171946 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362786 Page 1 of 1
ONE CIVIC SQUARE MODERN MARKETING
s 0 CHECK AMOUNT: $611.02
CARMEL, INDIANA 46032 DEPT 5343
PO BOX 4228 CHECK NUMBER: 171946
HOUSTON TX 77210 -4228
CHECK DATE: 4/29/2009
D EPARTMENT ACCOUNT PO NUMBER IN NUMBER AMO UNT DESCRIPT
1110 4345002 20091 590.00 PROMO ITEMS
`1110 4342100 MMI064292 21.02 POSTAGE
Invoice MM1064292
B vo me Date 4/8/2009
Order MM09083012
Fed. Tax ID: 62- 1867950 l Remit payments only to the address listed below,
Direct all other inquiries to: do not send any other correspondence.
PH: 1- 866 992 -5400 MODERN Dept 5343
MARKETING, inc PD BOX 422$
Fax: 972 509 -7800
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
'PurchaseOrder.No "'CustomerlD Customer,Phone
Salesperson ID Pa'Wment Terms Master No
20091 /ANN GALLAGHER MPD46032 (317) 571 -2500 102 NET 30 67,110
Ordered Shi _P, n s .UnitPnce Ext6Price
pped B /O, Item Number Descn tio'
1,000 1,000 0 11058 Mood Pencils -1 Color Imprint $0.590 $590.00
1 1 0 577 $25,Applebee's Gift Certificate $0 000 $0;00.
Comments Tracking Info
1090 FED EX041468570315172
1Z1254400341721399 TZ 3 -24 1.27.01
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 $21.02
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 $611.02
by laws of the State of Tennessee without reference to any conflicts of law provisions.
www.masmodernmarketing.com
C���� INDIANA RETAIL TAX EXEMPT RE 1 Of 1
(Q� �(y CERTIFICATE NO. 003120155 002 0
PU RCHASE l�, r 1 y PURCHASE ORDER NUMBER
1 Police Department FEDERAL EXCISE TAX EXEMPT
1 35- 60000972 20091
3 NMCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/I
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIP:
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
IRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Aril 1, 2009 1 p
Modern Marketi SHIP
✓ENDDR g T City of Carmel Police Department
P.O. Box 4228 3 Civic Square
Houston, TX 77210 -4228 Carmel, IN 46032
ATTN: Ann Gallagher
)NFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION F, UNIT PRICE EXTENSION
1000 text messaging lingo 16083 -MIS5 .35 350.00
1000 mood pencils 11058 .59 590.00
t
I
Send Invoice To:
3,
PLEASE INVOICE IN DUPLICATE 940.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 450 -02 promotional specs pr NT
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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
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.
2 CLERK- TREASURER
DOCUMENT CONTROL NO VENDOR COPY
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
j 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, Inc. Purchase Order No. 20091F
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))
419109 MM1064292 p ayment for pencils 611.02
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
M odern Marketing, Inc.
Dept 5343 IN SUM OF
P.O. Box 4228
H ouston-,, TX 77210 -4228
611.02
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
1110 MMI064292 421 21.02 bill(s) is (are) true and correct and that the
20091F 'MMI064292 450 -02 590.00 materials or services itemized thereon for
which charge is made were ordered and
received except
April 21 2009
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund