180828 12/30/2009 (2) CITY OF CARMEL, INDIANA VENDOR: 363737 Page 1 of 1
ONE CIVIC SQUARE HAYWOOD PRINTING COMPANY INC
CARMEL, INDIANA 46032 PO BOX 440 CHECK AMOUNT: $52.52
LAFAYETTEIN 47902 -0440
CHECK NUMBER: 180828
CHECK DATE: 12/30/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 85453 52.52 AMMUNITIONS ACCESSO
D 85453 1
lEDIIB��TTING COMPANY, INC. 96@0mgm
300 North 5th Street PO Box 440 2/09/09
Lafayette, IN 47902 -0440 765- 742 -4085
BILL TO: SHIP TO:
CARMEL POLICE DEPARTMENT LAWRENCE POLICE DEPARTMENT
3 CIVIC SQUARE 9530 E 59th STREET
LT. DOUGLAS FROST. SGT. MIKE LAIR
CARMEL IN 46032 INDIANAPOLIS IN 46216
o•D •moo o•D �o o�
12/07/09 CPD 003
63480 U.P.S.
MEN 0 D D
D 0 OU D 0 0•D D I�.�IR GG D D
200. 200
200 B -34 Targets 42.00
SALE AMOUNT 42.00
of
COMMENTS: MISC. CHARGES
�J For �Our BVS //>C SS SHIPPING /HANDLING 10.52
SALES TAX 0.
TOTAL
TERMS: AMOUNT RECEIVED
Net 10 Days o e e DUE
52.52
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
Haywood Printing Comapny, Inc.
Purchase Order No.
300 N. 5th Street
0 Terms
P v�uo
Lafayette, IN 47902 -0440
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/9/09 85453 payment for replacement targ 52.52
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
H aywood Printing Company, Inc. IN SUM OF
P.O. Box 440
Lafayette, IN 47902 -0440
52.52
ON ACCOUNT OF APPROPRIATION FOR
p olice generAlfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 390-10 2 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
December 18 2 0 09
Signature
Assistant Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund