177770 09/29/2009 CITY OF CARMFL, INDIANA VENDOR: 362786 Page 1 of 1
s e ONE CIVIC SQUARE MODERN MARKETING CHECK AMOUNT: $1,051.21
1G CARMEN, INDIANA 46032 DEPT 5343
4 PO BOX 4228 CHECK NUMBER: 177770
HOUSTON TX 77218 -4228
CHECK DATE: 912912009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NUMBER A MOUNT DESCRIPTION
1110 4342100 21096 MMI068015 10.53 PROMOTIONAL ITEMS
1110 4345002 21096 MMID68015 197.50 PROMOTIONAL ITEMS
1110 4342100 21096 MMI068016 18.53 PROMOTIONAL ITEMS
1110 4345002 21096 MM1068016 222.50 PROMOTIONAL ITEMS
1110 4342100 21096 MMI068131 12.15 PROMOTIONAL ITEMS
1110 4345002 21096 MMI068131 590.00 PROMOTIONAL ITEMS
Invoice MM1068131
t
Invo Date 9/22/2009
Order MM09238029
Fed. Tax ID: 62- 1867950 Remit payments only to the address listed below,
Direct all Ot inquiries t0: D Q1N do not send any other correspondence.
PH: 1 -8fifi- 992 -5400 K ET'I�NG Dept 5343
Fax: 972 509 -7800 PO Box 4228
Houston, TX 77210 -4228
Bill To: Ship To:
CARMEL POLICE DEPT, CARMEL POLICE DEPT.
ATTN: TERESA ANDERSON 3 CIVIC SQUARE
3 CIVIC SQUARE CARMEL IN 46032
CARMEL IN 46032
Purchase Order No. Customer ID Customer Phone Salesperson ID Payment Terms Master No..
ANN GALLAGHER MPD46032 (317) 571 -2500 102 NET 30 70,954
Ordered Shipped BfO `Item Number Description Unit Price Ext. Price
1,000 1,000 0 11058 Mood Pencils -1 Color Imprint $0.590 $590.00
Comments Tracking Info
1Z3841E90354060902 TZ 8 -27 44.00
Terms and Conditions: Subtotal $590.00
Buyer shall pay seller for the goods in the amount stated on the face of this invoice within 30 days of the date Tax $0.00
of this invoice. Late charges shall accrue at the rate of 1.5% per month or at the highest rate allowed by law.
Such interest shall commence on the 31st day from the date of this invoice. -Buyer agrees to pay seller's Shipping /Handling $12.15
collection costs, for any delinquent amount, whether or not a lawsuit is filed, including reasonable attorneys'
fees. -The agreement between the parties and all terms and conditions contained herein, shall be governed Total $602.15
by laws of the State of Tennessee without reference to any conflicts of law provisions.
www.masmodernmarketing.com
Invoice MM1068015
I nvoice Date 9/17/2009
Order MM09238030
Fed. Tax ID: 62- 1867950 Remit payments only to the address listed below,
Direct all other inquiries to A D Pli, do not send any other correspondence.
PH: 1- 866 -992 -5400 M A�D,K IT11 h G Dept 5343
Fax: 972- 509- 7800�'�� PO Box 4228
Houston, TX 77210 -4228
Bill To: Ship To:
CARMEL POLICE DEPT. CARMEL POLICE DEPT.
ATTN: TERESA ANDERSON 3 CIVIC SQUARE
3 CIVIC SQUARE CARMEL IN 46032
CARMEL IN 46032
Purchase' Order'. No Custom4r ID Customer Phone Salesperson JD Payment Terms Master No
ANN GALLAGHER MPD46032 (317) 571 -2500 102 NET 30 70,986
,:L]rtlefeLl,: t31V Iief11W1VUmger uCa��iNUVr i L, '�!i 2 t:.._P
V.
250 250 0 16021 Fingerprint Cards Police $0.790 $197.50
W
a
o
Comments Tracking Info
963 FED EX041468570468847
TZ 8 -27 44.00
Terms and Conditions: Subtotal
$197.50
Buyer shall pay seller for the goods in the amount stated on the face of this invoice within 30 days of the date Tax $0.00
of this invoice. Late charges shall accrue at the rate of 1.5% per month or at the highest rate allowed by law.
Such interest shall commence on the 31st day from the date of this invoice. -Buyer agrees to pay seller's Shipping /Handling $10.53
collection costs, for any delinquent amount, whether or not a lawsuit is filed, including reasonable attorneys'
fees. -The agreement between the parties and all terms and conditions contained herein, shall be governed Total $208.03
by laws of the State of Tennessee without reference to any conflicts of law provisions.
www.masmodernmarketing.com
Ihvo€ce MM1068016
Date 9/17/2009
Order MM09238031
Fed. Tax ID: 62- 1867950 u t� ;.f Remit payments only to the address listed below,
Direct all other inq uiries t0: fT1 v ltfl do not send any other correspondence.
a t ,�r De t 5343
PH: 1 -866- 992 -5400 A A) AaK E }T 1'H G p
Fax: 972 -509 -7800$ PO Box 4228
Houston, TX 77210 -4228
Bill To: Ship To:
CARMEL POLICE DEPT. CARMEL POLICE DEPT.
ATTN: TERESA ANDERSON 3 CIVIC SQUARE
3 CIVIC SQUARE CARMEL IN 46032
CARMEL IN 46032
Purchase Order Customer ID Customer Phone Salesperson ID Payrrment Terms Master No
�s
ANN GALLAGHER MPD46032 (317) 571 -2500 102 NET 30 70,965
Order66- Ship Neu e/p �teni';NUFr�t)ef ry •Dzs��ipt�or uriiirr��C E:.t ?rice-
250 250 0 19000 Neon Erasers $0.890 $222.50
1' 1 0 636 $25 Outback Steakhouse G €ft Certificate to .000
k
o
f,
t.
e
Comments Tracking Info
1090 FED EX041468570470284
1Z1254400342243243 TZ 8 -27 44.00
Terms and Conditions: Subtotal $222.50
Buyer shall pay seller for the goods in the amount stated on the face of this invoice within 30 days of the date Tax $0.00
of this invoice. Late charges shall accrue at the rate of 1.5% per month or at the highest rate allowed by law. Ship ping/Handlin g
Such interest shall commence on the 31st day from the date of this invoice. -Buyer agrees to pay seller's $18.53
collection costs, for any delinquent amount, whether or not a lawsuit is fled, including reasonable attorneys'
fees. -The agreement between the parties and all terms and conditions contained herein, shall be governed Total
by laws of the State of Tennessee without reference to any conflicts of law provisions. $241.03
www.masmodernmarketing.com
INDIANA RETAIL TAX EXEMPT PAGE
Qi o Carmel CERTIFICATE NO. 003120155 002 0 J�. PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 a
3 PAE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
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
Au uat 27 2009 promotional items
VENDOR Modern Marketing SHIP City of Carmel Department
Dept 5343 TO 3 Civic Square
P.O. Box 4228 Carmel., IN 46032
Houston, TX 77210 -4228 ATTN: AAnn Gallagher
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1,000 11052 mood pencils .59 590.00
250 1.6021 fingerprint cards child .79 197.50✓
250 19000 neon erasers .89 222.50:✓
shipping 81.00
4
a t!� iill i
450 -02 $1,010.00
A, 9.
w
-4
K
.,_..r""" f •.Fyn" s
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
.vu
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 421 postage PAYMENT
2 1 1.0 450 -02 promotional and special Alp VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
pritjjkj gg NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
ff V VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
EP A C.O.D. PMENTS CANNOT BE ACCEPTED. l
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP RID. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
I� CLERK TREASURER
DOCUMENT CONTROL NO. A.P. 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
Modern Marketing Purchase Order No. 21096 f'
Dept 5343 Terms
P.O. Box 4228
Houston, TX 77210 -4228 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/17/09 MM1068015 payment for profhotional items 208.03
9/17/09 MMI068016 payment for promotional items 241.03
Total
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
VO!JCHER NO. WARRANT NO.
ALLOWED 20
Modern Marketing IN SUM OF
Dept 5343
P.O. Box 4228
Houston, TX 77210 -4228
_jI
ON ACCOUNT OF APPROPRIATION OR
police general;
Board Members
Poft EP or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
21096' I06801 421 18.53 bill(s) is (are) true and correct and that the
21096 MM106 15 421 10.53 materials or services itemized thereon for
21096 I 8015 450 -02 197.50 which charge is made were ordered and
21096 068016 450 -02 222.50 received except
September 25 20 09
Signature
Chef`of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund