209095 05/22/2012 "wf CITY OF CARMEL, INDIANA VENDOR: 056600 Page 1 of 1
ONE CIVIC SQUARE CHANNING L BETE CO, INC
CARMEL, INDIANA 46032 PO BOX 84 -5897 CHECK AMOUNT: $317.19
BOSTON MA 02284 -5897
CHECK NUMBER: 209095
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 52487826 317.19 PROMOTIONAL PRINTING
Ch anning One Community Place
South Deerfield, MA 01373 -0200 INVOICE DATE INVOICE NO. PAGE
B 1-600- 322 3564.1- 413 -665 -7611 0-5/03/12 5 2 4 8 7 8 2 6 1
C O M P A N Y S custsvcs @channing bete.com
Receiving ORIGINAL INVOICE
SHIP TO Carmel Police Department CUSTOMER PURCHASE ORDER NO.
3 Civic Sq
Carmel IN 46032 46150
SHIP DATE TERMS
05/03/12 Net 30 Days
Teresa Anderson Customer: 11430921
SOLDTO Accounts Payable OrderNbr: 30173060 SO
Carmel Police Department
3 Civic Sq
MESSE_P Carmel IN 46032
QUANTITY DESCRIPTION ITEM NO. UNIT PRICE EXTENSION
150 WE LRN ABT POLICE OFFCR STK B 58984 1.940 291.00
1 SHIPPING HANDLING CHARGE 904905 26.190 26.19
S�zbtotal 317
Sales Tax .00
Total Amount Due 317.19
City ®f Cl CE INDIANA TAX EXEMPT
RTTIFICA E 0 0 NO. 3120155 2 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 46`1559
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
49rA92
Chaining Moto Company C@rmol POilco Department
VENDOR r SHIP 3 Civic Squm
Ono Community Place TO Carmel, IN 46032
South ®oerflold„ AAA 09 373-7= 599
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43450.02
1 Each shipping charges $26.19 $2819
150 Each We Learn About Police Officers 58984 $1.94 $291.00
Sub Total: $319.19
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Quote 00190410 CO g
Send Invoice To:
Cartel POliso Department
Attn: Tomsa Anderson
3 Civic Squam
Cannol, IN 46032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. r PAYMENT M17.99
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
THIS APPROPRIATION SUFFIC ENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. hi1CY 8 1 ®Ii�B
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE t"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
q CLERK- TREASURER
DOCUMENT CONTROL NO. Z 6 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.
ALLOWED 20
IN THE SUM OF
r
i
I
I
ON ACCOUNT OF APPROPRIATION FOR
t
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Channing Bete Company
IN SUM OF
One Community Place
South Deerfield„ MA 01373 -7328
$317.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
46150 I 52487826 I 43- 450.02 I $317.19 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
Thursday, May 17, 2012
Chief of Police
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))
05/03/12 52487826 promotional items $317.19
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