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157068 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 105300 Page 1 of 1 0 ONE CIVIC SQUARE G.A. THOMPSON, INC CARMEL, INDIANA 46032 PO BOX 720254 CHECK AMOUNT: $2,038.88 DALLAS TX 75372 CHECK NUMBER: 157068 CHECK DATE: 3/5/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 3110 4.230100 77669 819.65 STATIONARY PRNTD MA 1110 4342100 77669 115.38 POSTAGE 1110 R4230100 17307 77669 1,103.85 WARNING TICKETS G.A. THOMPSON CO. Invoice r PO BOX 720254 Date Invoice DALLAS TX 75372 214 827 -1688 212612008 77669 TAX ID 75- 1540137 Bill To Ship To CARMEL POLICE DEPT CARMEL POLICE DEPT 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 317 571 2548 fax 2512 P.O. Number Terms Rep Ship Via F.O.B. Project quote Net 30 2/26/2008 Quantity Item Code Description Price Each Amount 5,000 IN -17 -4 INDIANA (4 PART) UNIFORM TRAFFIC TICKET 0.2152 1,076.00 7,500 CUSTOM warning tickets 15 -2c 0.113 847.50 Attn: Quartermaster Robert Robinson 317.571.2512 1 FREIGHT Shipping and Handling 115.38 115.38 We Accept Visa, Master Total $2,038.88 Card and American Express 1 INDIANA RETAIL TAX EXEMPT PAGE C i t y o Carmel CERTIFICATE NO.003120155 002 0 i nf 1 Jl PURCHASE ORDER NUMBER Mtkc© Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 17,3 3 ONEXIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, 1 SHIPPING LABELS AND ANY CORRESPONDENCE. FORWAPPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION nPrPmhar R- ?(107 ri ntinn warnincr tirkwta VENDOR G. AA.Thompoenn SHIP City of Carmel Police Department P.O. Box 720254 TD 3 Civic Squarew Dallas, TX 75372 Cam>ml, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MSURE DESCRIPTION UNIT PRICE EXTENSION citation warning tickets 1,103.85 1, 3),e ••''(G Send Invoice To: J PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT 1110 301 stationery b printed materia PAYMENT 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. i SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY OR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. f ,c./� PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /L'1 t 1 t&_ f." 'v!!•« t SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE ClAe_f of Police of Police_ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO.17 3 0 7A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) 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 G.A. Thompson Co. Purchase Order No. 17307RF P.O. Box 720254 Terms Dallas, TX 75372 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/26/08 77669 payment for citation and warning tickets 2,038.88 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 G.A.-Thompson Co. IN SUM OF P.O. Box 720254 Dallas, TA 7537Z 2,038.88 ON ACCOUNT OF APPROPRIATION FOR poli general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 17307RF 77669 301 1,103.85 bill(s) is (are) true and correct and that the 1110 77669 301 819.65 materials or services itemized thereon for which charge is made were ordered and 1110 77669 421 115.38 received except February 29 2008 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund