165454 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00350512 Page 1 of 1
ONE CIVIC SQUARE TEN -8 INC
CARMEL, INDIANA 4 6032 1838 E INVERNESS CIRCLE CHECK AMOUNT: $1,129.88
COLUMBIA CITY IN 46725.7504 CHECK NUMBER: 165454
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DE
1110 4230200 18955 100808B 1,129.88 PLANNERS.
is
r
Remit to:
TEN -8, INC. INVOICE No.
1'838 E. Inverness Circle Cust. P.O. No.: 18955 100808B
Columbia City, IN 46725
260- 244 -4406 Date Shipped: 10/08/08
FAX 260-244 -4147
1 nvoice Date: 10/08/08
S S
0 City of Carmel Police Department H Same
L I
D 3 Civic Square P
P
T Carmel, IN 46032 E
0 D
T
0
QUANTITY DESCRIPTION EACH TOIAL
200 2009 Public Safety Planner $5.50 $1,100.00
Sub Total: $1,100.00
Less Down Payment: $0.00
Sales Tax: $0.00
Shipping: 4 cartons $29.88
TOTAL DUE: $1,129.88
Prepared By: Dianna Ewing PAYMENT DUE: November 8, 2008
INDIANA RETAIL TAX EXEMPT PAGE
Cif o Carmel CERTIFICATE NO. 003120155 002 0 li PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1
3 )MME 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
Dctob -r 3 2008 Dlanners
i
VENDOR Ten -8, Inc SHIP City of Carmel Police Department
1838 E. Inverness Circle TO 3 Civic Sgauee
Columbia, City, IN 46725 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
200 2009 Public Safety Planners 5.50 1
shipping 29.88
a�
City of Carmel Po l r -art�e
Send Invoice To: ATTN: Teresa Anderso
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 1,129.88
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1110 302 office supplies PAYMENT
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
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
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ij J5 CLERK TREASURER
DOCUMENT CONTROL NO. A• COPY SIGN AND RETURN TO CLERK'S OFFICE
`TOUCHER 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----
2p
signature
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'r
Prescribed by State 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
1 Ten -8, Inc. Purchase Order No. 18955F
1838 E. Inverness Circle Terms
S
Columbia,City, IN 46725 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/ 8 08 100808B payLnent for planners
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
T -8, Inc. IN SUM OF
1838 E. Inverness Circle
Columbia City, IN 46725
1,129.88
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18955F 100808B 302 1,129.88 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
0 tober 23 20 08
Signature
Ass tant Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund