207668 03/27/2012 =R,f CITY OF CARMEL, INDIANA VENDOR: 366132 Page 1 of 1
ONE CIVIC SQUARE E A M DISTRIBUTION, INC
CARMEL, INDIANA 46032 51 PACIFIC AVE, SUITE 4 CHECK AMOUNT; $1,426.00
;L T: JERSEY CITY NJ 07304 CHECK NUMBER: 207668
CHECK DATE: 3127/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230200 INV112829 126.00 OFFICE SUPPLIES
1110 R4230200 25918 INVI12829 1,300.00 BUSINESS CARD KAGNETS
EaM�is� ��u TioN IBA INVOICE
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NAT'S ORDER P02591I
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m ®a 03/13/2012
Gate
Bill to: Ship to:
Carmel Police Department Carmel Police Department
Tim Zellers Tim Zellers
3 Civic Square 3 Civic Square
CARMEL, IN 46032 USA CARMEL, IN 46032 USA
R M'���+.: �e.i E EA `+dam 11 a, v
�5,ii'1p,Methotl SH Date: Descci ti n A �.i,�l�� �JDesi n „Qty k D1sc¢uut Un1t #P „ricer ki�Total�
FEDEX GROUND 03/13/2012 20.5 Full Color Indoor Standard Magnet Laminated 84618 12,000 0.000 $0.11 $1,296.00
Master Tracking Number: 554045961230659 Click Here to Trac
Subt &tail ,.mow
$1,296.00
K T adeD ou �E 0.00 1
THANK YOU FOR YOUR BUSINESS
a g $130.00
w €w MU $0.00
Tax $0.00
t Tota i $1
INDIANA RETAIL TAX EXEMPT PAGE
C of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2W18
35- 60000972
ONE CIVIC 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
i2r49
Hagndsxtim Camol Police Dtapadment
VENDOR SHIP 3 CIVIC 9guara
59 Pacific A4tc RUG, BURG 4 I TO c2mol, IN
c9argoy City, NJ 0 (W) 57
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.00
9 Each 92,000 2 x 3.5 business card magnets $9,300.00 $4,300.00
sub Total: $9,300.00
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Send Invoice To:
Cool Felice Dap@&fflant
Attn: Torusa Andeaon 1.
3 CIVIC squam
Cwmol, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
CumQI Polico Dept. $9 30A.03
PAYMENT
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
SHIP REPAID.
THIS APPROPHIATIQN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.Q. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ltdV of P aII
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 25910 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
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 except__
20
Signature-----
Title
Cost: distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
EAM Distribution Inc. Magnets.com
IN SUM OF
51 Pacific Avenue, Suite 4
Jersey City, NJ 07304
$1,426.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# I Dept, INVOICE NO. ACCT #ITITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
25918 112829 42- 302.00 $1,426 -00
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
Wednesday, March 21, 2012
Chief of Police
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/13/12 112829 magnets $1,426.00
1 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