159795 05/28/2008 a CITY OF CARMEL, INDIANA VENDOR: 003000 Page 1 of 1
'1. ONE CIVIC SQUARE BOYCE INC CHECK AMOUNT: $457.85
�o CARMEL, INDIANA 46032 P.o. BOX 669
DALEVILLE IN 47334 -0669 CHECK NUMBER: 159795
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230000 16677 372229 457.85 RECEIPT BOOKS
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A a a a
Paae 1 of 1
/+Q e Boyce Forms Systems 800- 382 -8702 Invoice
Boyce P.O. Box 669 317 664 -7400 (Ph)
0 Daleville, IN 47334 -0669 317 664 -7401 (Fx) 0372229 -IN
5/20/2008
B S
I CARMEL POLICE DEPT H CARMEL POLICE DEPT
L ATTN TERESA ANDERSON I ATTN ROBERT ROBINSON
L #3 CIVIC SQUARE P 43 CIVIC SQUARE
CARMEL, IN 46032 T CARMEL, IN 46032
T
O O
CUSTOMER CUSTOMER PO TERMS SALES ORDER ORDER DATE SALESMAN I SHIP VIA I FOB
0765466 16677 Net 10 0050846 4/25/2008 0007 UPS -COM
EOM
ITEM DESCRIPTION UM ORDERED I SHIPPED 1BACKORDERED1 UNIT PRICE JEXTENDED PRICE
MA01 EACH 1 1 0 449.0000 449.00
20 BKS FM 352 WHITE
CBNLS RCPTS, #49301 52300,
N1034 R2008
Net Invoice Less Discount Freight Sales Tax In voice Total Less Deposit Invoice Balance
L449,00 0.00 8.85 0.00 457.85 0.00 457.85
INDIANA RETAIL TAX EXEMPT PAGE
C o II Carmel CERTIFICATE NO.003120155 002 0 1 Jl PURCHASE ORDER NUMBER
Police tfe p artment FEDERAL EXCISE TAX EXEMPT
35- 60000972 16677
3 _VA CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
Avril` 23 2008
ti
VENDOR A.E. Boyce Co., Inc SHIP City of Carmel Police Department
P.O. Box 669 TO 3 Civic Square
Dalevilie, IN 47334 -0669 Carmel, Ili 46032
ATTN: Robert Robinson
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I
20 35:2 White NCR rec&opt books start with #49300 449.00
4 X y a°
Send Invoice To: City of Carmel. Pol.i e/ rQ
ATTN: Teresa Anderso�t�
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 300 Official forms 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. /y
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Poli
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO.16 6 7 7A.P.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 except
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. 1995)
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
Royce Forms Purchase Order No. 16677F
P.O.B ox 669 Terms
Daleville, IN 47334 -0669 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/20/08,372229 payment for receipt books 457.85
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.
2Q
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Boyce Forms IN SUM OF
P.O. Box 669
Daleville, IN 47334 -0669
457._85
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16677F 372229 300 457.85 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 21 20 08
I
Signature
Chief of police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund