170722 04/16/2009 q�r CITY OF CARMEL, INDIANA VENDOR: 355157 Page 1 of 1
ONE CIVIC SQUARE ARROWHEAD FORENSIC PRODUCTS
CHECK AMOUNT: $401.38
CARMEL, INDIANA 46032 14400 COLLEGE BLVD, SUITE 100
LENEXAKS 66215 CHECK NUMBER: 170722
CHECK DATE: 4/16/2009
DEPARTMENT T ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-.1110 4239099 20082 37577 401.38 FINGERPRINT KIT
Arrowhead Scientific, Inc. INVOICE
Arrowhead Forensics
14400 COLLEGE BLVD SUITE 100 Date Invoice
LENEXA, KS 66215 3/26/2009 37577
PHONE: 913-894-8388 FAX:913- 894 -8399
Bill To Ship To
CARMEL POLICE DEPARTMFN`I' CARMEL POLICE DEPARTMENT
AT'I' TERESA ANDERSON 3 CIVIC SQUARE
3 CIVIC SQUARE CARMEL, IN 46032
CARMEL, IN 46032
P.O. No. Rep Ship Date Terms CREDIT CARD EXPIRATION S.O. No.
20082 BS 3/26/2009 Net 30 19780
Item Description Ordered Prev, In... Invoiced U/M Unit Rate Amount
A-2211 FIELD KIT- CLEAR LIFTING TAPE 4 0 4 EACH 97.00 388.00
Shipping FREIGHT CHARGE 13.38 13.38
Subtotal $401.38
Sales Tax (7.525 $0.00
Balance Due $401.38
C' INDIANA RETAIL TAX EXEMPT PAGE
t CERTIFICATE N0. 003120155 002 0 7 e PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
b'� /V
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
PURCM
ASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1 2 99
Arrowhead F SHIP C armel. Police Dapartment
VENDOR 14940 College R11,4 Suite 100 TO 3 Civic Square
Lenexa., KS 66215 ,-an l., IN 46032
fax 913 894 -8399
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4 kids Fingerprint kit A -2211 97400 388.00
Shippinq and. Handling
r
F
m
Carme Police Dee r °t
Send Invoice To: wA.
AI`V e Teresa Ancleron
3 Civic S�pare
C armsl, DI 46032
PLEASE INVOICE IN „DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -99 lab supplice PAYMENT 38 °00 SAH
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 ISAN UNOBLIGATED BALANCE IN
SNIP REPAID.
THIS APPROPRIATI 7 N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. r l
PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE caf O f Pn1 i f`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
V 0 C CLERK- TREASURER
DOCUMENT CONTROL NO A.P, COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO,-,.-- WARRANT NO.,-.
ALLOWED 20
i
IN THE SUM OF
ON ACCOUNT APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MILE 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 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
Arrowhead Scientific, Inc. Purchase Order No. 20082F
14400 College Boulevard, Suite 100 Terms
Lenexa, KS 66215 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/26/09 37577 payLaent for fingerprint kits 401.38
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
A rrowhead Scientific, Inc. IN SUM OF
14400 College Boulevard, SUite 100
Lenexa, KS 66215
401-38
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20082F 37577 390-99 401.38 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
APril 1 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund