165724 11/12/2008 e C yyf
-CI'Y OF CARMEL, INDIANA VENDOR: 354104 Page 1 of 1
3,
ONE CIVIC SQUARE DB INNOVATIONS
I' CHECK AMOUNT: $115.00
CARMEL, INDIANA 46032 37 FORD LANE
LITTLE FALLS NY 13365 CHECK NUMBER: 165724
CHECK DATE: 11/12/2008
DEPARTM ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 4680 115.00 EQUIPMENT REPAIRS M
e
t
r.
UFF) Como ®oo Invoice
Innovations
37 MIJ I 37 Ford Lane ao Invoice Number:
Little Falls, NY 13365 4680
USA
Invoice Date:;
Voice: 800- 371 -3758 Oct 14, 2008
Fax: 877- 906 -7016 I
Ship to:
Sold To:
Carmel Clay Center Carmel Clay Comm Center
Carmel Police Dept 31 1st Ave NW
Carmel, IN 46032
3 Civic Square
Carmel, IN 46032
Custo Customer PO Payment Terms
CCC101 Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
DHL 10/14/08 11/13/08
Quantity Item Description Unit Price Extension
ocar I NIST Certification Service 100.00
HL 15.0
0
Subtotal 115.00
Sales Tax
Total Invoice Amount 115.00
Check /Credit Memo No: Payment /Credit Applied
TOTAL 115.00
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
db Innovations Purchase Order No.
.37 Ford Lane Terms
Little Falls, NY 13365 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/14/08 4680 -DayLnent for calibration of radar certification machine 115.00
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
db Innovations
IN SUM OF
37 Ford Lane
Little Falls,NY 13365
115.00
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 4680 500 115.00 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
November 5 20 08
&"4, h 4�
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund