208188 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 357074 Page 1 of 1
Q ONE CIVIC SQUARE AACTION PROMOTION CHECK AMOUNT: $814.17
CARMEL, INDIANA 46032 3206 WESTON DRIVE
KOKOMO IN 46902 CHECK NUMBER: 208188
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 8005 38.82 POSTAGE
1110 4345002 26073 8005 371.00 MISC SUPPLIES
1110 4342100 8006 31.85 POSTAGE
1110 4345002 26073 8006 372.50 MISC SUPPLIES
PO Box 7075 "Quality Products At Quality Pricing'
Kokomo, IN 46904 Promotional Products
Ph: 317 281 -9681 Corporate Apparel
aactionpromo@yahoo.com
Bill To Carmel Police Department Invoice 8006
Ann Gallagher
3 Civic Square
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
Date'Invoiced ;Invoice Due Date6. Customer PO
4/15/2012 30 Days 26073
TY Descri fion Umt Pnce• Tota'
250 SB -5083 Police Car Stressball 1.45 362.50
1 Set Up Charge 10.00 10.00
Item Total 372.50
Shipping It Handling 31.85
Sub Total 404.35
Sales Tax 0.00
Total 404.35
PO Box 7075 "Quality Products At Quality Pricing'
Kokomo, IN 46904 Promotional Products
Ph: 317 281 -9681 Corporate Apparel
aactionpromo@yahoo.com
�M•
Bill To Carmel Police Department Invoice 8005
Ann Gallagher
3 Civic Square
Carmel, IN 46032
Invoice
ALL PAST DUE INVOICES ARE SUBJECT TO A 10% PENALTY
Date Invoiced Invoice, Due Date. Customer-PO
4/15/2012 30 Days 26073
QTY.. Description Unit Price Total
150 SB102 Policeman Stressball 2.14 321.00
1 Set Up Charge 50.00 50.00
Item Total 371.00
Shipping If Handling 38.82
Sub Total 409.82
Sales Tax 0.00
Total 409.82
City, INDIANA RETAIL TAX EXEMPT PAGE
o Carmel CERTIFICATE N0.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2W773
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2123=2
A Action Promotions Carrnol Police Department
VENDOR4LngoIa Thlosing SHIP 3 CIVIC Squam
P.O. Boil 7075 TO Camel, IN 4i
Kokomo, IN 4M (317) 671
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-460.02
1 Each Set-Up Charge $50.00 $50.00
1 Each Set-Up Charge $10.00 $10.00
150 Each Police Officer Stress Relievers white Ca r l Police Department $2.14 $321.00
left ®ring
250 E @ch Pouw Car Stmes RolieuGlr bI� a mont $1.45 $382.5
Ie4toring
Sub Total: $743.5
94,
#(0)
Send Invoice To:
Carmel Polices Department
Attn: Temsa A
3 Civic Squm
Carmel, IN 48032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. Q, PAYMENT $743.50
J 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 1 HEREBY CERTIF H THERE IS A�OBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRI I UFFICI d'TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. A f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE pa o�} Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#
EP 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/15/12 8005 shipping charges $38.82
04/15/12 8006 shipping charges $31.85
04/15/12 8005 policeman stress relievers $371.00
04/15/12 8006 police car stress relievers $372.50
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
A Action Promotions '7
Angela Thiesing IN SUM OF
P.O. Box 7075
Kokomo, IN 46904
$814.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 8005 43- 421.00 $38.82 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 8006 43- 421.00 $31.85
materials or services itemized thereon for
26073 8005 43- 450.02 $371.00 which charge is made were ordered and
26073 8006 43- 450.02 $372.50 received except
Wedn sday, April 18, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund