209633 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 362032 Page 1 of 1
ONE CIVIC SQUARE PAPER -LITE CHECK AMOUNT: $2,599.50
CARMEL, INDIANA 46032 1711 WOOD VALLEY DRIVE
CARMEL IN 46032 CHECK NUMBER: 209633
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4467001 26893 4457 1,873.00 SCANNER
1120 4350900 4459 726.50 OTHER CONT SERVICES
PAPER -LITE Invoice
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE#
5/25/2012 4457
BILL TO T
City of Carmel .e? 4
One Civic Square
Carmel, IN 46032
Attn: Marie Doan
REMIT TO NEW ADDRESS:
1711 WOOD VALLEY DRIVE
CARMEL, INDIANA 46032
P.O. NO. TERMS DUE DATE
Make Checks Payable to Paper -Lite
Division of Mathes Assoc., Inc. 26901 Net 15 6/9/2012
DESCRIPTION QTY RATE AMOUNT
Fujitsu Scanner 6140 1 1,675.00 1,675.00
Advance Exchange Warranty for 2 additional years 2 99.00 198.00
Sales Tax (0.0) $0.00
Payments
Total $0.00
Phone Fax E -mail
Balance Due $1,873.00
812 350 -5044 317 581 -9409 nancy @gopaperlite.com
C PAGE 1 of 1
Car INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26893
35- 60000972.
3 .NZ 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
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6/14/12
VENDOR Paper -Lite, Division of Mathes Assoc.,.Inc, SHIP Hamilton County Drug Task Force
1711 Wood Valley Drive To 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 ea. Fijitsu Scanner 6140 $1,675.00 $1,675.00
8 ea. Advance Exchange Warranty for 2 additional years 99.99 198.00
hO
QUMTE bated 5/9/12
A
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7
ZVI
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d
a
Send Invoice To: Hamilton County DRug Tas Fic
3 Civic Square' <F
Carmel, IN 46032
Attn: Marie Doan
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
911 670 -01 2012 -911 PAYMENT 2012 -2 $1,873.00
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 SUFFICIENT TO PAY FOR THE ABOVE ORDER:
A
C.O.D. SHIPMENTS CANNOT BE ACCEPTED: ORDERED BY Aaron Dietz
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ma or
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
f
CLERK- TREASURER V
DOCUMENT CONTROL No- 2689 3 A.P.V. COPY SIGN AND RETURN TO CLERK 'S OFF\CE
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 except_-
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paper -Lite, Division of Mathes Assoc., Inc.
IN SUM OF
1711 Wood Valley Drive
Carmel, IN 46032
$1,873.00
ON ACCOUNT OF APPROPRIATION FOR
Project 2012 -911 Task 2012 -2
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
26893 4457 44 670.01 $1,873.00
I hereby certify that the attached invoice(s), or
I
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
Friday, May 25, 2012
ac", P_� V
Major
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))
05/25/12 4457 $1,873.00
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
PAPER -LITE Invoice
1711 Wood Valley Drive
Carmel, IN 46032 DATE INVOICE
5/28/2012 4459
BILL TO
1
City of Carmel
One Civic Square'
Carmel, IN 46032
Attn:Terry Crockett
REMIT TO NEW ADDRESS:
1711 WOOD VALLEY DRIVE
CARMEL, INDIANA 46032
P.O. NO. TERMS DUE DATE
Make Checks Payable to Paper -Lite
Division of Mathes Assoc., Inc. scanning Net 30 6/27/2012
DESCRIPTION QTY RATE AMOUNT
Scanning Labor Misc. Boxes from Fire Dept. 5,812 0.125 726.50
Sales Tax (0.0) $0.00
Payments
Total $0.00
Phone Fax E -mail
Balance Due $726.50
812 350 -5044 317 581 -9409 nancy @gopaperlite.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paper -Lite Division of Mathes
IN SUM OF
1711 Wood Valley Drive
Carmel, IN 46032
$726.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 I 4459 I 43- 509.00 I $726.50 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
.a 2012
v
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
�n 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))
4459 $726.50
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