218041 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 099370 Page 1 of 1
` ONE CIVIC SQUARE FRAME DESIGNS
CARMEL, INDIANA 46032 506 S RANGELINE ROAD CHECK AMOUNT: $1,910.33
CARMEL IN 46032
CHECK NUMBER: 218041
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4463000 12084 1, 910 . 33 FURNITURE & FIXTURES
Frame Designs INVOICE Invoice #
12084
506 S. Rangeline Rd. Page 1 of 1
Carmel IN 46032
317-844-9066
Bill To: Remit To:
Tim Green Home: 571-2519
Work: Frame Designs
City of Carmel 506 S. Rangeline Rd.
CARMEL IN 46032 Cell: Carmel IN 46032
Fax: 317-844-9066
Account# Sold By Reference # Terms Invoice Date
-7719. - -
Quantity Item Number Description Unit Price Discount Ext. Price
12 W/O 14297 Police Chiefs 118.11 495.96 921.36
1 W/O 14298 Police Chiefs 1216.45 425.76 790.69
1 W/O 14601 Police Chiefs 151.22 52.94 98.28
1 W/O 14698 install security 13 pcs 2 100.00 100.00
hrs @50.00 hr
i
t
Sale Amount $1,910.33
Tax $0.00
Order Total $1,910.33
Deposit _ $0.00
Total Due $1,910.33
Coty _ INDIANA RETAIL TAX EXEMPT PAGE
�/arme� CERTIFICATE NO.003120155 002 0
� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
UARE 35-60000972 Zit
46032-2584 THIS NUMBER MUST APPEAR
ST ON INVOICES,A/P
OARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
j PURCHASE ORDER DATE DATE REQUIRED
REQUISITION NO. VENDOR NO.
2 I 20MI3 I DESCRIPTION
I i
Framo Designs
Camivi Police Department
p 879fzIRt
SHIP 3 CIVIC SgUaFQ �
' S. RangeNno 13oM TO
CMe1� IN
C�r>�lel, IN 40 I
qn
CONFIRMATION BLANKET CONTRACT (317)571�59 1
PAYMENT TERMS
FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
Account 4.630.00 UNIT PRICE ;;EXTENSION
1 Each custom picture frames
K910.33 $1,910.33
Sub Total: $1---
Send Invoice To: ( (,j�✓
Carmel Police Department
Attn: Teresa And®rgon
3 CIVIC SgUZ G
Cumel, IN 4M. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT
rmel Police Dept. PROJECT PROJECT ACCOUNT
r -a AMOUNT
PAYMENT $1,910.33
• 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
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 hl g f P
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. TITLE bI10�6 � $II�3
)CUMENT CONTROL NO. J A. COPY-SIGN AND RETURN TO CLERK'S
•FFICE
VOUCHER NO.______---WARRANT NO.
•
ALLOWED 20
IN THE SUM OF $
�I
I �
ON ACCOUNT OF APPROPRIATION FOR
i
Board Members
PO#or I hereby certify
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for i
w hich charge is made were ordered and
it
received except
E
i
-t
i
20 - !
i
Signature
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))
02/19/13 12084 custom picture frames $1,910.33
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
Frame Designs IN SUM OF $
506 S. Rangeline Road i
Carmel, IN 46032
$1,910.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. AU(; AMOUNT
Board Members
CT#/TI
I hereby certify that the attached invoice(s), or
25651 I 12084 44-630.00 $1,910.33 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
II
received except
Thursday, March 07, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund