HomeMy WebLinkAbout218611 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00352781 Page 1 of 1
ONE CIVIC SQUARE RUBBER DUCK DESIGNS CHECK AMOUNT: $349.00
CARMEL, INDIANA 46032 1 FRILEY CREEK ROAD
ox PETTIGREW AR 72752 CHECK NUMBER: 218611
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 25672 1919 349 . 00 EMBOSSED FOILS
Anderson, Teresa K
From: Elizabeth Lawrence [elizabeth @rubberduckdesign.com]
Sent: Sunday, March 17, 2013 10:02 PM
To: Anderson, Teresa K
Subject: Invoice - Rubber Duck Design
Remit Payment
Rubber Duck Design
sn 1032 N National Ave.
;! Springfield,MO 65802
Invoice Number
t •" Invoice Date 1919
—" 17-Mar-2013
Shipping Address Billing Address
Carmel Police Department 3 Civic Square
3 Civic Square Carmel,IN 46032
Carmel,IN 46032 United States
United States
Product Unit
Product Image Product Description Tax Quantity Total
Code Price
1 CPD2-
DES-0-17 500 Seals $34900 $0.00 1 $349.00
SE
i
i
Shipping Cost: $0.00
Discount: $0.00
Grand Total: $349.00
Paid Already: $349.00
Outstanding: $0.00
INDIANA RETAIL TAX EXEMPT PAGE
City ®f C a rme� CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT '1
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3114 M2 `13
Rubbor Duck Design Carmel Police Department
VENDOR SHIP 3 CIVIC square
9032 N. National TO Carmel, IN
Springfield, MO 6M2 (W)5°f4 2M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account. 43.450.0'z
9 Each Cold Embossed foils DES-0-17 $349.00 $349.00
Sub Total: $349.00
r, -
'°i` .b .gyp'.° �_ m a'�•••aM ,�y� S
Send Invoice To.
Carmel Police Department
Attn: °Te 0SaAnderson
3 Chic Square
Carmel, IN 463?- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. _ } �t° 00.
$349
PAYMENT .
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• '
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ''��' �-��
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. r�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE chief of
Police
v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
5 6 7 2 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _.WARRANT
ALLOWED 20
-------- ---- -.-___ ----.--- _^_ IN THE SUM OF$
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
20
-.................................-......._............-..............................._-..................-....-.-................
Signature
-................._.....--..-.... ._.....----......_.,._....--.........-.._...._. ....__..... ...........-.....-..._-.-.._.._.._ .
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rubber Duck Design
IN SUM OF $
1032 N. National
Springfield, MO 65802
$349.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
25672 1919 43-450.02 $349.00
I hereby certify that the attached invoice(s), or
I I
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))
03/17/13 1919 gold foils $349.00
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