163347 09/03/2008 „f CITY OF CARMEL, INDIANA VENDOR: 359859 Page 1 of 1
t' ONE CIVIC SQUARE PAYTON SCIENTIFIC INC CHECK AMOUNT: $130.00
0 CARMEL, INDIANA 46032 964 KENMORE AVE
BUFFALO NY 14216
CHECK NUMBER: 163347
CHECK DATE: 9/3/2008
DEPARTM ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1110 4239099 10045 130.00 OTHER MISCELLANOUS
I
Pa ton Scienti fic Inc.
y f INVOICE'
964 Kenmore Avenue, Buffalo New York 14216
Phone (716) 876 -1813 Tech: (716) 876 -1606 Fax (716) 876 -8957 INVOICE NO: 10045
paytonscientific@verizon. net DATE: 8/18/2008
BILL Carmel Police Dept SHIP John Elliott
TO Accounts Payable TO Carmel Police Dept.
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
CUSTOMER ORDER NO. OUR ORDER NUMBER DATE SHIPPED SHIPPED VIA F.O.B. POINT TERMS
081408 P -08 -4277 8/18/2008 USPS- Priority Buffalo Net 30 days
ITEM QUANTITY DESCRIPTION UNIT PRICE TOTAL PRICE
1 1 Box CY -AT Dishes (100 /box) $120.00 $120.00
2
3
4
5
6
SUBTOTAL $120.00 1
SALES TAX
SHIPPING AND HANDLING $10.00
TOTAL DUE $130.00
We are not authorized to collect sales tax in the state of IN.
If you are required to pay sales tax, please pay direct.
Payton F.E.I.N.: 16- 0961271
2% Per Month Charged on Overdue Accounts
Please make checks payable to Payton Scientific Inc.
If you have any questions concerning this invoice, call contact Geri Chadwick at (716) 876 -1813.
THANK YOU FOR YOUR BUSINESS!
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
Nhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Payton Scientific, Inc. Purchase Order No.
964 Kenmore Avenue Terms
Buffalo, NY 142 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/18/08 10045 payment for labbsupplies 130.00
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
P ayton Scientific Inc. IN SUM OF
964 Kenmore Avenue
Buffalo, NY 14216
130.00
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
1110 10045 390 -99 130.00 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
August 22 20 08
—.%A" 'P b
Signature
Chief of P61ice
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund