170760 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 033825 Page 1 of 1
0 ONE CIVIC SQUARE CDW GOVERNMENT INC CHECK AMOUNT: $110.95
CARMEL, INDIANA 46032 75 REMITTANCE OR
SUITE 1515 CHECK NUMBER: 170760
CHICAGO IL 60675 -1515
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NU MBER AMOUNT DESCRIPTION T
-1110 4464000 20083 NRP4040 110.95 SCANNER /FAX /VOICE REC
i
i
The Right Technology.
WG Right Away."" 04/03/2009 NRP4040 NET 30 Days Govt/State Local 05/03/2009
VISIT CDWG ON THE INTERNET
jai a aR ?a R aCITYa OTY QTY s.,;�
OUR PART NO DESCRIPTION UNIT PRICE TOTALe
z.. HIP; e/O
ORD S
811480 EPSON PERFECTION 4490 PHOTO SCANNER 1 1 0 $105.00 $105.00
Manufacture Part Number: B11B176011
Serial Number: GR941188778
k l
4M A
CH INFORMATION: THE NORTHERN TRUST ROUTING NO.: 071000152
50 SOUTH LASALLE STREET ACCOUNT NAME: CDW GOVERNMENT INC
CHICAGO, IL 60675 ACCOUNT NO.: 91057
HAVE QUESTIONS ABOUT YOUR ACCOUNT? PLEASE EMAIL US T: credit @cdw.c m
ORDER PURCHASE ORDER NO. CUSTOMER NO PRODUCT
03112/2009 FEDEX Ground 20083 1674420 105.00
SUBTOTAL,
SALESPERSON SHIP TO:
SALES ORDER NUMBER SHIPPING $5.95
BART HECKMAN CARMEL POLICE DEPARTMENT IT
N:LUCKIE CAREY SALES t
312 705 -9572 ATT
3 CIVIC SQUARE NJP8309 $0.00
TAXe, bye
barthec @cdwg.com CARMEL IN 46032
INVOICE $110.95
AMOUNT
CDW GOVERNMENT, INC. AN ILLINOIS CORPORATION FEIN 36- 4230110
IIIIIIIIIIIIIIIIII! IIII JIIII1111111 fill 11!!! II!!! 11II11111111111111111111111111IN AMOUNT DUE $110.95
CDW Government, Inc. "CDW•G Terms and Conditions of Sale .eft
l'F.R.ttI A:N'DO ON DIUlONS ARE; 1,1111'1 JAI 10 1ilOf F, CON'UA i Nlll ;IF: REIN AS I) 111 I. ADDI'I UO NA(. i'nriny inf!tr n,alinn: A,atebtty Dr,cL
'1'1:11 \iS AND(,ONDI [IONSIONI111SED IN 11itl "'I CRMS AND ('O \111'I IONS" LINK t I' IN N"\1'.CU\N,(;O \I lcl er a,ar ,hs r :�F:t f, oaks ad[ ti :a "xu YrNne(sx l S-11,, otz'zims;ir ,a' lu,'n, Ftantlln,
I \CO UPOR,t I'FD IIERCIN 11) I(F.FI:RENCE. ANY TERMS NOF DEFINED IIFI(F:IN ARE DEFINED AT .chang nz n•a: kgt, d s. Pr.i c di- l Prod u.r un.rt ariulni i�. rip :'Iangc,.- pI
1\' ll' N'.(: 1)N\'.( I) \I. VIN' AIJPII ZONAL 0 i DI FFERVN''F TERMS OR CON DI I IONS IN ANN' FORM chanke.: MW in "I j— :v c I h- 4,olab0i, :I'c 'Atwo i" el f r nci r
1, ELFIERED RN' mt. il(('SIOMCIC 1 ARE OFFI F:111' DECMED 10 DI: MAILRIAL ALITR FIIONS AN D ne:lar ,h, Sarv'c,, 'IL<,i .n. S,I ,a,J .,r u'.II'- ,,,i,tc t::.-I (.ns c. li Su:
a
'011 OIUFC"I RI;N"1'01)IF :\I IND REJECT ON (IF 'I BENZ IS IIF,REtIN' GIVEN. p,—M t ,rrmc a rn :ter a. tn,,.. ll •did by SP lo, piannmrp
It A<CEP'I'INI: Ili Llt'ERN OF IIII: PRODi i( "IS OR lit' F :\'G,tU 1N(, I'IIE CLINY AFPILIA I'F. OWN1II:ED Limitulfnn of r,i »bilita
ON 'I'0 F. INt'UICE, SI \'1'I :MENT OF l\'ORR OR O'I'RF,R (.'Dtt' D0(.FME`:'1'AI10N k•SELLft") 'IO ENDER NO (IRCUMSIANCL3 :IND \'OI'N ITFI S'F, \N 111NG l'lIL FAIL 1 RI: OF ESSENTIAL Pf RPOSL ill
F'RO t'II)E PRODIICi OR PERFORM OR PRO(:lil<I -..:t :Nil' SFRk1CFS. CFI.SI'OMER AGRE FS'1'0 RF, RO(!ND ANN' REMEDI SVI FOR'ID OERFJN. NILI .SELLER, 1'11 AFF'1Li.ATES OR 111 OR 1OEIR SEEP I'I,IFKS.
R) :tND.tL(.1Ul IS 1IIESI,I ER\ iS- \NUCONDI'1'1ONS(�NLLSS(1 ANDSCLLER IIAVESIGNIA)I SI11CO\'FRACI'ORS OR ,tGf N'11 RE I.I:t11LI: FOR: i.t) ANN IN(.0)Fsi%L, iNDI Ri t', SYLC1,, -U._
SEP IRA IF "(;it EF:ME :NI FOR TOO, PRO1'ISION OF PROIWI-A' OR PEI(FOR,AFANCF; OF SERI ICES, IN PI�NI'1'1\'L ()it (UN F,Q(IENI'L\L DAMAGES INCIAI)ING BFT ROT IA?III'F.-0 10, LOSS Ili PlOO111
WO('i1 CAI: 'I F, SKPARA'IEAGREEMEINI' WILLGOVERN. 81 SINES, RIA:J.NII:SORSAVINGS,EVEN I1'.1ELLCR HAI DLEN ADVISE001 lilt: l().iS11i11.1'1'11:,OF
CUCII I1,1M:iC k:S OR IFSUC'il D.1AI:lG ES ,t RE lFi1t F:RN ICE F'O RUSEE.IRLE, IN F.ACO (:ASE, t \11 E "I'II F_R
impn'ant Information Ahuut Ill-1'rrtns —I Condilmn, A CLAI.NI FOR :1N1' Sill 11 I,IARILFIt' IS PREMISED I PON IIREACII OF ('ONF11 A( :'1. tl':\Rf1%.N 11.
11 I Cr nd'no „vat• ,Jinn eUrrrari betuoci Cost r �.,d Sriirr and arc n•Icr "n lien a as 6 0h,, NE(: i,I(.I.Y( -I., .NI RI(-1' I.I,t Rt.Il'1' (1R V'I'iI1 :R 1'DLORT' OF LIARii Il't': (Dt .%NN (LAti !S, OFNi :\NUS ()R
l'- roan,lid(ohnons er this lfirona Nom. •�e�rpts „r�tel'crn),- ,IC- dili„, h;�n,aki",t a ptr,.hs -l)on, or ACTIONS U:AINSfITS I ONO Fit it1ANt'1'111RD PAR 11':f(:)ANN'LOSSOR CLAt \I k FUSI NC OI� OF OR
piaaine nn<�Ill, uRh S.Iler ilr'Nippim_on Selina N'rh lilt, ct. lr. nlarr ..reyars,: i, pralucrc(nc` Prxlurl <'i ilr IN CO NNEC'IION N'IID (ICI 1011 F il'S 111 PI.EM t. N IA I' ION OF AN t' IONCLUSIONS OR
ng ScIlrr to per.'cwn:, rprvcrc an)S: "wit•. and al ciplahxcd:rnnsnre JobVilleleint. RRCO1t :11ENDAI IONS RI' SELLER ORI'1'>AFIIIJ :%IVS RAII:DO. RLSILI i \G FWIll. A RISI NG 0117 OF
UR OI'l1ERWiSC RYLAI'I'it IO 1 it I' PROOUC IS OR SF:RVIC ES: OR t D) AN l' (INAVA I LARI Li II' 01 IIIL
omer a purchase o er flit admin:,<rmt ns oni, Addioo,.ai sr :L•ff—m terms it )nditio PROIAUA IOR IiSE OR AINY LOST. DA\I AGED OR CORRUPT Ili) DAI A OR SOFT \\'ARE. IN IIIE is\'t :N7
lima ne.t't such ptr.:hasc nrde r lilt lx null and—i.3 II,: lg-ecnrentintlad, II, 11V le nn, n)..ainrJ,n the "Iron, and OU ANN'LIARI I.IUkJN('I�RRF :ORt'SF:LLER OR ANN '(IF ITS AFF'li,iCi FS.'i'111. ENT I R f 1.i.t Rl i.l'1')'('1
ndImm�” 1 .,t wu,+„d,.wn. iirl (:ustanicr ackn 1.1, a;rzl Irerrn N, rricrrnce .ism erns Si :l -I :LR AND I'IS AFF'I l,i,l'I'ES FUR DA \I A(: ES FILO \i ANN Ct USE; t\'ll.\ASO F;\t:R l\I1.1- NO'i F NiF: F, ill
dx rnt unclerslan,l :n�oi the pl,iio „eth rc prctln the attars ..,,t red herein aid ilr the neiy 'FIIE LESSER Oil: (At 'FDF.I)OLLAR.t \IOGN "I'P,ilU lf)'CL FOR I'IIF I•R(1DUO Ws) \1 \G RISI:
and ill prto, cor..illi mwn�.mrf mot i_ m sn,•recmr�ts and undrr;tarzJiru u4wlhrr ora3 t.Tmn,_rica,rm tc ilr T(1'IL {E(. I..tIM OR'IIIE SPECIFICSLIOVICLS(AN ING RISE.' 10111 E LAIM; OR M)SSO,pyn.b6.
n it -IVI cnthc paniea„ ilh rip— u•!hcwhim n,anrr ltenvl:
Cnnfirientinl Info —li nn
Go ing I. F:n.h p t:'ip, that it n In 1 c 'nE, r .)f a
al rail h p:
'f111Sl! IERNIN \I? C(INDITIO :NS, .A." SI'A'I'1' :\11 :ssiS OF WORK. THL SFRVft I';.S IfEf<131 NDF,R A \D AN) At1":liateso: alliml t hcrtr ,afrar i_Icr su (s•, d:,,a. l uIi— tlr o:,a t ..tt) 'n i,
a
yAI,I: O!' PRi)DIII :I'S Ii. RI_L :ti t'1fR N'll..l. RI: (i0 \I:RNI' :O R\ ILL, LAWS Ur '1I1F ti 6f: OO ILLINOIS. A•;rggment ;m:: m,y Stu: -mem n1 \l n.k. loriiidinee,l !rornun: ,.ea,' a+ f .at;,)n ilr da n 'rail.
111:1(11 *1' REGARD 'f(1 0 )N:'i,i ClS OF IAW,' RII s,, :IN) AR!)IIRA'H Ii I'sil:01 1\IEN" 1.11: i: .I .,aitim lain ,':P ,h i,r� n;, part km u_o ha n4ia. 'Ira.. r,n,, dent.la i.,'hi,... scl ,a,
rl Rlil'1'R \i1VN OR LITI( AIWI, VItl 1)L' k,WtJl'I IA('II;SI\'LL\' I.N' O
010t, (f \T\ li ,iNUisi ANIJ ,s,.t„ ii I', Ag;cc,,f,l,r,f...L. .7:.,, _,.as: :lira u':ti'..
C;S I"NI RCONSL :N'N11,1lIFjl1RIIDICilON OF li11. FIJF.t<A L AND IfkIL I Ot,Nif, L.()Cr \1 01 it R!I :V. nclu.:,n,hut not ;im'ed n. ins r. n.: ,J a,..dnic .1 ,..i•, Nnrk :i l,inrmat lit„ i i, ...I.”
SLIf\IITS "IO IUF. fl SDI('f10\ IIILR..(1F AM) WAIIf S 'I111, (tIGH if) C'il,\NGE l'I. NI i,. iz I Il) \!I:R inf'c•m: .inrr h,h. n
b, r:c ,ct kna: u: 1,.yi� el n r:V l+i'ny, (hi s_-
T ;RII!LR C INSLNf It) THE ('\i!.KCISL OF PI I<SCINAL )ORISDICIIO(•i 111 \N'1' it I(ItAtl l \'llil par".. t. aac.n,.,a to„n is fir re,s;t lit, l +.en, Ito u:, third la 1 nF
R1;til`I I0ANYSLC I {II<(:CLI:DINC F :zupt ir. illy ".ao n•r.pa)n,em nc lhcr .t,. +ay its fuu•ary as�iu,m any .••rfldcr i:l„lo thcJ inF.pa' i,h n,p.ct to ,hr apps ;uhl. J, r, ri;.: +r rrl dcp, la yd; hf-i
loon
—,"'g fl:c lernts aid Cu,dinon n c fly :;n nor O I ,ear A,,F the cause of i n has Ow lights n yr :p!o) euba- omicron of the rr.r: pis: oho hat s h.I c h t!.r .,•eat
an.,Jier provided Seiler end' thane Term, and -dninn, arc -r— U.ti,r, are to adds on III .'ILI Jo it., I m t or Preli u Cnnffda is .n rrnatinn s.,,).!d hr :)early id —if)e 1 .abe cd I,, i:n by th, ,a,:in>:n. part, ;I, Ohl a i d )s
t ci :izhi cr rrmcch a,:,Jab r a: tau lit m <qu t,. nrninl`(!; lheresRcr a> iussihlc h— ,c It id—n!1 t I 'Ch C :t +„nc a ::I in', :•t.nr „JI unr ha —&I—
If- s V h m fi,rmnt ion is nut .;Doti dintial or prorictubie.
'fine; Ri,k of F's,
II I
(Ibs,
it cr 1 SrlEer auh Cust„mr', r as :,bet ilr 1 t a oihcr than a ar thd; a,;ui:eria East, Pan)• o In It.!" III, other pant's evnf,dcnr:el Infnnraiu -n iiAemial I a period „a:, bllnu n,; Jr
,L: f,,: Sills:. tills In P—ducf, atd aisle I I; -s )r d, r n;p" t. t R.:, fn n, 'slant I u,:onie
r utxnt d0i-1 k• Jarr oft d,,,ure ,lid t to ,o i, a ni m •::r lit lanst 1 J. :I. ••a rfidrnu it I L` �I In u t. �i.
:he cani,r {F O U. 066'.. I.,:ght :.)11-) f'nr .11 othe p •n(s, flit, nxlucl, slid i,k of Inns ilr d-- Jm ilr to use n,. la..s man .i r Doable (.I J<.r<a a ra O,sc!o,urrs„1 he th r Fur., 11.r 1ld Inf s. II he c —1
shit ,r pa:, Isom Sc.Lr in C,istnmrr up)n d,incr to the sp,•ci hed dcurnslit (FOR D11 ,c) f tght F:.i,id a ua
and o thou ,lid, dl, uh„ a r 1— wipatng rn time perf,nna l- of this A;;rec,,rnt app!iun +k Sra,r ilia t n_ Nark :rd
ateh..11 \tnsvil'ntammM; the Inns ::ling, 1:111 R soflunra u,11 "s with the nppIicab!, lice... �n,,d C,I-ef, er's light, ccJ to kiln —h Confidential Irh) :tnrn•n U, pup ,f proaid' ;the P—Ill. 1, t, ill
lira.:. i-d to U,li 1. "a¢nut tb,n a,n s�Ll r.k.rls :.,lid Ct,tnnei Ap Ins ilr :)inie es I, ,,s.. ilr a,.t viii th„;lercemrnt ;;r hr Pptiaabk Sl ::teniant of W"'), ar 601, i_h. ,s icgai I :,an.u,;t ,i.,, I -h
lied in alit. t'n to ri, pa, mem <n f;dl Cust.. Thor: s S :Eler u hlr a f mz a, f.crring. sn.li onl'dcra: al bn, i.n:h fiat :oil to u, ('onl,de nu :i ,)ureiat a of t'r aher art 1:
"otitis[ and. ,i regnrstcJ, Cu i, ill —,,rd ii: (urah:u. no wily totems, nn ,f, book,. the bu,:nr purpos om ta
e'Pi d by this Agmmem mil! the ::ppRcahic• Sr..e lie ,.t N,ak I p it,, r• •n
a
i It
M'u pin). foe other psi•, u!ii either rclmn<,r ernilj the daarruction of fheCon!)emiul lnfhr:natinn of the other pans.
PtIp-Ili
p
C
S
bille
by ('u
Orden ore trot bilVmg upon Scllrr until ac.:rpxd by SrRr Custom ngrecs tc pay the tot! purr1 price for the Pn„!nets If a rcreismg pam is rr,lui,rd b) lau, r,Jr or re gulafion, or try —l— is '1.dkial ilr ltill."i""'to" pro mp or b
lip ,any ptlk ilr
plus p n_ u the f rm Fi
l.pi•tg is p
not rcpaiJ ,lo,ner i, ,n,ludin; h:pp
,m_ h
ca; xe. tat are d ZS"11" as it ,en,�rrnmen"sl .,r regulan,n iut h,:n t. I 1 zcF"r onfidmtrni Infunnal f „n o ;hr oh, ar ibr rerrn ins part} kill g,e ;he
Cutts n, -r, carrier e.aount a Termsill pa) .:lit ar t"hi, Sri e' l I 1is,r:tio,: b, ronnea o uirh Jisclos parr, pron.p i `a n1>,::. r— b t ;h., the disdi,mg
..k sn npp.;.p ear pro :.(na v
tx: r{ lVrl„m
red put nit I• n 4at� nut of W,,k (.0 "ZI r ,s,R pa lot tn, \a. �s„s. i the s n oel is nnnrc. s.,,wa and +all It,, r a utbb, :fl-, to nblaill Iid, .m ah U-11 en „r :-nIl
t C,at —1 Inf. a „r
:"(!ante mid, any Fns rot se ,cdule x, fnnh in the applicahir Statrm<rzr of lt'ork. If no paymem sche,!u pro Eed, dis.lmre..
C'I,1mr.cr ,01 pa f,—IV Services as h „oica`d b) Seiler. in,oices are due anA pay-xh!c within the time I,rriud speri lied nn ti
tad loon the dais of invoice, subject w contin ihq; —di, approaai by SO] ":Iles an) ,fit, Aftiliarry a,n Ref d” n Priril,, e
brh,d: ci S.'I I,, Cu Seiler —Y mil sa(ustomcr,cparacl) ful aan,a,l,h'pmrnr, aid Seller T'o oblal Scllrr, Ix,n:t, C till ,r ,Il—ld c COt41'., ,1c•ilr, Rd,,tnn< at gb(S\'t': ill LOW
Dice C. 1 er 1 e Ss e, dcacnhcd !n S,al --ill M lt'o :k or any portion thereof Custom' optics C it, i_DIA' Ct,— ar Rcla i ni a ng am d Y.,n,.t ,.thi, unn 10I pay imerrsr on all p' ;t -due auras ar :hc• I of one and one -half percent i t r %I IV, mntti" ilr the highest rare alloucd by ,hay, of '—f'
the e,em ol'a Vay n,rnt cicl
It Customs: will K- —,,p sibla' fur all ol'trtier's Costs of cnllrciion. inrh,J ng, but not
I n R,d R
ft!u u fern aoJ atorur)s' f-'. In ad,litien, if Ixismcnts it,, not ns ll—,UM alb-, Sri!:•, Arhil.tion
n,arve, the rgh" to stipend tier wires until pa,men, :s rrcci eJ. Any' claim. di,pute. ilr rnmnrver,y (,,bill., v, contract, io r ,Ih„ 6 A,,,IV: prr„m ilr Into "e. std
nc1 ding. but not lira ircd to siattRa,, r .n tau, imcntirnmI I- and ryuitltbl, claims) a ing Fron:. c n Ili,
Export Saks Prc•clnc,. the Srr,ice s. the i" e :nlinn a appl i.:xtion of 111 l ntd Conditions n of N'o'-: n
o
f This rran.asr on n-I... n r— ill lie i IuJine. fiat ant im,ii,d od'n,•s. :ni)u are ilr t. h _y 1. hie.! to hrearL ra on cal J,t, �ths era these tutu, r<I.lw,,sbp, s,h eh dl flora th tutu, a,d 1 t n r •t 1
tom• f_,POrt kin• li Ri, elation, w,h item, ,tar -1-1,d ir.•m tla I.',iiad r S,fi,, I: .."dons_ ,iti, Ill, \\mk uJ'ng, w the toll c n, pen, lied 1" applic blc Ian nix;,nns!„ps nth thud pat,,, �tori.:>
F,ry.n Wn I I -n R-
u. ,n I Iry _ilr 1 i tell St—, Ill,, ,r pr.+h:i• led hrreR I s :.Il,r ur fit,
\n., aR' lis.n•• urarkcl n; kcr'1 an ,e.,. f,p •,'i \lit I, ft. Rl i()t.
'I .11 1 ,f Ilf)V 1?f \N in' S)! :I I I:It, C1'S1 Mf I'll TliF'! HOW[) 1 ti! S 1 \'lll.l II)
IN; rtes 1 -111A1 I 1 Li 1' [fly \UI \tom Alt i ii ,rh!, a cl fli h :i r_-tcu p ,h, R'i,s f ,1::-
(li :mu u d s loot 1,1;,l t U, n ,nut".1 urea f I., I' od-i purahc —d I, C„-IV, h--di,, and ill, e Amer' .rh't afion i, I It h ,,l,1 n F
�h, y a:
ram c„ tisrul a a ti o,s ,.f hs antra. wr<r, lint S,11,; <I t milli tc, in punha, ,g 11 e I'loJuen, Customer ,s 6,mg taill ha, it r ght ro •t "ate that C ,r ilr b, hats a!ur) fn I hat ,Ira
ar il e. rniariunr; h 'I can) iti slily raid not Iy„1, 1 ,tmrntent ,t ni. 1. 1. tilts, s. ccpl n, i,ro,.dcd for n ihr appiic ll u:f i, anon etc. o by u s la :Ise }'nrl6rr, JI
i ih,> t trx nn, 'pre enittp the Product flat n be pro,' J,J by dia ,r it, }(f,l,ate L 1. L:;R AND 11'1 AFIIL'tAILS aoi have the riahl m pis rUCi Pale. a, rrprr enraU,e u rzJ cr u( an) c1a of rail —ills prrnxi u"n¢ to It.
t ('lu nn
s ,a, r me
131;1<LRt' \P SSLI OISCL.U:\i NIA. WARRANT WS I -[DIEM L \PRESS OR IMPLIED, 111 LIED 10 +fuifhsta;td ileum aho"ce nflaupn ncladcd in nc�se'Iennc mild Cordric ns i,.,hirrano -ae•e :met, i- auh es a
Pit1l (Lc t'1. INC'LUUI \G. RI -I' NOT LI MI'['EO l0. ANT' R'.A It RAN IY OF 'I'I'ILL. ACC(iRAM thr Feder al Ar' tratmn Ant') I, S C A Iii 6 1. Ih,• arbtrats all It I, pix..e etcl„isdy 1 I,' ca n, 111, A
11; it1:' IIA \'tAII11, 11'\'OI<f17NF.SSF'ORA IIAR'I'ItII.nR PURPO\ f;, t\'.- IItR ,tNI Of'NO \I \I'RINGL \I}iN'I. ob. lu,mgj,t m:lf cflwudoutfit III, atr dr -n —jh; ti�orl. traR :i.,I I';n tart' .,!s,f' 01.
z
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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
CDW Government, Inc Purchase Order No.
75 Remittance Dr
Terms
Suite 1515
Chicago, IL 60675 -1515 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/3/2009 NRP4040 payment for scanner for Lab 110.95
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 DW Government, Inc IN SUM OF
75 Remittance Dr
Suite 1515
Chicago, IL 60675 -1515
110.95
ON ACCOUNT OF APPROPRIATION FOR
police general number
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
D T. I hereby certify that the attached invoice(s), or
1 NRP4040 9 110.95 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
April 10, 2009
1 7�V/Ixt
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund