 1 HE50275 -08 $22.00 $0.00 $22.00 08 Families 2008 50 /pk PRODUCT TOTAL: $22.00 SHIPPING: $5.95 TAX: $0.00 ADDITIONAL DISCOUNT: $0.00 PAYMENTS: $0.00 INVOICE BALANCE: $27.95 C 0 INDIANA RETAIL TAX EXEMPT PAGE 1 of Caimel CERTIFICATE NO. 003120155 002 0 PURCHASE OADMNUMBER Police Dep FEDERAL EXCISE TAX EXEMPT 35- 60000972 16698 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CA 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 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION gay 15 200 SHIP VENDOR American Rcademy of Pediatrics TO City of Camel Police Department P.O. Box 747 3 Civic Square Elk Grove, VIllage, IL 60009 Carmel, IN 46032 ATTN• Ann Gallagher CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 50 Car Safety Seats: A Guide for Families 2008 .44 22.00 brochures shipping 5.95 �3 e kb. 4 aeg 1 i g n r c Send Invoice To: City of Carmel Pol cue Ile a1Ee�it ATTN: Teresa Anderson j3p t 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE 27.95 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUN t00 590 -05 car seat groat j/ jI/(� PAYMENT I A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. r 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. ORDERED BY /fi!/ r! r" Xsn", PURCHASE ORDER NUMBER MUST APPEAR ON ALL t r r SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE Chief of Pol icP of Pn ee AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 16 6 O.V. COPY SIGN AND RETURN TO CLERK'S OFFICE V�,UCHER NO. WARRANT NO. r ALLOWED 20 IN THE SUM OF _f ON ACCOUNT OF APPROPRIATION FOR Board Members POD° or INVOICE NO. ACCT #JTITLE 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 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 American Academy Of Pediatrics Purchase Order No. 16698F 37925 Eagle Way Terms Chicago, IL 60678 -13790, Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/20/08 437422 payment for brochures 27.95 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 American Academy of Pediatrics 'A SUM OF s 37925 Eagle Way Chicago, IL 60678 1379 27.95 ON ACCOUNT OF APPROPRIATION FOR police grant fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 16698F 437422 590 -05 27.95 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 June 3 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund