175861 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 247475 Page 1 of 1
,+0 ONE CIVIC SQUARE PORTER LEE CORP CHECK AMOUNT: $601.00
CARMEL, INDIANA 46032 1901 WRIGHT BLVD
SCHAUMBURG IL 60193 CHECK NUMBER: 175861
CHECK DATE: 8/612009
D EPART MENT ACCOU P N UMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 21068 591.00 LABELS /RIBBONS
1110 4342100 8216 10.00 POSTAGE
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ANIMB Lff
Porter Lee Corporation Invoice
nipniaUnn 1901 Wright Blvd.
Schaumburg, IL 60193 DATE INVOICE NO.
7/28/2009 8216
BILL TO SHIP TO
Carmel Police Department Carmel Police Department
Teresa Anderson 3 Civic Square
3 Civic Square Carmel, IN 46032
Carmel, IN 46032 USA
Attn: Sgt. John Elliott
Purchase Order TERMS DUE DATE
21068 Net 30 8/27/2009
ITEM DESCRIPTION Serial QTY RATE AMOUNT
Labels W 1500 White Barcode Labels (1,500) 4 43.00 172.00
Labels W 4x5 White Barcode Labels 4" x 5" (500) 8 43.00 344.00
Ribbon Desktop 4" Resin Ribbons for Zebra Desktop Printers 6 12.50 75.00
Shipping Shipping 1 10.00 10.00
Please make check payable to "Porter Lee Corporation
Phone (847) 985 -2060 Total $601.00
FEIN 36- 4103323
Payments /Credits $0.00
Balance Due $601.00
Phone Fax
847 985 -2060 847 -584 -0556
f"'I 0 INDIANA RETAIL TAX EXEMPT PAGE
k-Ar o 111111.. Carmel CERTIFICATE NO, 003120155 002 0 1
111111... �l PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7 i R
MEf 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
labels ribbons
VENDOR Porter Lee Corporation SHIP City od garmel.kolice Department
1901 Wright BouAivatid To 3 Civic Square
Schaumburg, IL 60193 Carmel, IN 46032
ATTN: John Elliott
CONFIRMATION =UNITOF PAYMENTTERMS FREIGHT
QUANTIT DESCRIPTION
UNIT PRICE EXTENSION
4. rolls 3.25" x 0.875" desktop white labels 43.00 172.00
8 rolls 4 x 5" desktop white labels 43.00 344.00
6 desktop ribbons 12.50 75.00
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Send Invoice To: City of Carmel P
ATTN: Teresa Ander
3 8ivic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 591.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 39099 other miscellaneous PAYMENT
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. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of J)olice
AND ACTS AMENDATORY THEREOFAND SUPPLEMENT THERETO.
2 1 0 CLERK TREASURER
DOCUMENT CONTROL NO A•P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. -WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
a
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
Cost distribution ledger classification if
claim ,paid motor vehicle highway fund
Prescr';ed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
Y
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
Porter Lee Corporation Purchase Order No. 21068F
1901 Wright Boulevard Terms
Schaumburg, TL 60193 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/28/09 8216 payment for barcode labels and ribbons 601.00
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
Porter Lee Corporation
IN SUM OF
1901 Wright Boulevard
Schaumburg, IL 60193
601.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT voice(s), or
DEPT. I hereby certify that the attached in
21068F 8216 390 -99 591.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 8216 421 10.00 which charge is made were ordered and
received except
July 31 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund