HomeMy WebLinkAbout229409 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1
ONE CIVIC SQUARE BROWNELLS INC
CARMEL, INDIANA 46032 200 S FRONT STREET CHECK AMOUNT: $264.26
s� MONTEZUMA IA 50171-1000 CHECK NUMBER: 229409
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 31470 09791482 264 . 26 PADDED SLINGS
INVOICE #: 09791482 . 00 c )
02/05/2014 09:37:43 B ROWNE L L S , INC . (46032-CITY)482.00
02/05/2014 09:42:49
200 SOUTH FRONT STREET jackiea-R
DATE SHIPPED: 02/05/2014 MONTEZUMA, IOWA 50171-1000 DLR GVN IAR
ACCOUNT #: 00296101 800-741-0015 016T
24 HR. FAX # (641) 623-3896 U4 P4
SOLD TO:
CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235
ATTN: PAT YOUNG * * * I N V O I C E
3 CIVIC SQUARE
CARMEL IN 46032
SHIP VIA: UPS - GROUND
PAYMENT METHOD: OPEN ACCOUNT
SHIP TO:
CARMEL POLICE DEPT. TERMS: NET 30
ATTN: SGT JELLISON
3 CIVIC SQUARE
CARMEL IN 46032 F I NAL
FAX #: 317-571-2507 PO NUMBER: 31470 I NVO I C E
--'----'---------- PICKER: 111 ------------------------------------- PRICER: 887 ----------------------------------
STOCK PRODUCT QTY QTY B/O, RETAIL_ UNIT _ TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
—-----------------------------------------------------------—--—---------------------------------------------------------
100-002-86BAK J06006B V-TAC WIDE PADDED SLING, BLACK 5 5 40.95 37.49 187.45
336-000-04OAK D09F06B AR15/M16 SLING THING RAIL SLING ADAPTE 2 2 35.00 30.43 60.86
Please Note: TRANSFER OF THESE PRODUCTS TO ANY INDIVIDUAL OR ENTITY OR LOCATION (WHETHER IN YOUR CITY, STATE,
OR OUTSIDE THE UNITED STATES) MAY BE SUBJECT TO RESTRICTIONS AND/OR LICENSING REQUIREMENTS.
---- ---------------------------------------- *** ORDER ON THE WEB AT www.brownells.com *** ------------
INVOICE #: 09791482.00 ORDER TOTAL: 248.31
UPS - GROUND: 15.95
THIS IS YOUR
INV0` 10E
PLEASE REMIT GRAND TOTAL
GRAND TOTAL: 264.26
CASH: 0.00 CC: 0.00 OA: 264.26 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
INDIANA RETAIL TAX EXEMPT PAGE
City ® Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
'i
FEDERAL EXCISE TAX EXEMPT 39470
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 REQUISITIONNO. VENDOR NO. DESCRIPTION
9i4
Brawn@Ilo Inc. Carmol Pollco Dopartmont
VENDOR SHIP 3 CIVIC Squm
2W South Front Smoot TO Cumoi, IN 4M
Mon4oEum2, IA 60171 (399)571-2674
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .90
g Each VTAC Padded Slings -black 900-002-868AK $37.49 $987.45
2 Each G&G sling snivels 336-000-MOAK $29.81 $60.62
Sub Total: $247.07
t
00
'0
Send Invoice To:
CW10I Pollco DOPr�oF
Attn: P@t Young
3 Civie Sguaro
Cool, IN 4M- PLEASE INVOICE IN DUPLICATE
I
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. L PAYMENT $247.07
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SW RN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS
• I HEREBY CERTIFY THAT TJX R IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
l THIS APPROPRIATIQQN•SUF�I�pplTO PAY FOR THE ABOVE ORDER.
• /i/J��
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /C//
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 01
SHIPPING LABELS. Ildtl of ®IIQ�.O
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r
r
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 4 19® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--._.._._
ALLOWED 20
1N THE SUM OF$
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__
r
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))
02/14/14 09791482 slings& sling swivels $264.26
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
Brownells Inc.
IN SUM OF $
200 South Front Street
Montezuma, IA 50171
$264.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
31470 09791482 42-390.10 $264.26
I hereby certify that the attached invoice(s), or
I I
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, Febru ry 14, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund