164400 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00351065 Page 1 of 1
ONE CIVIC SQUARE RAY ENVELOPE COMPANY CHECK AMOUNT: $997.92
CARMEL, INDIANA 46032 450 S KITLEY
PO BOX 19187 CHECK NUMBER: 164400
INDIANAPOLIS IN 46219
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
11 110 4230000 18938 21786 997.92 CASE JACKETS
II
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P 9 2
1 Ray Envelope INVOICE
450 S. Kitley Avenue ue 1,
P.O. Box 19187
Indianapolis, IN 46219
Office: (3 17) 353 -6251 Fax: (317) 353 -6267
Websitc: www.rayenvelope.com
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L Carmel, City of Police i CITY OF CARMEL POLICE DP
Attn: Robert Robinson r
T 3 Civic Square T ATTN: ROBERT ROBINSON
O Carmel, IN 46032 O 3 CIVIC SQUARE
CARMEL, IN 46032
jOB NUMBER 0. PAYMENT DUE DATE INVOICE DATE INVOICE NUMBER
P028617 1% 10 Days, Net 30 18938 10/12/08 09/12/08 0021786
ACCOUNT -NUMBER DATE SHIPPED'. FORMNO..-
1810783 EAGLE 09/12/08 09/04/08
DESCRIPTION..
7 -3/4 x 11 -3/4 Booklet (OS2SS)28# Kraft Brown Seam Gum
5500 Std. Ungummed Flap Printing:Face one color PMS 72 M 181.44 997.92
Non taxable: 997.92 at .000%
Total: 997.92
If paid by 9/22/08 deduct $9.98 and pay only 987.94
INDIANA RETAIL TAX EXEMPT PAGE C
o I' Carmel CERTIFICATE NO. 003120155 002 0 1L PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 389
3 -_E CIVIC SQUARE ETHISNUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 R, DELIVERY MEMO, PACKING SLIPS,
FORM,APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 G LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
n case iockets
VENDOR Ray Envelope Company SHIP City of Carmel Police Department
450 S. Kitley Avenue TO 3 Civic Square
P.O. Box A9187 Carmel, IN 46032
Indianap&lks, IN 46219 ATTN: Robert Robinson
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5,000 Ca .rackets per QNOTT #029710 -01 181.44 997.20
3
a
Send Invoice To:
City of Carmel PO
ATTN: Teresa Anderso
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 300 official forms PAYMENT
d
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.Q.
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 APPRO PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY .�_r•F �17'/� {.S
PURCHASE ORDER NUMBER MUST APPEAR ON ALL 7
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
J CLERK- TREASURER
DOCUMENT CONTROL NO. A.P. .COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
f
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
Prescrib4d 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
Ray Envelope Co. Purchase Order No. 18938F
P.O. Box 19187 Terms
Indianapolis, IN 46219 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
r-12 08 21786 Davatent for case jackets 997.92
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
kay Envelope Co. IN SUM OF
P.O. Box 19187
Indianapolis, IN 46219
997.92
ON ACCOUNT OF APPROPRIATION FOR
police general fnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18938F 21786 300 997.92`. 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
September 18 20 08
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund