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170552 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 361527 Page 1 of 1 ONE CIVIC SQUARE REGAL PRINTING CHECK AMOUNT: $41.05 CARMEL, INDIANA 46032 ash CRADLE DR CARMEL IN 46032 CHECK NUMBER: 170552 CHECK DATE: 4/1/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230000 26035 41.05 OFFICIAL FORMS i I c oho 485 Gradle Drive Carmel, IN 46032 Invoice Number Invoice Date i 26035 03/16/2009 a 317.844.1723 317.844.3621 fax regalprinting.net Sales Rep: Alan Weaver design print mail more Customer#: 2607 Page: 1 BIII Carmel Police Department Ship Carmel Police Department To: 3 Civic Square To: 3 Civic Square Carmel, IN 46032 i Carmel, IN 46032 i Tel: (317) 571 -2548 Fax: (317) 571-2512 j Terms Customer's Phone Customer Contact Purchase Order Customer Service Rep. COD (317) 571 -2548 Robert Robinson Dave Quantity Descriptioni Sub -Total 1,500 ,Miscellaneous Ordinance Violation Deferral Prog. 41.05 i I �I Ship Via Sub -Total Sales Tax 7 1 Freight Charges Deposit TOTAL AMOUNT DUE Will Call 41.05 7.000 0.00 0.00 2 Thank Uou for Uour order! Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Regal Printing Purchase Order No. 485 Gradle Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3116109 26035 a ent for ordinance violation deferral program 41.05 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 R egal Printing IN SUM OF 485 Gradle Drive Carmel, IN 460 -?32 41.05 ON ACCOUNT OF APPROPRIATION FOR p olice general fund Board Members PO# or INVOICE NO. ACCT /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 26035 300 41.05 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 March 25 2009 J) -4. j4 Signature Chief Q_f Pol i c_e_ Title Cost distribution ledger classification if claim paid motor vehicle highway fund