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177596 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 048100 Page 1 of 1 ONE CIVIC SQUARE CARMEL PRO PRINTER CARMEL, INDIANA 46032 303 WEST CARMEL DRIVE CHECK AMOUNT: $557.00 CARMEL IN 46032 CHECK,NUMBER: 177596 CHECK DATE: 9/29/2009 DEPART ACCO PO NUMBER INVOICE N UMBER AMOUNT DESCRI 1110 4230100 29411 557.00 STATIONARY PRNTD MA 1 C INVOICE 3 CARMEL PRO PRINTER Invoice 00029411 303 West Carmel Drive Carmel, IN 46032 Date: 9/21/2009 317- 844 -9171 Ship Via: Delivery Bill To: Shipping Date: Your Order Verbal, Robert Carmel Police Department Attn: Accounts Payable 3 Civic Square Ship To: Carmel, IN 46032 Carmel Police Department 3 Civic Square Carmel, IN 46032 Description Amount 1000 qty No Parking Signs 1/0 on 24pt. C1 S Carolina stock $557.00 Thank You For Your Continued Business! Terms: Net 30 Freight: $0.00 1.75% per month added to accounts over 30 days. Sales Tax: $0.00 If Carmel Pro Printer is required to resort to collection proceedings to recover fees incurred and expenses advanced on customers (your) behalf, Carmel Pro Printer Total Amount: $557.00 shall also be entitled to recover all costs incurred in connection with such collection proceedings including reasonable attorney's fees incurred. Balance Due: $557.00 INDIANA RETAIL TAX EXEMPT PAGE pf C a r me l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 .3 O NE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARNIEr, 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 S eptember 7 009 no nn ki IC VENDOR Carmel Pro Reinter SHIP City of Carmel Police Department 303 W. Carmel Drive TO 3civic Square Carmel, IN 46032 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1,000 no parking signs 557.00 s �Y 4 A g du on f� Send Invoice To:,� f' PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1110 301 stationery and printed.mat MENT 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 ChiefChief ofDolice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO 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 /TITL.E AMOUNT QEPT. 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 i 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 Carmel Pro Printer Purchase Order No. 21214F 303 West Carmel Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/21/09 29411 payment for no parking signs 557.00 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 C armel Pro PRinter IN SUM OF 303 West Carmel Drive Carmel, IN 46032 557.00 ON ACCOUNT OF APPROPRIATION FOR police general. -find Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21214F 29411 301 557.00 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 September 24 2 0 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund