213879 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 366613 Page 1 of 1
ONE CIVIC SQUARE CHERISH CENTER
<. CHECK AMOUNT: $5,000.00
,+o CARMEL, INDIANA 46032 493 WESTFIELD ROAD SUITE C
NOBLESVILLE IN 46060 CHECK NUMBER: 213879
CHECK DATE: 10/2312012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4359003 25498 342014 5, 000 . 00 INVESTIGATIVE SUPPORT
7n�
Cherish
Date 10/8/2012
Invoice # 342014
Chief Tim Green
Carmel Police Department 493 Westfield Road
3 Civic Square Suite C
Carmel, Indiana 46032 Noblesville, IN 46060
P.O. # Ship Date 10/8/2012
Terms Due Date 10/8/2012
Other
CAC Investigative Support 5,000.00 5,000.00
Thank you for your tax deductible contribution. Our tax exempt
number is 27-1328579
(317) 773-3275 Total $5,000.00
(317) 773-3557
cily /� INDIANA RETAIL TAX EXEMPT PAGE
®f Il armel CERTIFICATE NO.003120155 002 0�1./ JJII PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 254
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1092
Chadsh Confer Camel Police Department
VENDOR SHIP 3 Civic squm
st`iald Road, Suite C TO Carmel, IN 46M
Noblesville, IN 4 (W)579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-0.03
9 Each CAC investigative support $5,000.00 $5,000.00
Sub Total: $5,000.00
Send Invoice To:
Carmel Police Dopartmon4
Attn. Teresa Anderson
3 Civic Square
Cannel, IN M2d PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. ' PAYMENT $51000.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TI ATi"HERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ZL_
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I z
SHIPPING LABELS. g,
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �hl P®llco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
4-9 00 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.______
ALLOWED 20
_ IN THE SUM OF$
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
4.
20
._..—..--------------------
----- ---- ---
Signature
............._ .. ............. ......
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cherish Center
IN SUM OF $
493 Westfield Road, Suite C
Noblesville, IN 46060
$5,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25498 I 342014 I 43-590.03 I $5,000.00 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, October 18, 2012
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))
10/08/12 342014 annual payment $5,000.00
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