160336 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 355678 Page 1 of 1
ONE CIVIC SQUARE EMBLEMS INC CHECK AMOUNT: $880.00
.I
CARMEL, INDIANA 46032 PO BOX 8713
moo'? ASHEVILLE NC 28814 CHECK NUMBER: 160336
CHECK DATE: 6/10/2008
D EPARTMENT ACCOUNT PO NUM INVOICE NUM AMOUNT DESCRIPTION
1110 4356001 16689 5747 880.00 PATCHES
i
'4' Invoice THE EMBLEM
Date Invoice AMOMY
5/27/2008 5747 P.O. Box 8713 Asheville. NC
28814
Bill To Ship To
Carmel Police Department City of Carmel Police Dept.
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
ATTN: Teresa Anderson Attn: Robert Robinson
S.O. P.O. Terms Rep Ship Date Ship Via FOB
4663 16689 Net 30 CP 5/27/2008 UI'S Asheville
Item Description Quantity Price Each Ordered Amount
1, 1903 Carmel Police Patches 1,000 0.88 1.000 880.00T
Out -ol =state sale, exempt from 0.00% 0.00
sales tax
E -mail Web Site Total $880.00
stacy@emblemsinc.com emblemsinc.com www.theemblemauthority.com
Phone Fax Payments /Credits $0.00
800 378 -0417 888- 438 -4170 Total Amount Due $880.00
INDIANA RETAIL TAX EXEMPT PAGE
Cit o 1} Carmel CERTIFICATE N0. 003120155 002 0 1 mil' ]L PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 16
3 XO RCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Hav 6 2008 A
VENDOR The Emblem Authority SHIP City of Ca=el Police Department
P.O. Box 8713 To 3 Civic Squarew
Asheville, NC 28814 Carmel, IN 46032
ATTN: Robert Robins
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1000 E641 Carmel Piklice Shoulder Patch .88 880000
1
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Send Invoice To:
City of Carmel Pol"i�r.e m 1 R t
ATTN: Teresa AndersoC
3 Civg$cSquare
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT �r PROJECT ACCOUNT AMOUNT
1110 560 uniforms PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE APART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
A
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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 711, 1
1
SHIPPING LABELS. 1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief (Of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK TREASURER
DOCUMENT CONTROL NO." 6 8 9A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
4
Z
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
Cast distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1395)
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
The Emblem Authority Purchase Order No. 1668
P.O. Box 8713 Terms
Asheville, NC 28814 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/27/08 5747 payment for patches 880.00
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
The„Emblem AUthority IN SUM OF
P.O. Box 8713
Asheville, NC 28814
880.00
ON ACCOUNT OF APPROPRIATION FOR
polic general fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16689F 5747 560 -01 880.00 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
June 6 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund