211812 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 355036 Page 1 of 1
ONE CIVIC SQUARE INTERNATIONAL PAPER
CARMEL, INDIANA 46032 PO BOX 644095 CHECK AMOUNT: $940.21
PITTSBURGH PA 15264-4095 CHECK NUMBER: 211812
ON
CHECK DATE: 8114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 26100 7193171237 940 . 21 24 X 48 SHEETS
I NTERNATIONAL(&PAPER INVOICE
International Paper CUSTOMER NO OUR CUSTOMER NO INVOICE#
2900 North Franklin Road 0000501001 100492 7193171237
Indianapolis, IN 46219 INVOICE DATE INVOICE DUE DATE
Phone: 317-357-2900 3/22/2012 4/21/2012
Fax: 317-356-4413 DISCOUNT DUE DATE ALLOWED DISCOUNT$
4/1/2012 9.40
PAYMENTTERMS
1% 10 AD[, NET 30 ADI
REMIT TO ADDRESS SOLD TO
International Paper City of Carmel Police Dept.
PO Box 644095
Pittsburgh, PA 15264-4095 DO NOT MAIL
Em- - 111'', Jlsamzi
e 2 • • •
01 1
BOL NO SHIP TO ADDRESS TRANSPORTER VEHICLE ID SHIP DATE
7193138678 City of Carmal Police Dept. FAB 4633 3/22/2012
Attn. Lt.Dwight Frost
9609 Hazeldell Parkway
Indianapolis
IN-46280
OUR COL PO#26100
54033-1
PRODUCT 24 X 48 SHEET
209908 Sheet 24 x 48 449.00 Per 1000 Pce Pce 2,094 C 940.21
TOTAL: $ 940.21
CODE C-COMPLETE P-PARTIAL
This sale is subject to terms and conditions of sale as stated in our general terms and conditions of sale as part of this transaction printed on the back of this sheet.
The seller hereby certifies that such of the goods covered by this invoice,as were produced by the seller,were produced in compliance with the Fair Labor Standards Act,as amended.
Fri.Aug 03,2012 11:33:51AM file: wdinvoice V544R5-395146-TR Created By:PERIOD ICFUNCTION Page 1 of 1
INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
®� •������ PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2�q�
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
Intomatl®nal Papor Carmol P®Ilco Dopwtmont
VENDOR SHIP 3 CIVIC Spina
P.O. Bas;644M TO C&9G1, IN AM
Pittsburgh, PA 9628440M S?i 2
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 422 .90
2 Each 24 1(48 shoots 200008 X449.00 $898.00
Sub Totd: $898.00
t
°per ���•
a
Send Invoice To:
Cool Pollco Departmont °
Attn:Toros@ Anderu®n
3 CIVIC Squm
C@MGl, IN 4M. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
I;mel Police Dept. `� -- .�
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TI ERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATIO .UEFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
J
SHIPPING LABELS. 11IoA ®tl poIlco
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
OCUMENT CONTROL NO. 2 6 1 0®
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.---.---
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
':D
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
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))
04/21/12 7193171237 targets $940.21
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
International Paper
IN SUM OF $
P.O. Box 644095
Pittsburgh, PA 15264-4095
$940.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26100 I 7193171237 I 42-390.10 I $940.21 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, August 09, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund