223615 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 247475 Page 1 of 1
0 ONE CIVIC SQUARE PORTER LEE CORP
CARMEL, INDIANA 46032 1901 WRIGHT BLVD CHECK AMOUNT: $434.00
SCHAUMBURG IL 60193
CHECK NUMBER: 223615
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 25393 13369 434 . 00 BALCK BAR CODE RIBBON
Porter Lee Corporation Invoice
1901 Wright Blvd.
Schaumburg, IL 60193 DATE INVOICE,N-
8/16/2013 13369
BILL TO . SHIP TO .
•f
Carmel Police Department Carmel Police Department
Teresa Anderson 3 Civic Square
3 Civic Square Carmel,IN 46032
Carmel,IN 46032 USA
Attn: Sgt. John Elliott
Purchase Order#' .- TERM ST` DUE DATE°
25393 Net 30 9/15/2013
ITEM DESCRIPTION Serial# QTY '. RATE ' AMOUNT
Labels W 4x5 White Barcode Labels 4"x 5"(500) 8 43.00 344.00
Ribbon Desktop 4"Resin Ribbons for Zebra Desktop Printers 6 12.50 75.00
Shipping Shipping 1 15.00 15.00
Phone#: ,Fax# Email Web Site Total $434.00
847-985-2060 847-584-0556 hollys @porterlee.com www.porterlee.com Payments/Credits $0.00
FEIN 36-4103323
Please make check payable to"Porter Lee Corporation". Balance Due $434.00
Phone(847)985-2060
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 1a. PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 25
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. I DESCRIPTION
18192=13
Porter Le@ Corporation Carmel Police Department
VENDOR SHIP 3 Chic Square
TO
9M9 Wright Boul@vard Camel, IN 46032
Schaumburg, IL 0099 (317)57902
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .
0 Each black bar code ribbons-table top zebra $12.50 $75.00
8 Each white labels 4 x 5 $43.00 $344.00
Sub Total: $419.00
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Send Invoice To:
Cumel Police Department
Attn:Teresa Arrdemon
3 Civic Squam
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Felice Dept. C PAYMENT $419.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 11of THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of Frolics
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
5 , 3 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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 except. - ----- .-.. ---- -- ---- ----- -
20
.......................................................................................
Signature
-_.-.....................--.....--.................................-.................._........._..................-_.......__............_......................._.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Porter Lee Corporation
IN SUM OF $
1901 Wright Boulevard
Schaumburg, IL 60193
$434.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25393 I 13369 I 42-390.99 I $434.00 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
Thursday, August 22, 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))
08/16/13 13369 barcdode labels/ribbon $434.00
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