212382 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00352377 Page 1 of 1
0 ' ONE CIVIC SQUARE STOPTECH LTD CHECK AMOUNT: $362.25
CARMEL,INDIANA 46032 365 INDUSTRIAL DRIVE
o�Lo ATTN:JAMIE FOWEE CHECK NUMBER: 212382
HARRISON OH 45030
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239011 26226 40478 362 . 25 STOP STICK TRAINING K
*StOPT(a Invoice
365 Industrial Drive
Date Invoice#
Harrison. OH 45030
Phone# 513 202 5500 Par# 513 202 0240 8/8/2012 40478
www.stoptech Itd.com
Bill To: Ship To:
INCARMEL13D Carmel Police Dept
Carmel Police Dept Lt Bickel
Teresa Anderson 3 Civic Sq.
3 Civic Sq. Carmel. IN 46032
Carmel_ IN 46032 USA
USA
P.O. Number Payment Terms Rep Ship Via Due Date Project
26226 Net 30 BJ 8/8/2012 UPS Ground 9/7/2012
Quantity Description Price Each Amount
2 S9001 K-Training Kit-9'w/o Bag 170.00 340.00
1 S9999-Shipping 22.25 22.25
Thank you for your business.
Total $362.25
INDIANA RETAIL TAX EXEMPT PAGE
City ®f. Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
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
SI t 2
Map Tech Comol Palle Dopmtmont
VENDOR SHIP 3 Civic Squm
Industrid DPIva TO Carmol, IN 4
Harrison, OH 4 (397 g7�
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT
Account y UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42Di- .11
2 Each shipping $17.73 $35.50
2 Each Stop Stick Training Kit A(g'sle'eve) S8001 K $170.00 $340.00
Sub Total: $375.50
•C
Send Invoice To:
Carmoi Pallco Dopmrnont
Attn:Toms&Andolsan
3 Civic Squ@
Camol, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. f — $375,50
�—. PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATIO FFICIENT TO AY-FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,,�/�®/}�all�®
SHIPPING LABELS. 1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I�nfi
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 2 2 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _ WARRANT
ALLOWED 20
IN THE SUM OF$
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))
08/08/12 40478 payment for stop sticks $362.25
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 NO.
ALLOWED 20
Stop Tech
IN SUM OF $
365 Industrial Drive
Harrison, OH 45030
$362.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26226 I 40478 I 42-390.11 I $362.25 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 23, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund