214786 11/20/2012 "*f CITY OF CARMEL, INDIANA VENDOR: 247475 Page 1 of 1
�0 t, ONE CIVIC SQUARE PORTER LEE CORP
CARMEL, INDIANA 46032 1901 WRIGHT BLVD CHECK AMOUNT: $520.00
SCHAUMBURG IL 60193 CHECK NUMBER: 214786
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 25508 12308 520 . 00 RIBBONS/LABELS
Porter Lee Corporation Invoice
1901 Wright Blvd.
Schaumburg, IL 60193 DATE INVOICE NO.
11/2/2012 12308
7�
BILL TO SHIP TO
Carmel Police Department Carmel Police Department
Teresa Anderson 3 Civic Square
3 Civic Square Carmel, IN 46032
Carmel,IN 46032 USA
Attn: Sgt.John Elliott
Purchase Order# TERMS DUE DATE
25508 Net 30 12/2/2012
ITEM DESCRIPTION Serial# QTY RATE AMOUNT .
Ribbon Desktop 4"Resin Ribbons for Zebra Desktop Printers 6 12.50 75.00
Labels W 4x5 White Barcode Labels 4"x 5"(500) 10 43.00 430.00
Shipping Shipping 1 15.00 15.00
Phone# Fax# Email Web Site Total $520.00
847-985-2060 847-584-0556 hollys@porterlee.com porterlee.com www.porterlee.com Payments/Credits $0.00
FEIN 36-4103323
Please make check payable to"Porter Lee Corporation". Balance Due $520.00
Phone(847)985-2060
INDIANA RETAIL TAX EXEMPT PAGE
City
of Ca- rmei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1013it2012
Camel Police Dopartmor�:
VENDOR SHIP 3 CIVIC squam
'1201 Wright Soulevard TO Carmel, IN 46
Schaumburg, IL 60913 (317)671m2M
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 420.9$
6 Each black bar code ribbons -•table top zebra $12.50 $75.00
10 Each while labels 4 X 5 $43.00 $430.00
Sub Total: $505.00
Z '°
Send Invoice To: 'O•°
Carmel Police I3apartment
Attn:Torersa Andero®n
3 Civic Square
Cwral, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
rmel Police Dept. j PAYMENT $505.00
`.J 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 APRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.-7
C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
hit��P i �flco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
J J CLERK-TREASURER
()CUM EM M%TROL NO. A.P•V• COPY-SIGN AND RETURN TO CLERK'S OFFICE
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF $ ,
ON ACCOUNT OF APPROPRIATION FOR
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{ Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
I DEPT.# ! 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
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20
Signature
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{ Title
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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))
11/02/12 12308 lab supplies $520.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Porter Lee Corporation
IN SUM OF $
1901 Wright Boulevard
Schaumburg, IL 60193
$520.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25508 12308 42-390.99 $520.00
I hereby certify that the attached invoice(s), or
I I I
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, November 15, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CITY OF CARMEL, INDIANA VENDOR: 353696 Page 1 of 1
ONE CIVIC SQUARE POWER SYSTEMS INC CHECK AMOUNT: $83.92
a� o CARMEL, INDIANA 46032 PO BOX 51030
KNOXVILLE TN 37950-1030 CHECK NUMBER: 214787
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4238000 1361386 83 . 92 SMALL TOOLS & MINOR E
POWER PO Box 51030 INVOICE
Knoxvill e,TN 37950
t 800,321,6975 TOLL-FREE
g g 8865,769,8223 PHONE D
"'t,,�; - 865,769,8'211 FAQ{ 1361386 277792 10/26/2012 1 of 1
FIN #: 58-1501009
SYSTEMS,powersystems.com
Bill To: CARMEL CLAY PARKS and RECREATION Ship To:WILLARD, LINDSAY
ACCOUNTS PAYABLE CARMEL CLAY PARKS& RECREATION
1411 E 116TH ST 1235 CENTRAL PARK DR E
CARMEL, IN 46032-7611 CARMEL, IN 46032-4421
USA USA
Ashley Hurt 10/26/2012 Net 30 Days 11/25/2012 29112 2846435
50765 Pro Nylon Ankle/Wrist Strap 4 19.95 19.95 79.80
. . . $79.80
•
$4.12h
mom M_ $0.00
R.T—M - w $83 9Z'i
•
$0.00,1
D
$83.921
A 1.5% Finance Charge or a $5.00 minimum charge will be applied to all balances over 30 days.
Sales tax is charged based on the ship-to address.
Purrhase 4TTACUMEpT5 I` IZ FIMEZ EQl/!PM1?7_
._._.
Description 7Y.
�' .P.O.# o�9//v7, for F
G.L.# 109 ovo 1 2012
Line Descr _
Purchaser _.. ��
Date
Approval _ Date
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
353696 Power Systems Terms
P.O. Box 51030
Knoxville, TN 37950
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
10/26/12 1361386 Attachments for fitness equipment 29112 $ 83.92
Total $ 83.92
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
120
Clerk-Treasurer
Voucher No. Warrant No.
353696 Power Systems Allowed 20
P.O. Box 51030
Knoxville, TN 37950
In Sum of$
$ 83.92
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-21 1361386 4238000 $ 83.92 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
15-Nov 2012
Signature
$ 83.92 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund