210354 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00350042 Page 1 of 1
ONE CIVIC SQUARE FOREMOST FIRE PROMOTIONS CHECK AMOUNT: $1,060.01
CARMEL, INDIANA 46032 1270 GLEN AVENUE
MOORESTOWN NJ 08057 CHECK NUMBER: 210354
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 26152 168490 1,060.01 PROMO ITEMS
MLJ (DOT Foremost Promotions invoice
P R O M O T I O N S 1270 Glen Ave
Educational Promotional Products for the Moorestown, NJ 08057
Public Safely Community
800 431 -3473 fax: 800- 528 -4AN7 44A �1Qje
e.
132149 6/7/2012 168490
Carmel Police Department Carmel Police Department
Ann Gallagher Ann Gallagher
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
674023 26152 April Grant Net 30
IHD ASAP pencils,sharpeners,stadium cups,flashers
Products Shipped
SKU Product Quantity Price Tax Total
AK3265 Flip Top Sharpener (2012) 250 0.84 No $210.00
SKU Product Quantity Price Tax Total
AK2000 Round Reflective Flasher Safety Light (2012) 250 1.34 No $335.00
SKU Product Quantity Price Tax Total
PCL204 Mood Pencil, Police Officers are our Friends (2012) 1000 0.25 No $250.00
SKU Product Quantity Price Tax Total
SC2201 Stadium Cups, 22 oz. (2012) 250 0.90 No $225.00
Printed: 06/07/2012 08:51 am Essent Compass Page 1 of 2
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Account 132149 Invoice 168490 Products Shipped Subtotal: $1,020.00
Remit to: Shipping Charge: $40.01
Foremost Promotions Tax: $0.00
Attn: Accounts Receivable Dept Total for Products Shipped: $1,060.01
1270 Glen Avenue
Moorestown, NJ 08057 Amount Due: $1,060.01
USA
Printed: 06/07/2012 08:51 am Essent Compass Page 2 of 2
INDIANA RETAIL TAX EXEMPT PAGE
C f 1\ rme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 162
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
5/1092
Foromoot Promotiona Calrmol Police, Doplartmont
VENDOR SHIP 3 Civic Squm
92.70 Glon Avonue TO Cumol, IN 45032
moomatown, iJ WW7 (397) 571-2
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 -450.02
1 Each shipping charges $40.01 $40.01
250 Each Stadium Cups SC2201 $0.90 $225.00
250 Each mound Reflective Flasher SaW Light 200 $1.34 $335.00v/
250 Each Flip Top Sharpener 32 $0.84 $210.0C;
1000 Each Mood Pencil °Police Officers aref �PO L2044 46 $0,25 $250.00✓
Bub Total: $1,000.01
A"
OrdorM4023 of
Send Invoice To:
Camel Pollco Oop@rtmont
Attn: Torus@ Andmon
3 Civic Squaw
Carmol, IN 45032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT 9,060.01
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 THE EJSAN UNOBLIG
SHIP REPAID. ATED BALANCE IN
THIS APPROPRIATION SUFF�ENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. p
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chl I'ollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 61 A.P.V. COPY SIGN RETURN TO CLERK'S OFFICE
VOUCHER NO._._ WARRANT
ALLOWED 20
IN THE SUM OF
S
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
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))
06/07/12 168490 promotional items $1,060.01
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 N
ALLOWED 20
Foremost Promotions
IN SUM OF
1270 Glen Avenue
Moorestown, NJ 08057
$1,060.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26152 I 168490 I 43- 450.02 $1,060.01 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, June 27, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund