176169 08/19/2009 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: $166.44
CARMEL IN 46032
<rnH o CHECK NUMBER: 176169
CHECK DATE: 8119/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION
1110 4230000 29143 166.44 OFFICIAL FORMS
f
C INVOICE
CARMEL PRO PRINTER Invoice 00029143
303 West Carmel Drive
Carmel, IN 46032 Date: 8/4/2009
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 8.5 x 11 2 part NCR forms black $166.44
Repair Order
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: $166.44
shall also be entitled to recover all costs incurred in connection with such collection
proceedings including reasonable attorney's fees incurred. Balance Due: $166.44
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.
303 W. Carmel DRive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8 29143 a en t for vehicle maintenance forms 166-44
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
Carmel Pro Printer
IN SUM OF
303 W. Carmel Drive
Carmel, IN 46032
166.44
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 29143 300 166.44 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 12 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund