208587 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366173 Page 1 of 1
ONE CIVIC SQUARE ACCLAIM PRESS
CARMEL, INDIANA 46032 FBINA 75TH ANNIVERSARY BOOK CHECK AMOUNT: $67.95
PO BOX 238
CHECK NUMBER: 208587
MORLEY MO 63767
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239002 4131207 67.95 REFERENCE MANUALS
PO Box 238 INVOICE
Morley, MO 63767
(573) 472 -9800
TM www.acclaimpress.com Invoice 04131207
Acclaim Press
Bil1 To.: Ship
Tim Green Carmel Police Department
Carmel Police Department Attn: Teresa Anderson
Attn: Teresa Anderson 3 Civic Square
3 Civic Square Carmel, IN 46032
Carmel, IN 46032
SALESPERSON PO SHIP VIA SHIP DATE TERMS DATE PG.
Randy Baumgardner 28124 U.S. Mail Net 30 4/13/12 1
QTY. DESCRIPTION ITEM NO. PRICE UNIT DISC EXTENDED TX.
2 FBINAA -Other FBINAA -Other $59.95 50% $59.95
Sale Amt.: $59.95
Thank you! Frieght: $8.00
Sales Tax: $0.00
Total Amt.: $67.95
Paid Today: $0.00
Balance Due: $67.95
INDIANA RETAIL TAX EXEMPT PAGE
C ity d o h li li armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 28924
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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4699 X92
Acclaim pmss Carmel Police Department
VENDOR BINA 75th Anniveraay Booh SHIP 3 CIVIC square
P.O. Box 238 TO Camel, IN 482
Morley, 90 13787 (39 B) 571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
Accou UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 g 2 .p .02
9 Each shipping charges $8.00 $8.00
9 Each 75th Anniversary Commemorative Book $59.05 $59.95
Sub Total: $57.95
n 4
Send Invoice To:
Camel Pollco Mpartmont
Attn: Torwa Andemon
3 Civic Square
Camel, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $87.95
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 T AT HERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRI I FFICIENT 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 hlo? of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 612 4 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 invoices 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))
04/13/12 4131207 FBINAA commemorative books $67.95
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
Acclaim Press
FBINA 75th Anniversary Book
IN SUM OF
P.O. Box 238
Morley, MO 63767
$67.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1110 I 4131207 I 42- 390.02 I $67.95 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, May 02, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund