163740 09/17/2008 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: $2,072.30
DALLAS TX 75372 CHECK NUMBER: 163740
CHECK DATE: 9/17/2006
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
1110 4230000 18933 78297 1,955.00 WARNING TICKETS
1110. 4342100 18933 78297 117.30 WARNING TICKETS
I
'1
G.A. THOMPSON CO. Inv oice
PO BOX 720254
Date Invoice
DALLAS TX 75372
214 827 -1688 8/31/2008 78297
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 8/31/2008
Quantity Item Code Description Price Each Amount
5,000 IN -17 -4 INDIANA (4 PART) UNIFORM TRAFFIC TICKET 0.22 1,100.00
7,500 CUSTOM warning tickets 15 -2c 0.114 855.00
1 FREIGHT Shipping and Handling 117.30 117.30
We Accept Visa, Master ���a0 $2 072.30
Card and American Express
INDIANA RETAIL TAX EXEMPT PAGE 1 Off 1
1i Cam�l CERTIFICATE NO. 003120155 002 0
City PURCHASE ORDER NUMBER
Polnt
FEDERAL EXCISE TAX EXEMPT
35- 60000972 18933
3, 1QU CIVIC SQUARE FTHI UMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 ER, DELIVERY MEMO, PACKING SLIPS,
NG 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
Au e'c 28 200 warning /tticket books
A
VENDOR G .A. Thompson Co. SHIP City of Carmel Police Department
P.O. Box 720254 TO 3 Civic Square
Dallso, TX 35372 Cared, IN 46032
ATTN: Robert Robinson
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
5,000 IN -17 -4± Indiana (4 part) uniform traffic tickets .22 1,100.00
7,500 Custom Warning tickets 15 -2c .114 855.00
shipping 117.30
300 a, 1;955.00
421 117.30
City of Carmel Po er
Send Invoice To: ATTN: Teresa Anders UV
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 2,072.30
DEPARTMENT ACCOUNT PROJEC t PROJECT ACCOUNT AMOUNT
1110 300 Oofficial forms PAYMENT
1110 421 postage A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
t 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
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
Aw C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 CLERK- TREASURER
DOCUMENT CONTROL NO.
J° �A %W. COPY SIGN AND RETURN TO CLERK'S OFFICE
VaUCHER 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
i
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
-.G. A. Thompson Co. Purchase Order No. 18933F
P.O. Box 720254 Terms
Dallas, TX 75372 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/31/08 78297 payment for traffic warning tickets 2,072.30
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.
f
ALLOWED 20
G. A. Thompson Co. IN SUM OF
P.0 Box 720254
Dallas, TX 75372
2,072':30
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18933F 78297 300 1,955. 0 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
18 3 F 78927 421 117.30 which charge is made were ordered and
received except
September 9 20 08
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund