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Home My WebLink About221439 07/02/2013i CITY OF CARMEL, INDIANA VENDOR: 357200 Page 1 of 1 ` ONE CIVIC SQUARE CANNON IV, INC _ CHECK AMOUNT: $94.59 CARMEL, INDIANA 46032 Po sox 697 INDIANAPOLIS IN 46206-0697 CHECK NUMBER: 221439 CHECK DATE: 7/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4230200 26800 INV348638 94 . 59 INKJET BOND | 1 ��U� �w� ��n�m~ Invoice No: INV348638 `w�w~- -------- gSO Dorman Steet Indianapolis, IN46Z0Z-3544 Date: 6/I5/2013 P: 317-951-0500 F: 317'051'0600 Account No: 5712414-003 Bill To: City OfCarmel Ship To: City OfCarmel Attn: ]anetArnone Attn: Dave McCoy 31 1st Ave N.W. Three Civic Square Carmel, IN 46032 Carmel, IN 46032 | S0237271 ---'- Best wa'.; Net 30 Days -7/25/2013 Mark Benefiel 3092401-4 24x150 24#Premium Coated Ink3et 1.0 1.0 0.0 CTN/4 $83.69 $83.69 Bond � _ PLEASE REMIT ALL PAYMENTS TO: Subtotal CANNON IV,INC. p.O. BOX 097 Discount INDIANAPOLIS,zm*szoo'oo97 Freight Sales Tax Past due amounts are subject toa Finance Charge nf Invoice Total 1 1/2Y6 per month (1896APR). Balance Due [Eit Page 1of1 u0 INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 1i l�. V xo' 1i Carmel PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26900 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 6/1 612013 Cannon IV Carmel Communications SHIP Terry Crockett VENDOR 950 Dorman Street TO 3 Civic Square Indianapolis, IN 416202-3544 Carmel, IN 46032 (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 412-302.00 1 Each 3092401-4 24x150 24#Premium coated Inkjet Bond $83.69 $83.69 Sub Total: $83.69 a d F\ i Send Invoice To: City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT Carmel IS Dept. PAYMENT M.69 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. - •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE J�rIC�c. �G�iG• . AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - CLERK-TREASURER DOCUMENT CONTROL NO. 2 6 8 Q® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ S 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)) 06/25/13 I INV348638 I I $94.59 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 Cannon IV IN SUM OF $ 950 Dorman Street Indianapolis, IN 46202-3544 $94.59 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26800 I INV348638 I 42-302.00 I $94.59 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, June 27, 2013 i / Dir for , IS Title Cost distribution ledger classification if claim paid motor vehicle highway fund