175920 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00350512 Page 1 of 1
ONE CIVIC SQUARE TEN -8 INC
j CARMEL, INDIANA 46032 1838 E INVERNESS CIRCLE CHECK AMOUNT: $1,175.00
COLUMBIA CITY IN 46725 -7504
CHECK NUMBER: 175920
CHECK DATE: 816/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER A DESCRIPTION
1110 4230200 21049 72209A 1,175.00 PLANNERS
TEN -8, INC. INVOICE
1838 E. Inverness Circle
Columbia City, IN 46725
1- 877- 783 -3544 Fax 260 244 -4147
DATE SHIPPED INVOICE DATE INVOICE No. PURCHASE ORDER No. PAYMENT DUE
7/22/2009 7/22/2009 072209A 8/21/2009
Sold To: Quantity Item No. Color Product Description Price Total
City of Carmel Police Department 1St 50-) 50 PSP10 Blue 2010 Public Safety Planner 10.00 500.00
3 Civic Square over 50-> 135 PSP10 Blue 2010 Public Safety Planner 5.00 675.00
Carmel, IN 46032
T
Ship To: H
Same as above A
Attn: Vicki Bailey N
K
Order Date: y sub Total: $1,175.00
7/13/2009 O Shipping 0.00
Ordered By Phone: U Sales Tax 0.00
Vickie Bailey by phone ITOTAL 1 $1,175.00
317 -571 -2523 O
For Vendor Office Use Only: Imprint Instructions: Assembly Instructions:
Ship By: Use Bright Gold Foil. 7/16" black binding wire.
Payment Received: Same Imprint As 2009 Planner.
Check No.:
RF:
i
I
Jl. Carmel INDIANA RETAIL TAX EXEMPT PAGE o II CERTIFICATE NO. 003120155 002 0 1 Of 1
Ci `ll PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21049
31ME CIVIC SQUARE FHBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS,
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
July 14, 2009 planners
VENDOR Ten -8, In SHIP City of Carmel Police Department
1868 E. Inverness Circle TO 3 Civic Square
Columbia. City, IN 46725 Carmel, IN 46032
BLANKET
CONFIRMATION CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
50 2010 Public Safety Planners 10.00 500.00
135 2010 Plabbic Safety Planners 5.00 575.00
;I
a
4.
U.
Send Invoice To: City of Carmel Pol. e�
ATTN. Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 1,175.00
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1110 301 officeesupplies 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 UNOBUGATED BALANCE IN
SHIP REPAID:
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
�P
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. Amm
PUR CHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS, Chi of Police
f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO.
A. COPY SIGN AND RETURN TO CLERK'S 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
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
Ten- -8, Inc. Purchase Order No. 21049F
1838 E. Inverness Circle Terms
Columbia, City, IN 46725 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/22/09 72209A payment for planners 1,175.00
Total
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
D&-n-8, Inc. IN SUM OF
1838 E. Inverness Circle
COlumbia City, IN 46725
1,175.00
ON ACCOUNT OF APPROPRIATION FOR
po general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21049 72209A 302 1,175.00 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
July 29 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund