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Home My WebLink About230069 03/12/14 ' *'? CITY OF CARMEL, INDIANA VENDOR: 367290 b ONE CIVIC SQUARE NORTH AMERICAN RESCUE CHECK AMOUNT: $ "+"*"192.70* CARMEL, INDIANA 46032 35 TEDWELL COURT CHECK NUMBER: 230069 9M,roN. GREER SC 39650 CHECK DATE: 03/12/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 31477 IN146768 192.70 TOURNIQUET Remit To: Invoke#'� IN146768 North American Rescue, LLC 35 Tedwall Court Invoice Date, 2/28/2014 Greer SC 29650 Date.Sli'ipped ,$, ° 2/26/2014 LJ Toll Free: (888)689-6277 NORTH AMERICAN RESCUE"Phone: (864)675-9800 v .NARnsmnxum-888.689.6277 Fax: (864)675-9880 INVOICE Bill To: 19671 Ship To: BILL TO PO# 31477 CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT 3 CIVIC SQ 3 CIVIC SQ CARMEL IN 46032-2584 CARMEL IN 46032-2584 US (317) 571-2559 _ ,: _ .:. ContackName .', '�E.. . ..< Contact.Phone "Received'Via - Sti' in" Method. FOB':T' a t< .Pa{m'ent..Te�ms" ,Ocder.No. Master#` Sgt.Ryan Jellison 317-571-2599 EMAIL 420-UPS GRND ORIGIN NET 30 OR105865 154,937 "Ordered .i'.Shi` ed t ltem<Number ",, .:Desc�i tion s_ .. s ' ...' .,Discount.,.,Unit PrcexExtPrice v.r :' . 7 7 30-0033 TOURNIQUET,COMBAT APPLICATION-BLU(TRAINER) $0.00 $26.10 $182.70 Tracking: UPS GROUND 1ZV8F0720360696841 HANK YOU FOR YOUR ORDER! NAR Tax ID#:27-1024029 'Subtotal) $182.70 SINCERELY, NAR Duns#:832426782 Discount :x =" $0.00 ROBERT BERRY EXT 216 �.Ftei�ht° � }��._` '�� $10.00 Tax $0.00 Invoice Totalt�. :;.� $192.70 Pa n ent lk46V ,'' $0.00 Bala6ce'Due r; ` $192.70 INDIANA RETAIL TAX EXEMPT PAGE Cityof Carmel . ., CERTIFICATE NO.003120155 002 0PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31477 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. 'URCHHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 26 =4 North American Rescue, LLC C@rmal Pollco Depflmont VENDOR SHIP 3 CIVIC SquarG 35 Todtvall Court TO CzMel, IN 46 Gmor, SC 3M (317)571.2674 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT �yOF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account ccount 42 p).90 7 Each Tourniquet, Combat Application 30-0033 $20.10 $182.70 1 Each shipping charges $10.00 $10.00 sub Total: $192:70 f d; PA® °° .' � � ti 0 ° j n �gop NZ Send Invoice To: f1 Cmrrnel Polido I3eparkmGnt Attn: Pat Young 3 Civic Square ftrmoi, IN 4M=- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carvel Police Dept. "`a PAYMENT 092.70 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT�TH RENS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION IF ICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL }a ,(/�p� Chi f P SHIPPING LABELS. COIICGOIICG •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE t Y" AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. a CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 4 77 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. _-. ALLOWED 20 _ IN THE SUM OF$ 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 20 ........-.... -......_..................................._.............----.............---..,...-.._..----.-._....._._............ Signature _....._.... ........................................_................... .--...........-,..._........-............ _..- - ......._..--....__..__......._. Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 North American Rescue, LLC IN SUM OF $ 35 Tedwall Court Greer, SC 39650 . $192.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31477 I 1N146768 I 42-390.10 I $192.70 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, March 07, 2014 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)) 02/28/14 IN146768 tourniquets $192.70 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