221101 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 357163 Page 1 of 1
ONE CIVIC SQUARE INVITRO SCIENCES, INC CHECK AMOUNT: $117.70
` CARMEL, INDIANA 46032 1874 HIGHWAY 20E UNIT 2
•� FONTHILL OH LOS tE6
CHECK NUMBER: 221101
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 25728 112114 117 . 70 LAB SUPPLIES
Make Payment To: CSI CRIME SCIENCES INC.
An Invitro Sciences Inc. Company
Invitro Sciences Inc.
sales @crimesciences.com
1874 Hwy 20E
Unit 2
Fonthill, ON LOS 1E6 Invoice
905-892-1800 FAX 905-892-4359
Invoice#: 00112114
GST Registration#: 88687 0674 Ship To:
Bill To: Carmel Police Dept.
Carmel Police Department Attn: John Elliott
3 Civic Square 3 Civic Square
Carmel Indianna 46032 Carmel Indianna 46032
tel: 317.571.2559
SALESPERSON YOUR NO. I SHIP VIA— CO4Pp SHIP DATE TERMS DATE _ I P j
Sandy Davis John Elliott 1— Best Way Net 30 30-05-13 1
QTY. ITEM NO. DESCRIPTION PRICE UNIT DISC % EXTENDED TAX
15 CS-0026 6"Gray Ruler with Color Scale $4.60 EACH $69.00 Z
1 DA-1500-50 Glass Beaker, 50ml $4.15 ea $4.15 Z
1 DA-1500-600 Beaker, glass,600ml $9.25 ea $9.25 Z
1 DA-1500-250 Glass Beaker, 250ml $5.30 ea $5.30 Z
CODE RATE TAX SALE AMOUNT SALE AMOUNT $87.70
Z.G 0% $0.00 $117.70 FREIGHT $30.00 Z
G.P 0% $0.00 $117.70 GST $0.00
PST $0.00
TOTAL AMOUNT $117.70
Memo: All prices in Canadian funds PAID TODAY $0.00
BALANCE DUE $117.70
INDIANA RETAIL TAX EXEMPT PAGE
Q CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
' FEDERAL EXCISE TAX EXEMPT
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
RPM
Crime Science Company Camel Pollco Department
VENDOR SHIP
ama�da TO 3 Civic square
1874 Highway 20 East, Unit 2 Carmel, IN 3I=
Foothill. ON LOSIE-6
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
15 Each 6° Grey Ruler wflh Color Scale CS-0026 $4.95 $74°25
1 Each Beaker- 150 ml DA-1500-150 $4.95 $4.95
1 Each Beaker-50 ml DA-1500-50 $4.15 $4.15
1 Each Beakers -600 ml $9.25 $9.25
..�� ....
`�� � ° vase°• °• � E
d Invoice To:
l
Calms @1 Poliuu D@Partment
Attn: Torosa And rrron
3 Civic Square PLEASE INVOICE IN DUPLICATE
_� use n w�a
rD`EPARl`MENT `- Q ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
��{ ' PAYMENT
1��ilyt± �� Aay •` A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 42 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
{�THIS APPROPRIATIO SUFFICIENT TO PAY FOR THE ABOVE ORDER.
REPAID.
D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
CHASE ORDER NUMBER MUST APPEAR ON ALL J
)PING LABELS.
QKOER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
C e4 o?Police
ACTS AMENDATORY THEFIEOF AND SUPPLEMENT THERETO.
y CLERK TREASURER
`lJMENT CONTROL NO.
"� p. . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
_. IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#!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
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))
05/30/13 112114 lab supplies $117.70
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.
Crime Science Company "'�
ALLOWED 20
IN SUM OF $
1874 Highway 20 East, Unit 2
Fonthill, ON L0S1E6
$117.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25728 I 112114 I 42-390.99 I $117.70 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
Friday, June 14, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund