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Home My WebLink About165768 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 362026 Page 1 of 1 ONE CIVIC SQUARE FORENSIC IMAGING CARMEL, INDIANA 46032 12383 W LOUISANNA AVE CHECK AMOUNT: $661.90 LAKEWOOD CO 80228 CHECK NUMBER: 165768 CHECK DATE: 11/12/2008 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT, DESCRIPTION 1110 4467099 18961 661.90 COPY STANDS 11 5 p l k Forensic Tel. O 924 9410 Faz 8854 Imaging, Inc. P.O. Box Vict&r NY 14564,-9998 October 23 i '2008 Carmel Police Department f J L` 1 F ATT�N Teresa Anderson r J 3CivicrSquare Carmel),'IN� 46032 Re: Quadre -Pod Elite P. O. Number 18961 2 Quad raPod Elites $315.95 each $63 -1.90 Shipping andvhandling 30:00 -,_'Total x$661.90 MAKE CHECK�PAYABL-E Forensic Imaging, Inc. MAIL TO: Forensic lmaging,a.lnc. P. OC BQX 597 Victor,:NY 14564' Our billing terms are Net 30 days. Past Due Accounts will be charged 18 per annum or a minimum monthly service fee of $5.00 I INDIANA RETAIL TAX EXEMPT PAGE Ci 0 f (C, arme CERTIFICATE NO. 003120155 002 0 pURCHASII ORDE t NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO.`. VENDOR NO. DESCRIPTION 9(i /1` /t1R VENDOR F orensic Imaging SHIP Carmel Police Department 1230 W. Louisanna Ave. TO 3 Civic Square Lak d, CO 80228 Carmel, IN 45032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 Ouadrapod Elite Copy Stand 315.95 031.810 Shipping and Handling 30,00 t o 7 PR Carmel Police Depart' �0 Send Invoice To: s ATTN: Teresa Anderson 0 Civic Square I` Carmel IN 46033 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT 1110 570 -009 PAYMENT 661 °90 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY r +rA,�$•C. �LI >t rC,/r�L.t, PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t" h i ra f n f inn 1 i r•a AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1. 9' CLERK TREASURER DOCUMENT CONTROL NO. A P. COPY SIGN AND RETURN TO CLERK'S OFFICE VIDUCHER NO.. WARRANT NO.__.... f 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 receivedexcept 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Pres%bed 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 Forensic Imaging, Inc. Purchase Order No. 18961F P.O. Box 597 Terms Victor, NY 14564 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/23/08 pa emnt for lab supplies 661.90 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. i ALLOWED 20 Forensic Imaging, Inc. IN SUM OF P.O. Box 597 Victor, NY 14564 661.90 ON ACCOUNT OF APPROPRIATION FOR police generla fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 670-99 661.0 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 November 4 20 08 Signature C'.hi efnf POlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund