172560 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00352377 Page 1 of 1
ONE CIVIC SQUARE STOPTECH LTD CHECK AMOUNT: $2,428.75
o CARMEL, INDIANA 46032 365 INDUSTRIAL DRIVE ATTN: JAMIE FOWEE CHECK NUMBER: 172560
HARRISON OH 45030
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUN PO NUMBE INVOICE NUMBER AMOUN DESCRIPTION
`1110 4239011 33451 2,428.75 SPECIAL DEPT SUPPLIES
@StoPTRh Invoice
365 Industrial Drive
Harrison. OH 45030 Date Invoice
Phone 513 202 5500 Fax 513 202 0240 4/28/2009 33451
www.stoptechltd.com
Bill To: Ship To:
INCARMELPD Carmel Police Department
City of Carmel Police Department Jason Ogle
Teresa Anderson 3400 West 131 st Street
3 Civic Square Carmel, IN 46074
Carmel, IN 46032
P.O. Number Payment Terms Rep Ship Via Due Date Project
20118 Net 30 BJ 4/28/2009 UPS Ground 5/28/2009
Quantity Description Price Each Amount
6 S3012K STOP STICK RK 9' Black X 399.00 2,394.00
1 S9999 Shipping 34.75 34.75
Serial number listing is on packing list
Thank you for your order Total $2,428.75
INDIANA RETAIL TAX EXEMPT PAGE
C� II Carmel CERTIFICATE NO. 003120155 002 0
+Jl PURCHASE ORDER NUMBER
:r Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 )(11 R
3 Q SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FOFNM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
A 2 2009 stop sticks
VENDOR Stop Tech Ltd SHIP City of Carmel Maintenance Facility
365 Industrial Drive TO .3400 W 131st Street
Harry #son, OH 45030 Westfield, IN 46074
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
6 53012K 9' Stop Sticks 399.00 2,394.00
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Send Invoice To: City of Carmel Po h
ATTN: Teresa Anders ��e z
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 390 -11 special departmental supPAIM
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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
THIS APP OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 00
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 1 i
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief Of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 0 1 CLERK TREASURER
DOCUMENT CONTROL NO 'COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCH ER_�0. WARRANT NO.,
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
j
Board Members
PO# or 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
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
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
StopTech Purchase Order No. 20118F
365 Industrial Drive Terms
Harrison, OH 45030 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/28/09 33451 payment for stop sticks 2,428.75
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
Sto,p IN SUM OF
365 Industrial Drive
Harrison, OH 45030
2,428.75
ON ACCOUNT OF APPROPRIATION FOR
p general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20118E 33451 390 -11 2,428.75 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
May 7 2009
0&4
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund