218796 04/09/2013 a CITY OF CARMEL, INDIANA VENDOR: 048100 Page 1 of 1
ONE CIVIC SQUARE CARMEL PRO PRINTER
CARMEL, INDIANA 46032 303 WEST CARMEL DRIVE CHECK AMOUNT: $547.00
CARMEL IN 46032 CHECK NUMBER: 218796
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4230100 00035144 54 . 00 STATIONARY & PRNTD MA
1110 4230000 25691 35099 493 . 00 OVERTIME VOUCHERS
C INVOICE
CARMEL PRO PRINTER Invoice#: 00035099
303 West Carmel Drive
Carmel, IN 46032
Date: 3/22/2013
317-844-9171
Ship Via:
Bill To: Shipping Date:
Your Purchase Order#: Robert
Carmel Police Department
Attn: Accounts Payable
3 Civic Square Ship To:
Carmel, IN 46032 Carmel Police Department
3 Civic Square
Carmel, IN 46032
Description Amount
3000 8.5 X 5.5 3 part NCR Black $493.00
Overtime Voucher/Time Off Request
Thank You For Your Continued Business!
Terms: Net 30 Freight: $0.00
1.75%per month added to accounts over 30 days. $0.00
Sales Tax:
If Carmel Pro Printer is required to resort to collection proceedings to recover fees
incurred and expenses advanced on customers(your)behalf,Carmel Pro Printer Total Amount: $493.00
shall also be entitled to recover all costs incurred in connection with such collection
proceedings including reasonable attorney's fees incurred. Balance Due: $493.00
INDIANA RETAIL TAX EXEMPT PAGE
City o CERTIFICATE NO.003120155 002 0 1i Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 2m,
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
MAIM
Carmel Pro Printer Carmel Polieo Department
VENDOR TOIP 3 CIVIC squ2m
303 st Carmel Drive Camel, IN 46032
Camol„ IN 46 032 (317)671-25S
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-W0.00
9 Each overtime vouchers $493.00 $493.00
Sub Total: $493.00
Send Invoice To:
Cannel Police Department
Attn: Teresa Anderson
3 Civic square
Caramel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $493.
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERjTIFFJ/Y1iTHATTHEREIIS AN UNOBLIGATED BALANCE IN 1 .THIS APPROPRIATION TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chief of Poiico
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
f E; - CLERK-TREASURER
DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#JTITLE 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
t-
received except.................
20
~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))
03/22/13 35099 overtime vouchers $493.00
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
VOUCHER NO. WARRANT NO.
Carmel Pro Printer ALLOWED 20
IN SUM OF $
303 West Carmel Drive
Carmel„ IN 46032
$493.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
25691 I 35099 I 42-300.00 I $493.00 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, March 28, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
C",z ;. Imv ICE
CARMEL PRO PRINTER Invoice#: 00035144
303 West Carmel Drive
Carmel, IN 46032 Date: 3/29/2013
317-844-9171
Ship Via:
Bill To: Shipping Date:
Your Purchase Order#: Robert
Carmel Police Department
Attn: Accounts Payable
3 Civic Square Ship To:
Carmel, IN 46032 Carmel Police Department
3 Civic Square
Carmel, IN 46032
Description Amount
1400-Violation Deferral Forms- Pink 20# $54.00
Thank You For Your Continued Business!
Terms: Net 30 Freight: $0.00
1.75%per month added to accounts over 30 days. Sales Tax: $0.00
If Carmel Pro Printer is required to resort to collection proceedings to recover fees
incurred and expenses advanced on customers(your)behalf,Carmel Pro Printer Total Amount: $54.00
shall also be entitled to recover all costs incurred in connection with such collection
proceedings including reasonable attorney's fees incurred. Balance Due: $54.00
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Carmel Pro Printer Purchase Order No.
303 W Carmel Dr
Carmel, IN 46032 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/29/13 00035144 Violation deferral forms 54.00
Total
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
Carmel Pro Printer
303 W Carmel Dr IN SUM OF $
Carmel, IN 46032
$ 54.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Dept
Board Members
PO#or D PT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 00035144 42-301 .00 54.00 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
Ap it 3, 2013
y .
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund