HomeMy WebLinkAbout219293 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 360681 Page 1 of 1
ONE CIVIC SQUARE DAVID DICKENS PHOTOGRAPHY
CARMEL, INDIANA 46032 6020 S ROUTIERS AVE CHECK AMOUNT: $520.00
INDPLS IN 46259 CHECK NUMBER: 219293
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4341901 25707 280 . 00 PHOTOGRAPHS
1110 4341999 25707 240 . 00 PHOTOGRAPHS
I
{ David Dickens Photography & Composites 317-987-5590
Pik
6020 S. Routiers Avenue Indianapolis IN. 46259
Invoice
Carmel Police Department
3 Civic Square
Carmel, Indiana 46032
Quantity Description Misc. Info Unit Cost Total Cost
8 Hours Consult, Project Coordination $30.00 /hr. 240.00
13 5x7 photographs $20.00 260.00
1 8x 10 photograph $20.00 20.00
Invoice Amount $520.00
Make check payable to:
David Dickens Photography
C0 INDIANA RETAIL TAX EXEMPT PAGE
RY ®f r e °,�rm�� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 M7107
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. tVENDOR NO. DESCRIPTION
M 712M
David Dickens Photography Cwmel Police Department
VENDOR SHIP
TO Civic Square
6020 S. Routlers Avenue Caral, IN 46032
Indlanmooils, IN 46M /3171574 2'
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-419.01
9 Each photographs $280.00 $2$0.00
Sub Total: $2$0.00
Account 43499.99
r ..w,t
I Each photograph project 3 ..,{♦:..�:r1 r~ $240.00 $240.00
'XI <.., - Sub Total: $240.00
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•
Send Invoice To:
z r' =
Carmel Police Department
Attn: Temsa Anderson
3 Civic Square
Carmel, IN 42- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $520.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN'UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAfIONf!UFFICI ENT'TO PAY FOR THE ABOVE ORDER.
• �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I'
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Icy of Pollee
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
4-b707 CLERK-TREASURER
` DOCUMENT CONTROL'NO., ' . A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
q
VOUCHER NO..._-..-_...--..-...-..-......WARRANT
ALLOWED 20
IN THE SUM OF$
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 except.-....-
20
............................................................................. __...............-_..-._........-
Signature
_...........-..__...........................................--.....---........-.....-.........-.......-...........---.-..-_..........._ .
Title
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))
04/16/13 photographs $280.00
04/16/15 photography project $240.00
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.
ALLOWED 20
David Dickens Photography
IN SUM OF $
6020 S. Routiers Avenue
Indianapolis, IN 46259
$520.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25707 43-419.01 $280.00 I hereby certify that the attached invoice(s), or
Prior Year bill(s) is (are) true and correct and that the
25707 43-419.99 $240.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, April 18, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund