217787 02/26/2013 *f CITY OF CARMEL, INDIANA VENDOR: 00351006 Page 1 of 1
ONE CIVIC SQUARE PRESTIGE PERFORMANCE II INC CHECK AMOUNT: $208.77
CARMEL, INDIANA 46032 326 JOHN STREET
o� CARMEL IN 46032 CHECK NUMBER: 217787
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 25642 5696 208 . 77 STICKER BADGES
9�c Invoice
326 Jo , �F/�� v DATE INVOICE#
Carmel,IN 1215 ('
4PRES RFORMANCE II, INC. 317/848.2950 ��� ?nj�7 2/18/2013 5696
Promotional Marketing&Corporate Apparel Fax 317/848.0911
BILL TO SHIP TO
Carmel Police Dept. Delivered 2/18/13 to Ann Gallagher
3 Civic Square
Carmel IN. 46032
Attn: Teresa Anderson
P.O. NUMBER TERMS REP DATE SHIP VIA
25642 Net 15 BAS 2/15/2013 UPS
DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Police Shield Lapel Stickers (Priced Per 1,000) 3 63.46 190.38
Shipping Charge 1 18.39 18.39
Visit Us On The Web:www.prestige2online.com Total Thank You&We Appreciate Your Business $208.77
Make all checks payable to Prestige Performance ll, Inc.
A Finance Charge of 1.5%(18%APR)will be assessed on unpaid balances beyond established
terms.
INDIANA RETAIL TAX EXEMPT PAGE
CotY ®f Carmel CERTIFICATE NO.00
3120155 002 0
PURCHtANY ER
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-60000972 1 $
CARMEL, INDIANA 46032-2584 THIS NUMON INVOICES,A/P
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER , PACKING SLIPS,
SHIPPING RRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED
REQUISITIO N NO. VENDOR NO.
`24013 DESCRIPTION
RMStig@ P @1f0fMj9IjC@ II, Inc. I
VENDORBwb Simpson SHIP C @rmcl P0IlcQ I3Opa►$rr ont 326 3 CIVIC Squar0
John TO
Ca mol, IN 46M Canal, IN 4
CONFIRMATION BLANKET CONTRACT (317)671.2W
PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
Account 43-4eA.®2 UNIT"PRICE EXTENSION
3 Each:silver sticker badges -individually cut ylU
$9.84.30
Sub Total:
l gD.3�
C9
°41
•• 4 v
Send Invoice To:
Currnel Ponce Dapadment
Attn: Tffosa Anderson
3 Civic Squam
Cannel, IN 46Mo PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT
rmel Police Dept, PROJECT PROJECT ACCOUNT
AMOUNT
PAYS
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
SHIPPING INSTRUCTIONS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIP REPAID. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
C.O.D.SHIPMENTS CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 (�� 1 p�__x `
4ND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE \\�a j Chief of Pali 0 y
42 CLERK-TREASURER
)CUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR I
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
DEPT.#
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
i
' II
20
I
Signature
i
i Title
I
t
I -
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))
02/18/13 5696 police stickers $208.77
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Prestige Performance II, Inc.
IN SUM OF $
Barb Simpson
326 John Street
Carmel, IN 46032
$208.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25642 I 5696 I 43-450.02 I $208.77 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
dpi 6-�
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund