160357 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 105300 Page 1 of 1
ONE CIVIC SQUARE G.A. THOMPSON, INC
CHECK AMOUNT: $439.90
CARMEL, INDIANA 46032 Po sox 720254
DALLAS TX 75372 CHECK NUMBER: 160357
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUN DESCRIPTION
1110 4342100 77978 24.90 POSTAGE
1110 4230000 16699 77978 415.00 PARKING TICKETS
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G.A. THOMPSON CO. Invoice
PO BOX 720254
Date Invoice
DALLAS TX 75372
214 827 -1688 5/29/2008 77978
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 5/29/2008
Quantity Item Code Description Price Each Amount
1,250 CUSTOM custom parking tickets three part 0.332 415.00
no changes, continue from last
attn: Robert Robinson
1 FREIGHT Shipping and Handling 24.90 24.90
We Accept Visa, Master Total $439.90
Card and American Express
CC 4 1Y 11 INDIANA RETAIL TAX EXEMPT PAGE
4 I o C a'rme l CERTIFICATE NO. 003120155 002 0
tY` PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1
UARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
3 19 CIVIC SQ UARIE
CARMEL, INDIANA 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
May 15 2008 parking tickets
VENDOR G.A. Thompson, iEn. SHIP City of Cmmmel Police Department
P.O. Box 720254 TO 3 Civic Square
Dallas, TX 75372 Carmel, IN 46032
ATTN: Robert Robinson
CONFIRMATION BVUENITOF CONTRACT PAYMENT TERMS FREIGHT
QUANTITY MEASURE DESCRIPTION UNIT PRICE EXTENSION
1,250. custom parking ticheas 3 -part, no changes,.continue .332 415.00
(50 books) from last
EstimateD8575
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Send Invoice To: City of Carmel Po
ATTN: Teresa Anders.
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 300 official forms
,p PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
I+ 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.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
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.16 S 9 9 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
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
Prescrib6d 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
G.A. Thompson Co. Purchase Order No. 16699F
P.O. Box 720254 Terms
Dallas, TX 75372 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/29/08 payment for parking tickets 439.90
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
U..N.`"Thompson Co. IN SUM OF
P.O. Box 720254
Da'ilas, TX 75372
439.90
ON ACCOUNT OF APPROPRIATION FOR
police general fu
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
16699F 77978 300 415.00 bill(s) is (are) true and correct and that the
1110 77978 421 24.90 materials or services itemized thereon for
which charge is made were ordered and
received except
June 3 20 08
&,Oj
Signature
Chief of police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund