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Home My WebLink About215458 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 048100 Page 1 of 1 ONE CIVIC SQUARE CARMEL PRO PRINTER :�t?a CARMEL, INDIANA 46032 303 WEST CARMEL DRIVE CHECK AMOUNT: $396.76 CARMEL IN 46032 CHECK NUMBER: 215458 CHECK DATE: 12/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4230100 25540 34634 396 . 76 VOLUNTARY STATEMENTS C ? INVOICE CARMEL PRO PRINTER Invoice#: 00034634 303 West Carmel Drive Carmel, IN 46032 Date: 12/3/2012 317-844-9171 Ship Via: Bill To: Shipping Date: Your Purchase Order#: Robert Carmel Police Department Attn: Accounts Payable 3 Civic Square Ship To: Carmel, IN 46032 Carmel Police Department 3 Civic Square Carmel, IN 46032 Description Amount 1200 3 part NCR Black $396.76 Voluntary Statement Change 19 to 20 for year line Thank You For Your Continued Business! Terms: Net 30 Freight: $0.00 1.75%per month added to accounts over 30 days. Sales Tax: $0.00 If Carmel Pro Printer is required to resort to collection proceedings to recover fees incurred and expenses advanced on customers(your)behalf,Carmel Pro Printer Total Amount: $396.76 shall also be entitled to recover all costs incurred in connection with such collection proceedings including reasonable attorney's fees incurred. Balance Due: $396.76 INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2%40 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 W2812M2 cand Pro PrIntar Carmel Police Department VENDOR SHIP 3 CIVIC Squ Gt'Cwm@1 Drive TO Carm @I, IN 460372 Carmel,, IN 46W2 (W)571 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 l•00 1 Each voluntary statemerds $396.76 $396.76 Sub Total: $396.76 IN I JJJ :S Send Invoice To: ."' ' Carmel Police Depwt ient Attu: Terosa Anderson son 3 Civic Square Camel, IN 46=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept, PAYMENT M76 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THdAT HERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION'SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUST APPEAR ON ALL �/hlof SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2,5040 CLERK-TREASURER DOCUMENT CONTROL NO. AAV. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. _WARRANT ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached 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. -- ..... - ._....._..-------------- -----_ - 20 ...................................................................................................................................................................----------.-..._-.....-.-. Signature .......................................--.....................---............--._.._-..................--....................--.............-_...--..........---...................-- Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel Pro Printer IN SUM OF $ 303 West Carmel Drive Carmel„ IN 46032 $396.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25540 I 34634 I 42-301.00 I $396.76 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 Wednesday, December 05, 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)) 12/03/12 34634 voluntary statements $396.76 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