179758 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 363581 Page 1 of 1
0 ONE CIVIC SQUARE LYNN CARD COMPANY CHECK AMOUNT: $160.50
CARMEL, INDIANA 46032 PO Box 47
HUTCHINSON MN 55350 CHECK NUMBER: 179758
CHECK DATE: 1112412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
:1110 4230100 21248 2091109 -030 160.50 XMAS CARDS
L.�''N CAR D INVOICE CUSTOMER INVOICE DATE: PAYMENT DUE:
2091109 -030 130884 11/16/2009 12/16/2009)
P.O. Box 47
t Hutchinson MN 55350 YOUR PURCHASE ORDER NUMBER IS: 29246
(320) 587 -6920
ORDER DETAILS
SHIPPING HISTORY:
SHIP DATE SHIPPER METHOD OF SHIPMENT
11/16/2009 UPS UPS Ground
ORDER COST:
PRODUCT PRODUCT DESCRIPTION STYLE QTY UNIT PRICE AMOUNT
1-C -3 Police Winter Scene Inside Imprint 200 $0.630 $126.00
ENV Return Address 200 $0.000 $0.00
$126.00
SPECIAL IMPRINTS: $24.00
SPECIAL CHARGES DISCOUNTS: $0.00
SALES TAX: $0.00
POSTAGE HANDLING: $10.50
INVOICE TOTAL: $160.50
PAYMENTS: $0.00
AMOUNT DUE: $160.50
THANK YOU FOR YOUR ORDER! We Ioob forward to hearing from you again in the near future.
PLEASE PAY FROM THIS INVOICE NO STATEMENT WILL BE SENT!
C ity INDIANA RETAIL TAX EXEMPT PAGE
o f CERTIFICATE NO. 003120155 002 0
Car PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT 21248
35- 60000972
3 0- MCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Nova '0, 2 ]09 Christmas cards
VENDOR Lynn Card C-ompany SHIP City of Cammel Police Department
P.0 Bonx47 TO 3 Civic $Qgare
Hutchinson, 14N 55350 Carmel., IN 46032
ATTN: Pat Young
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
200 Christmas cards and envelopes 160.50
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 301 stAotonery and printed mate !5MIENT
{,r A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
f 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. �y-
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY t'r.l t t !'I t• L t —j
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
ANDACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
21 's j. V CLERK- TREASURER
DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
PUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PD# 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.___
4 r
20
Signature
Title
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
r
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
Lynn Card Company Purchase Order No. 21248F
P.O. Box 47 Terms
Hutchinson, MN 55350 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/16/OS 2091109-03C payment for Christmas Cards 160.50
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
L ynn CARD Company IN SUM OF
P.O. Box 47
1
Hutchinson, 14N 55350
160.50
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
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
November 19 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund