199904 08/03/2011 CITY OF CARMEL, INDIANA VENDOR: 364574 Page 1 of 1
ONE CIVIC SQUARE ENTERPRISE MARKETING PRODUCTS
CARMEL, INDIANA 46032 15309 STONY CREEK CHECK AMOUNT: $532.33
NOBLESVILLE IN 46060 CHECK NUMBER: 199904
CHECK DATE: 8/3/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 27880 10109 532.33 PERFORATED ROLL
EMP Technical Group Invoice
REM T TO:
15309 Stony Creek Way Date Invoice
Noblesville, TN 46060
317 -776 -6700 7/2112011 10109
1 �3k,lll'1I IIII tIfAI 1'ftllEll l'jK.l�l:.
Bill To Ship To
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel IN 46032
ATTN: ACCOUNTS PAYABLE A"1 TN:Rob Robinson
P.O. Number Terms Rep Ship Via F.O.B.
27880 Net 30 BV 7/20/2011 Fed l x Ground Factory
Quantity Item Code Description U/M Price Each Class Amount
10 1,83663 -CASE Perforated roll, 6 roll pack, 100 sheets per ea 49,75 8133 497.501'
roll, priced per case.
Sales i ax 7.00% 34.83
Thank you for your business.
Total $53
Phone Fax 4
317- 776 6700 X 100 317- 219 -0535
INDIANA RETAIL TAX EXEMPT PAGE
C. o C sane l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER 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,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
EntoBpim Tochnicd Group Camol Pollao DQpmotmont
VENDOR �CU SHIP 3 CIVIC squ@m
TO
ISMI StORY CF00k Vft Cermal, IN 46032
NeblQGwIllo, IN 4MO (W) 571
CONFIRMATION BLANKET CONTRA PAYMENT TERMS FREIGHT
A ccount UNIT MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 S .03
10 Each Polkirded rail L03663 $49.75 $49 7.5 0
Bub Total: $497.50
g
Send Invoice To:-
Cumol PolicQ Dopartment
Attn: TGms@ Andomon
3 Civic Squ@m
Czrmol, IN 46M. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT, AMOUNT
Camel Police Dept. PAYMENT $497.50
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0,
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.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY v
SHIPPING LABELS. �a �y
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ChlGq of Polic
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
r� CLERK- TREASURER
DOCUMENT CONTROL NO. S 7 8 0' 0 A.P.V. COPY SIGN AND RETURN TO CLERICS OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #rriTLE 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Enterprise Technical Group
Ben IN SUM OF
15309 Stony Creek Way
Noblesville, IN 46060
$532.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
27880 10109 I 42- 302.00 I $532.33 1 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
Thursday, July 28, 2011
f!?'C of Police
Title
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 property 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/21/11 10109 payment for e- tickets $532.33
1 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