208428 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 247475 Page 1 of 1
ONE CIVIC SQUARE PORTER LEE CORP
CARMEL, INDIANA 46032 1901 WRIGHT BLVD CHECK AMOUNT: $429.00
SCHAUMBURG IL 60193 CHECK NUMBER: 208428
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 26115 11507 429.00 BAR CODE RIBBONS
Porter Lee Corporation Invoic
1901 Wright Blvd.
Schaumburg, IL 60193 DATE JNUOICE NO.
3/26/2012 1 1 507
BILL TO SHIP TO'
Carmel Police Department Carmel Police Department
Teresa Anderson 3 Civic Square
3 Civic Square Carmel, IN 46032
Carmel, IN 46032 USA
Attn: Sgt. John Elliott
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rt;fcriase viuci rr
26115 Net 30 4/25/2012
ITEM DESCRIPTION Serial-# QTY RATE. AMOUNT:
Ribbon Desktop 4" Resin Ribbons for Zebra Desktop Printers 6 12.50 75.00
Labels W 4x5 White Barcode Labels 4" x 5" (500) 8 43.00 344.00
Shipping Shipping 1 10.00 10.00
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Phone Fax# Email Web Site Total $429.00
847 985 -2060 847 584 -0556 hollys @porterlee.com www.porterlee.com Payments /Credits $0.00
FEIN 36- 4103323
Please make check payable to "Porter Lee Corporation Balance Due $429.00
Phone (847) 985 -2060
INDIANA RETAIL TAX EXEMPT PAGE
C i t y o f Carme .I CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2��9�
35- 60000972
ONE 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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3b27=2
Poder LG@ Corpora4ion Cumol Police Department
VENDOR SHIP 3 CI Squaw
TO
i M9 VMght ®oulev&d Carmel, IN 46032
Schaumburg, IL 0011 (3951) 679 0
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42D.N
6 Each black bar code ribbons table top zebra $12.50 $75.00
S Each white labels 4 n 5 $43.00 $3".00
Bab Totol: $410.00
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Send Invoice To:
Carmel Rolle® Department
Attn: Torras@ Anderson
3 CIVIC Squm
Camel, IN 4132- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. C'S PAYMENT 5499.00
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 S�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 C 6 P Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO- 26115 A.P.V. 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
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))
03/26/12 11507 lab supplies $429.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Porter Lee Corporation
IN SUM OF
1901 Wright Boulevard
Schaumburg, IL 60193
$429.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26115 I 11507 I 42- 390.99 I $429.00 1 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
Wednesday, April 18, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund