217720 02/26/2013 - CITY OF CARMEL, INDIANA VENDOR: 359279 Page 1 of 1
ONE CIVIC SQUARE LASER LABS, INC
` tra CARMEL, INDIANA 46032 454 FIRST PARISH ROAD CHECK AMOUNT: $255.00
SCITUATE MA 02066 CHECK NUMBER: 217720
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 25634 12899 255 . 00 MODEL 100 TINT METER
Laser Labs, Invoice..
"'The Leader in Tint Meters"
Date Invoice#
Bill To Ship To
Carmel Police Department Carmel Police Department '
Teresa Anderson Qtrmstr Robert Robinson
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
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P.O. Number Terms Rep Ship Via F.O.B. Project
25634 Net 30 LP 2/6/2013 UPS
Quantity Item Code Description Price Each Amour.;
3 100 Model 100 Tint Meter 79.00 237
Shipping Shipping Charges 18.00 18.(
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Thank you for your business.
Total $255.00
Corporate offices
454 First Parish Road, Scituate, Massachusetts 02066
1-800-452-2344 i11WW.Laser-Labs.Com Fax #508-923-1985
INDIANA RETAIL TAX EXEMPT PAGE
City ® II CArmei CERTIFICATE NO.003120155 002 0 Jl 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
21113
Law Labs, Inc. Carrel Police DepartI meat
VENDOR TOP 3 Civic Square
First Parish Road Carmel, IN
Scltuato, MA OM 671 M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 fl.
3 Each shipping charges $8.00 - 4,c�
3 Each Model 100 Tint Meter--) $70.00A37,M
Scab Total: $17 .00
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Send Invoice To: `
Carmel Police Depaitment
Attn: Tervsa Anderson
3 Civic Squam
Camel, IN 46=d PLEASE INVOICE IN DUPLICATE a DO
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /}/f
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. �
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 1 ma¢$��pa
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
5 6 3 4 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. 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 '
c
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
i t
t Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Laser Labs, Inc.
IN SUM OF $
454 First Parish Road
Scituate, MA 02066
$255.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25634 ( 12899 I 42-390.99 $255.00 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, February 21, 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))
02/06/13 12899 tint meters $255.00
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