HomeMy WebLinkAbout204763 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 360681 Page 1 of 1
ONE CIVIC SQUARE DAVID DICKENS PHOTOGRAPHY CHECK AMOUNT: $2,235.00
CARMEL, INDIANA 46032 6020 S ROUTIERS AVE
INDPLS IN 46259 CHECK NUMBER: 204763
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341999 25926 2,235.00 PHOTO COMPOSITE
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Dickens Composites Graphic Design 317 -987 -5590
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Make Check Payable to:
David Dickens Photography
6020 S. Routiers Avenue
Indpls. IN. 46259
Quantity Description Itemized Totals Unit Cost Total Cost
21 Hours On Location Photography $40.00 $840.00
22 Hours Design Layout Production $35.00 $770.00
Labor Total $1610.00
1 40 "x 60" Photo Composite Product Total $625.00 $625.00
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�,rE -5r•E r f i r aJ �•rt t .1
r3�l _IIi ru.1 1 i i.._ r rE°r N ?P.ro ect Total E rtr }r $�223�500`�
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Ci o C sane l CE INDIANA RETAIL TAX EXEMPT
RTIFICATE NO. 03120155 0 2 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT i
35- 60000972
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
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
DzyId Dichons PhotogWhy Comol PalleG DcpmKmoM
VENDOR SHIP 3 CIVIe squ2m
Q 6. RautlGra Avonuo TO Cwmal, IN
Indl2napolls, IN M (W)5714M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 -499.92
9 Esic, phot composite 2.236.00 M235.00
Sub Total: $2,235
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Send Invoice To:
CuIrlral Palle Dopimitmsnt
Attn: Tomse Andomon
3 Civic squm
cumd, IN 46m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT AC COUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT 52,235.0
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 P, OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS
I HEREBY CERTIJJ���'TH'Ah SUFFICfENT THERE IS AN UNOBUGATED BALANCE IN
THIS APPROP YATIO
SHIP REPAID. T TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY i
SHIPPING LABELS. hie? a P P
olleC
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 5 9 26 A.P.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 /TITt_E 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 fond
VOUCHER NO. WARRANT NO.
ALLOWED 20
David Dickens Photography
IN SUM OF
6020 S. Routiers Avenue
Indianapolis, IN 46259
$2,235.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
25926 I 43- 419.99 I $2,235.00 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, December 15, 2011
n
Chief 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 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/14/11 photo composite $2,235.00
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