167670 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER -LITE CHECK AMOUNT: $2,043.00
CARMEL, INDIANA 46032 4252 E WINDSOR LANE
COLUMBUS OH 47201
CHECK NUMBER: 167670
CHECK DATE: 1/7/2009
D EPARTMENT ACCOUNT PO NUM BER IN VOICE NUMBER AMOUNT D ESCRIPTION
1110 R4467099 19006 3670 2,043.00 SCANNER
I
Invoice
Paper -Lite
4252 E. Windsor Lane DATE INVOICE
Columbus, IN 47201 12/19/2008 3670
BILL TO
City of Carmel
Attn: Teresa Andersonr Police Dept
Three Civic Square
Carmel, IN 46032
i
L i "T E'
docurrien. management satuhons far the real world
P.O. NO. TERMS DUE DATE
Make Checks Payable to Paper -Lite
Division of Mathes Assoc., Inc 19006 Net 15 1/3/2009
DESCRIPTION QTY RATE AMOUNT
Fujitsu Scanner 6140 1 1,845.00 1,845.00
Additional Advance Exchange Support for 2 years 2 99.00 198.00
Sales Tax (0.0) $0.00
Payments
Total $0.00
Phone Fax E -mail
Balance Due $2,043.00
812 350 -5044 812 378 -9820 nancy @gopaperlite.com
INDIANA RETAIL TAX EXEMPT PAGE
C i ty O f Carmel CERTIFICATE NO.003120155 002 0 1 f 1
PURCHASE ORDER NUMBER
Y Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1 QnnA
32N& CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
DAr_e. bar 17. 2008 asanner
VENDOR Paper "Lite" TO City of Carmel Police Department
4252 E. Windsor Lane TO 3 Civic Square
'It Columbus, IN 47201 Carmel, IN 46032
CONFIRMATION B=UNIT PAYMENTTERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
1 Fujitsu Scanner 6140 1,845.00
2 Additional Advance Exchange 99.00 198.00
d Q1
o x, A
a
9 t
Send Invoice To:
City of Carmel Po i r i
ATTN: Teresa Anders 7 7 7 1
3.Civic Square
Card, IN 46032
PLEASE INVOICE IN DUPLICATE 2.
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1110 670 -99 -other e$uipment
I A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
,f�
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 4
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. v
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
193 n rw
0 0 CLERK TREASURER
DOCUMENT CONTROL NO 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 #/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
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
Paper —Lite Purchase Order No. 19006RF
4252 E. Windsor Lane Terms
i
Columbus, IN 47201 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/19/08 3670 payment for scanner 2,043.00
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.
2f/� z ALLOWED 20
P
P _p�r —Lite 3!2' Z—
IN SUM OF
4252 E. Windsor Lane
Columbus, IN 47201
2,043.00
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
19006RF 3670 670 99 2,043.00 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
January 2 20 09
&'J"j b -4-
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund