172547 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00350555 Page 1 of 1
e ONE CIVIC SQUARE SIRCHIE
CARMEL, INDIANA 46032 100 HUNTER PLACE CHECK AMOUNT: $208.74
YOUNGSVILLE NC 27596 CHECK NUMBER: 172547
CHECK DATE: 5/13/2009
[DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 513019 191.45 OTHER MISCELLANOUS
1110 4342100 513019 17.29 POSTAGE
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FINGER PRINT LABORATORIES `F�xxcxB INVOICE NUMBER: 0513019 —IN
INVOICE DATE: 05/01/09
100 HUNTER PLACE SHIP DATE: 04/30/+9
YOUNGSVILLE, N.C. 27596 ORDER NUMBER: 0513019
PHONE: (919) 554 -2244, FAX: (919) 554 -2266 ORDER DATE: 04/29/09
FEDERAL ID #21- 0692770 SALESPERSON: FXCC
CUSTOMER NO.: 00— E46032
SOLD CARMEL POLICE DEPT. SHIP CARMEL POLICE DEPT.
THREE CIVIC SQUARE THREE CIVIC SQUARE
ACCTS PAYABLE /TERESA ANDERSON ATTN MAJOR LUCKIE CAREY
TO CARMEL IN 46032 TO CARMEL IN 46032
CONFIRM TO:
A SERVICE CHARGE COVERING UNPAID
ACCOUNTS 30 DAYS OLD ARE SUBJECT TO 1%
PER MONTH, OR 18% PER ANNUM.
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
20125 UPS GROUND YOUNGS PP ADD, NET 30 DAYS
CATALOG NUMBER e 3UNIT ORDERED SHIPPED��
BACK, �PRICE AMOUNT
..x.: 1
BM300 1 1 0 153.95 153.95
DESCRIPTION: BLUEMAXX STND.3- -D CELL KRYPTON
BM300CC 1 1 0 37.50 37. 5.0
DESCRIPTION: CARRYING CASE FOR BM300
PRICE INCREASE FOR FUTURE ORDERS
BM300CC IS $40.95
PLEASE VISIT OUR WEBSITE http: /www.sirchie.com
By placing this order, you are acknowledging you are a United States purchaser and agree NET INVOICE: 191.45
not to ship products internationally and /or engage in a subsequent resale leading to the LESS DISC: .00
export of these items. Certain commodities cannot be exported from the United States FREIGHT: 17.29
without specific approval from the Department of Commerce (Part 730 et seq., U.S. Export SALES TAX: .00
Administration Regulations) and /or the Department of State (22 C.F.R. 120 -130, ITAR).
Diversion contrary to U.S. law is prohibited. INVOICE TOTAL: 208.74
QUESTIONS CONCERNING THIS INVOICE, PLEASE CALL A/R
800- 815 -1649 OR EMAIL:ar@sirchie.com
CLAIMS FOR SHORTAGE MUST BE MADE WITHIN FIVE OAYS OF RECEIPT OF GOODS. RETURN NO GOODS WITHOUT OUR WRITTEN AUTHORITY NOTE: 20% HANDLING CHARGE ON RETURNED GOODS.
999.288:1
CUSTOMER INVOICE
I
C 1 4 INDIANA RETAIL TAX EXEMPT PAGE
py C CERTIFICATE NO. 003120155 002 0 1 O f 1
of a e PURCHASE ORDER NUMBER r
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR.ON INVOICES, AIP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
T 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
4/28/09
Sirchie Laboratories Carmel Police Department
VENDOR 100 HunSer. Place. SHIP 3 Civic Square
'Youngsville, NC 27596 TO Carmel, IN 96032
Fax 800 -899 -8181
Phone 800- 356 -7311
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 B14300 Sluemasz Forensic Light.Source 153.95 143.95
1 BM30OCC Gray Plastic Utility Carrying Case 37.50
LY a P
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Send Invoice To:
Carmel. Police Department t I
ATTNL Teresa Anderson
3 Vivic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 191.45
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT
1100 390 -00 lab supplies
PAYMENT
AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE "0.6:
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.
f f
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f JX a y� _4 Q 1 A_...
PURCHASE ORDER NUMBER MUST APPEAR ON ALL I
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chie of Po lice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2t I CLERK- TREASURER
DOCUMENT CONTROL NO. A 999 COPY SIGN AND RETURN TO CLERK O FFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF h
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
I
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
Tide
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
s. 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
Sirchie Fingerprint Laboratories Purchase Order No. 20125F
100 Hunter Place Terms
Youngsville, NC 27596 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/1/09 513019 payment for lab supplies 208.74
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
S iKhie Fingerprint Laboratories IN SUM OF
1 00 Hunter Place
Y oungsville, NC 27596
208.74
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20125F 513019 390 -99 191.45 bill(s) is (are) true and correct and that the
1110 513019 421 17.29 materials or services itemized thereon for
which charge is made were ordered and
received except
May 7 2009
b -Liu
Signature
Chief of Polire
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund