160136 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 361097 Page 1 of 1
F, ONE CIVIC SQUARE WRESTLING ONE
I 0 CHECK AMOUNT: $2,560.00
CARMEL, INDIANA 46032 601 PACKARD COURT
SAFETY HARBOR FL 34695 CHECK NUMBER: 160136
CHECK DATE: 5/2812008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 17414 1154422 -1 400.00 TRAINING MAT
1110 4463000 17414 1154422 -1 2,160.00 TRAINING MAT
TIM ot I I INVOICE 1154422-1
NVOICE DATE: 05/12/08
PRINT DATE: 05/13/08
Page 1 of 1
WRESTLING ONE Original
601 PACKARD CT
SAFETY HARBOR, FL 34695
BILLED TO: SHIPPED TO:
CUSTOMER 2500493 PO NUMBER 17414
CITY OF CARMEL POLICE DEPARTMENT CITY OF CARMEL POLICE DEPT
ACCOUNTS PAYABLE ATTN LT J HORNER /PURORD #17414
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
I PO NUMBER 17414 ORDER DATE 04/17/08 TERMS= NET 30 DAYS
The following items have been shipped
1 20X20 20X20 2 PIECE NAVY NO MARKINGS 2,160.00 2,160.00
MERCHANDISE TOTAL 2,160.00
SHIPPING /HANDLING 400.00
TAX 0.00
ADJUSTMENTS 0.00
AMOUNT PAID 0.00
TOTAL AMT DUE 2,560.00
THIS IS AN INVOICE. NO OTHER COPY WILL BE SENT, PLEASE PAY FROM THIS.
INVOICES THAT ARE PAST 30 DAYS ARE SUBJECT TO A 1.5% SERVICE CHARGE FOR EACH MONTH THAT THEY ARE LATE.
SEND PAYMENTS TO WRESTLING ONE C/O ACCOUNTS RECEIVABLE AT THE ABOVE ADDRESS.
CONTACT US AT 1- 800 950 -7744 OUR FEDERAL ID NUMBER IS: 04-3147901
o Jl C INDIANA RETAIL TAX EXEMPT PAGE
Ciq a "anal CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
L Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3 9,NLE1,C1VIC 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
11 1000 ai t o MAta
VENDOR Wrestlingone.com T OHIP City of Carzl1 Police Department
601 Packard Court 3 Civic Square
Safety Harbor, FL 34695 Carmel, IN 46032
ATTN: Lt. Jeff Horner
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE ,g d DESCRIPTION UNIT PRICE EXTENSION
2 b0 20 mats 2,048000
shipping 400.00
421 400.00
630 0 $2,048.00
City of Carmel Po ep�t G
Send Invoice To: ATTN: Teresa Ander
3 Civic Square
Carm IN 46032
PLEASE INVOICE IN DUPLICATE 2,448.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 630 furniture and fixtures PAYMENT
1110 421 postage 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.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ChiefChief OfPolice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO 1 7 4 .14.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._.__ WARRANT NO.
r 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
Wrestling One Purchase Order No. 17414F
601 Packard Court Terms
Safety Harbor, FL 34695 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/12/08 1154422 -1 payment for training mats 2,560.00
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
WrEstling One IN SUM OF
601 Packard Court
Safety Harbor, FL 34695
2,560.00
ON ACCOUNT OF APPROPRIATION FOR
police genreal ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17414F 1154422 -1 421 400.00 bill(s) is (are) true and correct and that the
17414F 1154422 -1 630 2,160.00 materials or services itemized thereon for
which charge is made were ordered and
received except
May 19 20 08
-Zo
�"A
Signature I IF
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund