164257 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 127250 Page 1 of 1
ONE OF
SQUARE H.H. GREGG INC
C i CHECK AMOUNT: $1,620.36
CARMEL, INDIANA 46032 4151 E%TH ST
INDIANAPOLIS IN 46240 CHECK NUMBER: 164257
CHECK DATE: 9/3012008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER A MOUNT DE SCRIPTION
911 4467001 17463 1,620.36 CAMERAS
a
h h g re y/
4 15 96TH STREET C COMMERCIAL SALE
00 1 EH G D
PL -INDY CDC NV #:0099182695
CUSTOMER COPY INDIANAPOLIS, IN 46240 ORD# :0134034653
DATE 09/05/08 10:50
(317) 848 -8720 ROUT$ SALESPERSON
0694
CUSTOMER NO 100808 CHARLIE DRIVER PURCHASE ORDER NO RAMSEY, BRUCE
SOLCTO CITY OF CARMEL DELIVER TO CARMEL POLICE DEPARTMENT
ADDRESS ADDRESS
CITY /STATE 1 CIVIC SQUARE CITY /STATE 3 CIVIC SQUARE ZIP
PHONE CARMEL 46032 PHONE CARMEL, IN 46032
(317) 571 -2522
ATTENTION:CHARLIE DRIVER ATTENTION: CHARLIE DRIVER
OTHERPHONE(317) 571 -2522 SPECIAL INSTRUCTIONS
DELIVERY INVOICE
E
OTY MODEL NUMBER s•, cY3 -g i�. E MBER +.I: LOC' PRICE i .TOTAL
EAC
-.a -.h�_ D N l a
SCftIPTION_ DEC DATE SERIAL NU. TIM 7^
CODE ttPE ar
7 ITS"
9 DCRSR95 HARD DRIVE +.e r: 99 405.09 1620.36
VE CAMCORDER, NY 9/17/0 000 C A'1'
_.f.^.: s -r. IDe livery Flags.�»,..`x•?�-NT +�s -n,� Y�- t i
f E CLINED 9/17/0 000 ..0 AT, 99 00 00
.00
1`''' COMMENT. .O
R PER "1361.. :.L.. a.._ 9/17/0 ...000 C AT 99
ii
may _�x
f IIII w„ is h i '3. r i .r
0 0
I have inspected the above
described merchandise and
accept the merchandise as SUBTOTAL: 1620.36
delivered and no damages are TA .00
TOTAL 1620.36
visible. ACCOUNTS RECEIVABLE 1620.36
Delivery has been completed and no damage has COD DUE .0
occurred to our personal property unless noted on this
copy.
AND HAVE ORIGINAL PAZIONG MATERIAL ALL
Customer Signature Date ACCESSORIE5 AND ALL INSTRUCTION MANUALS
B INDIANA RETAIL TAX EXEMPT PAGE
Ci ty
d7h o l` Carmel l CERTIFICATE NO.003120155 002 0
111111 O/ lVL dL 111111 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 17463
35- 60000972
3 ONE {CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF C 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO VENDOR NO. DESCRIPTION
09/04/08
SHIP Hamilton County Drug Task Force
VENDOR H.H. Gregg TO 3 Civic Square
4161 E. 96th Street Carmel, IN 46032
Indianap &164, IN 46240
Attn: grace Ramsey Attn: Charlie Driver
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNITPRICE EXTENSION
4 ea. DCRSR45 Cameras $405.08 $1,620.36
Send Invoice To: Hamilton County Drug '£ask For A' R ,10808
C,10 Carmel PoliceDiOppartment
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
911 6/U-01 2008 -911 PAYMENT 2008 -2 $1,620.36
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.OD SHIPMENTS CANNOT BE ACCEPTED ORDERED BY Charlie Driver
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Sgt. 1 1 r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
CLERK TREASURER
DOCUMENT CONTROL NO.]. 74 6 3 A.RV. COPY SIGN AND RETURN TO CLERK'S OFFICE
1,
VOUCHER NO. WARRANT NO.
ALLOWED 20_
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
j— 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 it
claim paid motor vehicle highway fund
Pre-nbetl by Slam Board of Accounts NO. 201 (Rev 1995(
ACCOUNTS PAYABLE VOUCHER Cary FOrrn
l
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
h Purchase Order No.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/s o!y
9 P�5�a76
Total (o
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
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
tf a,cv8 -9ii %o�aoo8 a
Board Members
INVOICE NO ACCT #/TITLE AMOUNT
DEPT. a I hereby certify that the attached invoice(s), or
/7`163 6 7 D D1 �G 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
Sir "7 20 O Y
Signature
MR o,z
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund