212989 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00353189 Page 1 of 1
ONE CIVIC SQUARE EVIDENT CRIME SCENE PRODUCTS
CARMEL, INDIANA 46032 739 BROOKS MILL ROAD CHECK AMOUNT: $123.50
UNION HALL VA 24176 CHECK NUMBER: 212989
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 25468 70762A 91 . 50 MISC SUPPLIES
1110 4239099 25468 70762B 32 . 00 MISC SUPPLIES
te
Invoice
EV� age.1 09/11712 70762B
Crime Scene Products
739 Brooks Mill Road Phone 800-576-7606
Union Hall VA 24176 Fax 888-384-3368 Federal ID #54-1634534
I!, CARMEL POLICE DEPT CARMEL POLICE DEPT
ACCOUNTS PAYABLE/TERESA ANDERSON JOHN ELLIOTT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
o ..
=11401 /'t b 2546- / 30,
red' Rhone Nu' rrber IVIMMTI�W-rfr-w[i*I -, I .
(317) 571-25 5 1. 1 4 1 UPC
t' L U' 1
- - -- - -- EMAIL: jelliott@caxmel. in-. gov - --
• • .. .-
1 0 1 3641 Zinc Chloride Fingerprint 32. 00-- 32. 00
Reagent - 8 o7. HFE-7100
premix
OPENING BALANCE FOR THIS ORDER $ 91. 50
MERCHANDISE INVOICE TOTAL $ 32. 00
INVOICE TOTAL $ 32. 00
PAYMENT DUE: $ ON 10/11/12
EVB►,�f
j F_Crime Scene Products 1 09/10/12 70762A
739 Brooks Mill Road Phone 800-576-7606
Union Hall VA 24176 Fax 888-384-3368 Federal ID #54-1634534
• CARMEL POLICE DEPT CARMEL POLICE DEPT
ACCOUNTS PAYABLE/TERESA ANDERSON JOHN ELLIOTT
' 3 CIVIC SQUARE 3 CIVIC SQUARE'
CARMEL, IN 46032 CARMEL, .IN 46032
paichase • -
7iCreditCard Num
1140 /TB 25468 PIN/ NET 30, DUE: 10/10/12
1 17 MM7 I (317 ) 571-25. 5 2. 51 4 1 UPC
If ATTN: JOHN ELLIOTT
EMAIL. jelliott @carmel. in. gov
2 0 2 3157 Snow Print Powder 25. 50-- 51. 00
1 0 1 1082 Dual Orange Magnetic Powder - 12. 00-- 12. 00
2 oz. wide
1 1 0 3641 Zinc Chloride Fingerprint 32. 00-- 0. 00
Reagent - 8 oz. HFE-7100
premix
2 0 2 5136 1 - Credit Card Size Scale 2. 00-- 4. 00
2 0 2 5172 1 - Magnetic Credit Card Size 2. 00-- 4. 00
Scale
2 0 2 1025 Black Fingerprint Powder - 2 5. 25-- 10. 50
OZ.
1 0 1 9102 Compact Case - Large 10. 00-- 10. 00
1 0 1 FREESHIP Free Snipping Promo 0. 00-- 0. 00
9/10/12-9/21/12
1 0 1 DUPLICATE MAIL DUPLICATE INVOICE 0. 00-- 0. 00
MERCHANDISE INVOICE TOTAL $ 91. 50
I INVOICE TOTAL $ 91. 50
BALANCE $ 91. 50 I
PAYMENT DUE ON 10/10/12
r
INDIANA RETAIL TAX EXEMPT PAGE
City o C°,�rme i CERTIFICATE NO.003120155 002 0 1�l \��..///CSJS.1i \v�l PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1-5418
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9141 92
Evident Crime Seem Products Cwmel Police DOP20I IOnt
VENDOR
SHIP 3 CIVIC Squama
739 Brooks Mill loud TO Camel, IN 46M
Anion Hall,VA 24176.4M yy,
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .E
2 Each Snm Print Pmmder 3157 $25.50 $51.00-.//
1 Each Dual Orange Magnetic Powder-2 oz 1082 $12.00 $12.00✓/
1 Each Zinc Chloride Fingerprint Reagent HFE- , ;�; .." -X900 ff; , $32.00 $32.00✓
.. _
. . ' r
2 Each Cr::dst Card Sipe Scale t£.. $2.00 $1.00//
2 Each Magnetic Credit Card Size S� #�:?e ���`` � 'r °a $2.00 x.00
s. /
2 Each Salck Fingerprint Pavuder-:2` _:.. .. 102 $a� � µ° $5.25 $10.51 ,l
9 Each Compact Care -large ` ' '`a 0102
p 0 °�;-.. ".� v°.`� ? $90.00 $10.00
Serb Total: $123 50
b ..
Send Invoice To: ..
Attn:Tcrsaa Ands mom
3 CIVIC Spin
Carmel, IN 46W-- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cwmel Police Deem. j]a PAYMENT $123.50
JJJ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
j r NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
j VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY,THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• 1 �J
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J 7
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. lef of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
25468 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO,CLERK'S OFFICE
I
VOUCHER NO.
ALLOWED 20
IN THE SUM OF$
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
20
.-.......-...--..................-...-_.........---.........................._.......................
Signature
-----------........_.......... ....-.-..........................-....._-............_._........................._....................
...-...........-__ .
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Evident Crime Scene Products
IN SUM OF $
739 Brooks Mill Road
Union Hall, VA 24176-4025
$123.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25468 70762A 42-390.99 $91.50 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
25468 70762B 42-390.99 $32.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, September 19, 2012
ell I 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))
09/10/12 70762A lab supplies $91.50
09/11/12 707628 lab supplies $32.00
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