164123 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 361880 Page 1 of 1
ONE CIVIC SQUARE 96TH KEYSTONE SELF STORAGE CHECK AMOUNT: $138.99
CARMEL, INDIANA 46032 3750 BAUER DRIVE WEST
•y INDIANAPOLIS IN 46280 CHECK NUMBER: 164123
CHECK DATE: 9/30/2008
DEPA i ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT D ESCRIPTION
911 4353099 17464 138.99 STORAGE UNITS
I
I
96th Keystone Self Storage
3750 Bauer Dr, West
Indianapolis IN 46280
317 844 -2222
Rental Contract Receipt
Customer: Hamilton /Boone County Drug Task Force
Date: 9/812008 14:39
3 Civic Square Contract: 10335
Carmel, IN 46032 Effective: 9/8/2008
Salesperson: Natalie
Un;t(s): 063
$75.00 Monthly Rent
Charges: Payment:
Pro -rata Rent: $57.50 Check payment $0.00
Advance Rent: $0.00 Advance Periods: 0
Gross Rent: $57.50
Credit card payment $0.00
Less: Discount: $0.00
Net Rent: $57.50
Insurance: $0.00 Cash payment $0.00
Other charges: $23
Tax $1.68 Total Amount Paid:
Deposit: $0.00
Total Charges: 1$$3.17 4`
New Balance $83.17
Thank You
CIE:
96th Keystone Self Storage
3750 Bauer Dr. West
Indianapolis IN 46280
317 -844 -2222
Rental Contract Receipt
Customer: Hamilton/Boone County Drug Task Force
Date: 9/8/2008 14:36
3 Civic Square Contract: 10343
Carmel, IN 46032 Effective: 9/812008
Salesperson: Natalie
unit(s): 062 $75.00 Monthfy Rent
Charges: Payment:
Pro -rata Rent: $57.50 Check payment $0.00
Advance Rent: $0.00 Advance Periods: 0
Gross Rent: $57.50
Credit card payment $0.40
Less: Discount: $0.00
Net Rent: $57.50
Insurance: $0.00 Cash payment $0.00
Other charges: $0.00
Total Amount Paid:
Deposit: $0.00
Total Charges: 57.50
New Balance $57.50
Thank You
INDIANA RETAIL TAX EXEMPT PAGE
C i t y o Carme CERTIFICATE N0.003120155 002 0 11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 17464
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, VP
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
09/05/2008
SHIP
VENDOR 96th Keystone Self Storage TO Hamilton County Drug Task. Force
3750 Bauer Drive West 3 Civic Square
Indianapolis, IN 46280 Carmel, IN 46032
A ttn: Marie Doan
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 ea. 10 x 20 Storage Units 75.00mo. $150.00 /mo...
G o
a
Send Invoice To: Hamilton County Dril T. I ca
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
911 11H 2008 -811 PAYMENT 2008 -2 $150.00 /mo.
530-99 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. Lee Goodman
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Maj
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 1 4 �i4d�.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 #(f ITLE 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
Proscribed 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))
Total p 9 9
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
/nCc, 117k IN SUM OF
/it 9
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT H 1 hereby certify that the attached invoice(s), or
5-SO- 9 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
911 G 20 OP
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund