218543 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 188000 Page 1 of 1
ONE CIVIC SQUARE LYNN PEAVEY CO CHECK AMOUNT: $57.40
CARMEL, INDIANA 46032 PO BOX 14100
o� LENEXA KS 66285-4100 CHECK NUMBER: 218543
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 270701 57 .40 OTHER MISCELLANOUS
LYNN PEAVEY COMPANY PAGE NO: 1 of 1
10749 W. 84TH TER. INVOICE NO: 270701
LENEXA, KS 66214-3612 INVOICE DATE: 03/07/2013
Accounts Receivable 800-255-6499 x6635
Customer Service 800-255-6499 x3
I N V O I C E
CUSTOMER NO: 460003 YOUR ORDER NO:ELLIOTT
CUSTOMER PH: (317) 571-2500 OUR ORDER NO:000000000228624-0000
BILL TO: SHIP TO:
CARMEL PD CARMEL PD
ATTN TERESA ANDERSON CRIME LAB, INSP JOHN ELLIOTT
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 CARMEL IN 46032
TERMS: NET DUE DATE: 040613 SHIPPED: 03/06/2013
SHIPPED VIP_: 44 _
--F-O.-B:-:- LENEXA,KS
SHIPMENT NO: 269020 REF:
PRO NO: CSR: HOL
QTY QTY QTY ITEM UNIT PRICE EXTD PRICE
ORDERED SHIPPED B.O. NUMBER US DOLLAR US DOLLAR
2 2 0 31001 9.50 19. 00
PWDR SK 2 OZ BLK ELECTRIC
2 2 0 30009 .8 . 95 17 .90
PWDR SK ,1 OZ FLUOR BLK MAGN
2 2 0 05490 6•.50 1T.00
PWDR SK 2 OZ SUPER BLK FGR PRNT
FREIGHT 7.50
WE ACCEPT PAYMENT BY CHECK, CREDIT CARD, OR WIRE TRANSFER.
PLEASE CALL CAROLE AT (800) 255-6499 EXT#6635 FOR DETAILS.
Ce��rgnq do �er�rsof�nnouaons SALES TOTAL-: 49.,90
SALES TAX: 0. 00
FREIGHT: 7.50
LESS: 0.00
Remit To: OTHER CHARGES: 0.00
P.O. Box 14100
Lenexa, KS 66285-4100 INVOICE TOTAL: 57.40
US DOLLAR
VOUCHER NO. WARRANT NO.
ALLOWED 20
Lynn Peavey Company
IN SUM OF $
P.O. Box 14100
Lenexa, KS 66285-4100
$57.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 270701 I 42-390.99 I $57.40 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, March 20, 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))
03/07/13 270701 lab supplies $57.40
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