157448 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 00353420 Page 1 of 1
ONE CIVIC SQUARE GEORGE W DAVIS
CARMEL, INDIANA 46032 3854 CORNWALLIS LANE CHECK AMOUNT: $1,076.25
CARMEL IN 46032 CHECK NUMBER: 157448
CHECK DATE: 3119/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239002 1,076.25 REFERENCE MANUALS
I
�Y
S Press Sa les Receipt
8340 N Thornydale Rd #110 -314
Tucson, AZ 85741 -1162 Date Sale No.
3/5/2008 5331
Tel 520- 744 -0703 Fax 520- 744 -9298
Sold To
Carmel Police Department
Att: George Davis
3 Civic Square
Carmel, IN 46032
Check No. Payment Method Project
Description Qty Rate Amount
Emotional Survival for Law Enforcement the book 75 13.95 1,046.25
Shipping Handling ($5.00 for first book, $1.00 for each 30.00 30.00
additional. Orders over 10 books will be shipped UPS /USPS
Ground with cost passed directly through to customer)
Sales Tax 6.10 ".'0 0.00
Tax ID No. 73- 1647320
Thank you for your business! Total $1,076.25
I
r
m:
I
i
i
'� '
?i
I
INDIANA RETAIL TAX EXEMPT PAGE
C i t y o Carmel CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER
Police D :.-partment FEDERAL EXCISE TAX EXEMPT
35- 60000972 'A
3 0.91E 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
March 4, 2008 reference books
VENDOR George W. Da14�ts SHIP City of Carmel Police Department
3854 Cornwallis Lane TO 3 Civic Square
Carmml, IN Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
75 Emotional Survival for Law Enforcement books 13.95 1,046.25
shipping 30.00
OF
ha
t
Send Invoice To:
PLEASE INVOICE IN DUPLICATE 1,076.25
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
111U 390-02 reference manuals
PAYMENT
Y 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. A�
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY L 1
SHIPPING LABELS. Chief of P olice r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NOd 3A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
f
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 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
George W. Davis Purchase Order No. 17383F
3854 Cornwallis Lane Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/5/08 reimburse Chaplain George Davis for books 1,076.25
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
George W. Davis
IN SUM OF
3854 Cornwallis Lane
Carmel, IN 46032
1,076.25
ON ACCOUNT OF APPROPRIATION FOR
pol ice genera fun
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17383F 390 -02 1,076. 5 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
March 12 20 08
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund