158446 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 361096 Page 1 of 1
ONE CIVIC SQUARE IMAGINE PRODUCTS INC
CHECK AMOUNT: $4,469.00
CARMEL, INDIANA 46032 1052 SUMMITT DRIVE
CARMEL IN 46032 CHECK NUMBER: 158446
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4463202 17418 N6640 3,999.00 SOFTWARE /TRAINING
210 4357000 17418 N6640 470.00 SOFTWARE /TRAINING
n
Form -9 Request for Taxpayer Give form to the
(Rev. November 2005) Identification Dumber and Certification requester. Do not
Department of the Treasury send to the IRS.
Internal Revenue Service
n j Name (as shown on your income tax return)
c Imagine Products Incorporated
C- Business name, if different from above
C
O
CD N
p Individual/ Exempt from backup
6 Check appropriate box: Sole proprietor c Partnership Other withholding
o
N Address (number, street, and apt, or suite no.) Requester's name and address (optional)
a 1052 Summit Drive
City, state, and ZIP code
U
a Carmel, Indiana, 46032
List account number(s) here (optional)
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name given on Line 1 to avoid Social security number
backup withholding. For individuals, this is your social security number (SSN). However, for a resident I k
alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is
your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3. or
Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose Employer identification number
number to enter. 1315 111811116 9 2 9
MlIff Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
2. 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has
notified me that I am no longer subject to backup withholding, and
3. 1 am a U.S. person (including a U.S. resident alien).
Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement
arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the Certification, but you must
provide your correct TIN. (See the instructions on page 4.)
Sign Signature of /JF`
Here U.S. person BPI Date 0- r
Pu rpose Of Form :s An individual who is a citizen or resident of the United
A person who is required to file an information return with the States,/
IRS, must obtain your correct taxpayer identification number A partnership, corporation, company, or association
(TIN) to report, for example, income paid to you, real estate `creatpd or organized in the United States or under the laws
transactions, mortgage interest you paid, acquisition or of`tl�e United States, or
abandonment of secured property, cancellation of debt, or e Any estate (other than a foreign estate) or trust. See
contributions you made to an IRA. Regulations sections 301.7701 -6(a) and 7(a) for additional
U.S. person. Use Form W -9 only if you are a U.S. person information.
(including a resident alien), to provide your correct TIN to the Special rules for partnerships. Partnerships that conduct a
person requesting it (the requester) and, when applicable, to: trade or business in the United States are generally required
1. Certify that the TIN you are giving is correct (or you are to pay a withholding tax on any foreign partners' share of
waiting for a number to be issued), income from such business. Further, in certain cases where a
2. Certify that you are not subject to backup withholding, or Form W -9 has not been received, a partnership is required to
presume that a partner is a foreign person, and pay the
3. Claim exemption from backup withholding if you area withholding tax. Therefore, if you are a U.S. person that is a
U.S. exempt payee. partner in a partnership conducting a trade or business in the
In 3 above, if applicable, you are also certifying that as a United States, provide Form W -9 to the partnership to
U.S. person, your allocable share of any partnership income establish your U.S. status and avoid withholding on your
from a U.S. trade or business is not subject to the share of partnership income.
withholding tax on foreign partners' share of effectively
connected income. The person who gives Form W -9 to the partnership for
Note. If a requester gives you a form other than Form W -9 to purposes of establishing its U.S. status and avoiding
request your TIN, you must use the requester's form if it is withholding on its allocable share of net income from the
substantially similar to this Form W -9. partnership conducting a trade or business in the United
States is in the following cases:
For federal tax purposes, you are considered a person if you- The U.S. owner of a disregarded entity and not the entity,
are:
Cat. No. 10231X Form W -9 (Rev. 11 -2005)
Imagine Products Inc Invoice
1052 Summit Drive
Carmel IN 46032 DATE INVOICE
317 843 -0706 fax: 317 843 -0807 4/4/2008 N6640
TIN 35- 1816929
BILL TO SHIP TO
City of Carmel Police Department L. Carey
Attn: Teresa Anderson Carmel Police Department
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
P.O. NUMBER TERMS DUE DATE SHIP VIA
17418 Net 15 4/2512008 4/4/2008 E -mail
QUANTITY ITEM CODE DESCRIPTION PRICE. EACH AMOUNT
1 1093 CrimeVision Video Analysis Software 3,999.00 3,999.00T
only delivered via download
1 3008 CrimeVision training course, 3 -days in 470.00 470.00T
Indianapolis, per person -June 10 -12,
2008 for Det. Trent McIntyre.
0.00 0.00
Thanks for your CrimeVision order! We appreciate your prompt payment. Total $4,469.00
Terms are pre -paid prior to shipment unless credit term arrangements are made. A FINANCE CHARGE of 1.5% per month (18%
ANNUAL PERCENTAGE RATE) will be applied on any balances unpaid 30 days after invoice date. Purchaser agrees to pay
reasonable collection agency and /or attorney's fees should the account be in default and be referred to such. To return products in
(un- opened) merchantable condition, call for a Return Goods Authorization within 30 days of receipt. If authorized, shipping charges
and a 10% re- stocking fee shall be deducted from credit amount. NO CASH REFUNDS, CREDIT APPLIED TO NEXT PURCHASE
ONLY.
0 INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0 c
City of C armel PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 17
3 Qg&�CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORK APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
April 3 2008 software trainin
VENDOR Imagine Products, Inc. SHIP City of Carmml Police Department
1052 Summit Drive TO 3 Civic Squarew
Carml IN 46032 Carmel IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTiTY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 Crime Vision Video Analysis software 3,999.00
1 Crime Vision trainlhgg course 1 person 4470.00
Det. Trent McIntyre
IZ
A 4
570 470.00
632 -02 $3,999.00
t�eyv' �t
t
City of Carmel PoI
Send Invoice To: ATTN s Teresa Anders
3 Civic Square
Carrel, IN 46032
PLEASE INVOICE IN DUPLICATE 4,469.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
11 632 -fit computer equipment softu RAYMENT
210 570 Cont ed a fund. A1P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P•0.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
HER 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 f�f! t 7 �ffJ''iT •)T.
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief o Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO 4 ,.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
Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Imagine Products Inc. Purchase Order No. 17418F
1052 Summit Dr
Carmel, IN 46032 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/4/2008 N6640 payment for Crime vision Video Analysis software 3,999.00
4/4/2008 N6640 payment for Crime Vision training course, Det. McIntyre 470.00
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Imagine Products Inc IN SUM OF
1052 Summit Dr
Carmel, IN 46032
4,469.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Cont. ed. fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17418F N6640 570 470.00 bill(s) is (are) true and correct and that the
17418F N6640 632 -02 3,999.00 materials or services itemized thereon for
which charge is made were ordered and
received except
April 8 2008
Mel Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund