216036 01/09/2013 a"�F CITY OF CARMEL, INDIANA VENDOR: 00350042 Page 1 of 1
0 ONE CIVIC SQUARE FOREMOST FIRE PROMOTIONS CHECK AMOUNT: $250.00
CARMEL, INDIANA 46032 1270 GLEN AVENUE
«o� MOORESTOWN NJ 08057 CHECK NUMBER: 216036
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4345002 25542 194742 250 . 00 MOOD PENCILS
a MN@)94 Foremost Promotions
P R 0 M O T 1 o N S 1270 Glen Ave Invoice
Educational&Promotional Products for the Moorestown, NJ 08057
Public Safety Community
800-431-3473 fax: 800-528-4366
132149 12/17/2012 194742
Carmel Police Department Carmel Police Department
Teresa Anderson Teresa Anderson/PO# 25542
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
704343 25542 Cathy Simkins Net 30
e.s
pc1204- IN HANDS DATE ASAP
Products Shipped
SKU Product Quantity Price Tax Total
PCL204 Mood Pencil,Police Officers are our Friends(2012) 1000 0.25 No $250.00
Charges
Charge Description Quantity Amount Tax Total
Pen/Pencil/Notebook Set up charge 1 0.00 No $0.00
Account#: 132149 Invoice#: 194742 Products Shipped Subtotal: $250.00
sh:. pin char mn co I
Remit to: Mr;..g 4,gc. W .
Foremost Promotions Tax: $0.00
Attn:Accounts Receivable Dept Total for Products Shipped: $250.00
1270 Glen Avenue
Moorestown, NJ 08057 Charges Subtotal: $0.00
USA Tax: $0.00
Total for Charges: $0.00
Invoice Subtotal: $250.00
Amount Due: $250.00
Printed: 12/17/2012 08:39 am Essent Compass Page 1 of 1
INDIANA RETAIL TAX EXEMPT - PAGE
City ® I' :`C°,�anal CERTIFICATE NO.003120155 002 0 li ,\���V//CVs 1i 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
11/29M12
Fommost Pmmoflons Camel Police Depart ont
VENDOR SHIP 3 CIVIC SqU2FO
1270 Glen Avenue TO Camel, IN 46032
Moorosfown, 1.1 OM7 (317)671-21660 -
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43460.02
1000 Each Mood Pencil 'Police Offers are our PCL204 $0.25 $250.00
l=riends8
Sub Total: $250.00
i y
a < ,
e
Send Invoice To:
Carmel Polio Dep ment
Attn: Teresa And@rson
3 Civic Square
Carmel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. - - = PAYMENT X0.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
s` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT ERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /Jf,,////,//f
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f 11"'LV'!/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE clef of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2�5 4 2 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
1
VOUCHER NO. WARRANT NO,
ALLOWED 20
IN THE SUM OF$
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--- _--._.._-- ----- --- --
20
................--.._...........--......................-...................._...-----...._.........-.-..--...._....._...----....--.....-..-----------.......
Signature
.....................................................................-.....................---........ ............................................................._...............
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Foremost Promotions
IN SUM OF $
1270 Glen Avenue
Moorestown, NJ 08057
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
25542 194742 I 43-450.02 I $250.00
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, January 03, 2013
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))
12/31/12 194742 promotional items $250.00
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