HomeMy WebLinkAbout230514 03/26/14 vY CITY OF CARMEL, INDIANA VENDOR: 367769
d i' ONE CIVIC SQUARE LAW ENFORCEMENT TARGETS CHECK AMOUNT: $*******997.59*
CARMEL, INDIANA 46032 8802 WEST 35W SERVICE DRIVE NE CHECK NUMBER: 230514
+,;,_roN.Lo.? BLAINE MN 55449 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4239010 31379 0235340-IN 997.59 TARGET EQUIPMENT
Page: 1
Invoice
►Lnw Enforcement Targets, Inc.
Invoice Number: 0235340-IN
i 8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
Blaine, MN 55449-6740
Invoice Date: 11/26/2013
(763) 746-5390/ Fax(651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
VTAC-P EACH 500 500 0 0.3900 195.00
2-SIDED TARGET DESIGNED BY VIK
LE-6 EACH 10 10 0 0.5500 5.50
WOMEN IN BROWN COAT WITH GUN
LE-28 EACH 10 10 0 0.5500 5.50
MAN &TECH-9, SHOWS FAINT ANAT
LE-31 EACH 10 10 0 0.5500 5.50
WOMAN WITH MAN HOSTAGE
LE-33 EACH 10 10 0 0.5500 5.50
PREGNANT WOMAN WITH GUN
LE-13 EACH 10 10 0 0.5500 5.50
MAN BEHIND COUCH WITH GUN
LE-14 EACH 10 10 0 0.5500 5.50
MAN STANDING SIDEWAYS WITH GUN
LE-38 EACH 10 10 0 0.5500 5.50
MAN WITH AK-47
LE-15 EACH 10 10 0 0.5500 5.50
WOMAN BEHIND WALL WITH GUN
Continued
Page: 2
1 nvoice
Invoice Number: 0235340-IN
rLaw Enforcement Targets, Inc.
8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
1 1 Blaine, MN 55449-6740 Invoice Date: 11/26/2013
(763) 746-5390/ Fax(651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
LE-24 EACH 10 10 0 0.5500 5.50
LE-23 WITH BODY ARMOR
LE-23 EACH 10 10 0 0.5500 5.50
LE-21 TURNED AROUND
LE-25 EACH 10 10 0 0.5500 5.50
MAN WITH BOY HOSTAGE
LE-26 EACH 10 10 0 0.5500 5.50
HOODED MAN WITH GUN
LE-37 EACH 10 10 0 0.5500 5.50
MAN PULLING GUN OUT
LE-35 EACH 10 10 0 0.5500 5.50
BOY RUNNING LEFT
SR-21 C3A EACH 100 100 0 0.2500 25.00
SR-21C3A 3 BULLSEYE TARGET
VB-24 EACH 200 200 0 0.2500 50.00
24 3"NUMBERED CIRCLES
PDT-OZT EACH 100 100 0 0.1200 12.00
PDT-OZT SIGHTING TARGETS
Continued
Page: 3
1 nvoice
Aaw Enforcement Targets, Inc. Invoice Number: 0235340-IN
8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
Blaine, MN 55449-6740 Invoice Date: 11/26/2013
(763) 746-5390/ Fax (651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
" Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
M4 CARBINE EACH 100 100 0 0.2100 21.00
M4 CARBINE 25 METER ZEROING TA
OLT-A EACH 10 10 0 0.2000 2.00
BADGE &CASE HAND OVERLAY
OLT-DD EACH 10 10 0 0.2000 2.00
RADIO HAND OVERLAY
OLT-EE EACH 10 10 0 0.2000 2.00
POINTING FINGER HAND OVERLAY
OLT-K EACH 10 10 0 0.2000 2.00
PEPPER SPRAY HAND OVERLAY
OLT-O EACH 10 10 0 0.2000 2.00
KNIFE HAND OVERLAY
OLT-S1 EACH 10 10 0 0.2000 2.00
POLICE PATCH OVERLAY
OLT-S2 EACH 10 10 0 0.2000 2.00
SWAT PATCH OVERLAY
OLT-S3 EACH 10 10 0 0.2000 2.00
FEDERAL AGENT PATCH OVERLAY
Continued
Page: 4
Invoice
- . ►Law Enforcement Targets, Inc.
Invoice Number: 0235340-IN
_
+ 8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
{ Blaine, IVIN 55449-6740 Invoice Date: 11/26/2013
` (763) 746-5390/ Fax(651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
SPPD-HERLSK9A EACH 10 10 0 0.9900 9.90
SPPD-HERLSK9A PHOTO TARGET
SPPD-SMK9B EACH 10 10 0 0.9900 9.90
SPPD-SMK913 PHOTO TARGET
LE-39 EACH 20 20 0 0.5900 11.80
MAN WITH GUN IN HALLWAY
LE-40 EACH 20 20 0 0.5900 11.80
MAN WITH CHILD HOSTAGE
MT1 EACH 20 20 0 0.5900 11.80
MT1 AIRLINER TARGET
MT2 EACH 20 20 0 0.5900 11.80
MT2 AIRLINER TARGET
MT5 EACH 20 20 0 0.5900 11.80
MT5 AIRLINER TARGET
VlP-3 EACH 20 20 0 0.5900 11.80
VIP-3 FULL COLOR TARGETS
VIP-4 EACH 20 20 0 0.5900 11.80
VIP-4 FULL COLOR TARGETS
Continued
Page: 5
Invoice
Law Enforcement Targets, Inc.
Invoice Number: 0235340-IN
8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
Blaine, MN 55449-6740 Invoice Date: 11/26/2013
(763) 746-5390/ Fax(651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
VIP-5 EACH 20 20 0 0.5900 11.80
VIP-5 FULL COLOR TARGETS
VIP-6 EACH 20 20 0 0.5900 11.80
VIP-6 FULL COLOR TARGETS
OLT-H EACH 10 10 0 0.2000 2.00
OPEN RIGHT HAND HAND OVERLAY
OLT-J EACH 10 10 0 0.2000 2.00
OPEN LEFT HAND HAND OVERLAY
IALEFI-QP EACH 100 100 0 0.2600 26.00
PAPER TARGETS
K5T EACH 300 300 0 0.2500 75.00
K5 TACTICAL TARGET
E24 EACH 2 2 0 59.9500 119.90
PLUG STATION/500 PR SPARKPLUG
RF-S EACH 1 1 0 24.9500 24.95
RED RANGE FLAG
SB-16F EACH 20 20 0 6.4900 129.80
M16/M4 WELL BLOCK& FLAG/YELL
Thank You For Your Order!
A SERVICE CHARGE of 1.5%per month(18%Annual)will be charged on all past due amounts. Net Invoice: 901.65
Less Discount: 0.00
Freight: 95.94
Sales Tax: 0.00
Invoice Total: 997.59
Page: 1
Invoice
Ir—law Enforcernent Targets, Inc. Invoice Number: 0235340-IN
8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
Blaine, MN 55449-6740 Invoice Date: 11/26/2013
(763) 746-5390/ Fax (651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
VTAC-P EACH 500 500 0 0.3900 195.00
2-SIDED TARGET DESIGNED BY VIK
LE-6 EACH 10 10 0 0.5500 5.50
WOMEN IN BROWN COAT WITH GUN
LE-28 EACH 10 10 0 0.5500 5.50
MAN&TECH-9, SHOWS FAINT ANAT
LE-31 EACH 10 10 0 0.5500 5.50
WOMAN WITH MAN HOSTAGE
LE-33 EACH 10 10 0 0.5500 5.50
PREGNANT WOMAN WITH GUN
LE-13 EACH 10 10 0 0.5500 5.50
MAN BEHIND COUCH WITH GUN
LE-14 EACH 10 10 0 0.5500 5.50
MAN STANDING SIDEWAYS WITH GUN
LE-38 EACH 10 10 0 0.5500 5.50
MAN WITH AK-47
LE-15 EACH 10 10 0 0.5500 5.50
WOMAN BEHIND WALL WITH GUN
Continued
Page: 2
Invoice
V-17Law Enforcement Targets, Inc.
Invoice Number: 0235340-IN
8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
Blaine, MN 55449-6740 Invoice Date: 11/26/2013
(763) 746-5390/ Fax(651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
LE-24 EACH 10 10 0 0.5500 5.50
LE-23 WITH BODY ARMOR
LE-23 EACH 10 10 0 0.5500 5.50
LE-21 TURNED AROUND
LE-25 EACH 10 10 0 0.5500 5.50
MAN WITH BOY HOSTAGE
LE-26 EACH 10 10 0 0.5500 5.50
HOODED MAN WITH GUN
LE-37 EACH 10. 10 0 0.5500 5.50
MAN PULLING GUN OUT
LE-35 EACH 10 10 0 0.5500 5.50
BOY RUNNING LEFT
SR-21 C3A EACH 100 100 0 0.2500 25.00
SR-21C3A 3 BULLSEYE TARGET
VB-24 EACH 200 200 0 0.2500 50.00
24 3" NUMBERED CIRCLES
PDT-OZT EACH 100 100 0 0.1200 12.00
PDT-OZT SIGHTING TARGETS
Continued
Page: 3
Invoice
V-Aaw
Enforcement Targets, Inc. Invoice Number: 0235340-IN
8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
Blaine, MN 55449-6740 Invoice Date: 11/26/2013
is
11,
(763) 746-5390/ Fax (651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
M4 CARBINE EACH 100 100 0 0.2100 21.00
M4 CARBINE 25 METER ZEROING TA
OLT-A EACH 10 10 0 0.2000 2.00
BADGE& CASE HAND OVERLAY
OLT-DD EACH 10 10 0 0.2000 2.00
RADIO HAND OVERLAY
OLT-EE EACH 10 10 0 0.2000 2.00
POINTING FINGER HAND OVERLAY
OLT-K EACH 10 10 0 0.2000 2.00
PEPPER SPRAY HAND OVERLAY
OLT-O EACH 10 10 0 0.2000 2.00
KNIFE HAND OVERLAY
OLT-S1 EACH 10 10 0 0.2000 2.00
POLICE PATCH OVERLAY
OLT-S2 EACH 10 10 0 0.2000 2.00
SWAT PATCH OVERLAY
OLT-S3 EACH 10 10 0 0.2000 2.00
FEDERAL AGENT PATCH OVERLAY
Continued
Page: 4
Invoice
a nforce ent Targets, Inc.
Invoice Number: 0235340-IN
ism
8802 West 35W Service Drive NE Invoice Due Date: 1/30/2014
Blaine, MN 55449-6740 Invoice Date: 11/26/2013
(763) 746-5390/ Fax (651-645-5360 Order Number: 0236134
(800) 779-0182 Order Date: 11/26/2013
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Sgt Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Sgt Jellison
Customer P.O. Ship VIA F.O.B. Terms
31379 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
SPPD-HERLSK9A EACH 10 10 0 0.9900 9.90
SPPD-HERLSK9A PHOTO TARGET
SPPD-SMK9B EACH 10 10 0 0.9900 9.90
SPPD-SMK9B PHOTO TARGET
LE-39 EACH 20 20 0 0.5900 11.80
MAN WITH GUN IN HALLWAY
LE-40 EACH 20 20 0 0.5900 11.80
MAN WITH CHILD HOSTAGE
MT1 EACH 20 20 0 0.5900 11.80
MT1 AIRLINER.TARGET
MT2 EACH 20 20 0 0.5900 11.80
MT2 AIRLINER TARGET
MT5 EACH 20 20 0 0.5900 11.80
MT5 AIRLINER TARGET
VIP-3 EACH 20 20 0 0.5900 11.80
VIP-3 FULL COLOR TARGETS
VIP-4 EACH 20 20 0 0.5900 11.80
VIP-4 FULL COLOR TARGETS
Continued
INDIANA RETAIL TAX EXEMPT PAGE
City o `1\ ':" _arm 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
�912�6209�
Law Enforcement Targsts,'Inc. Cannel Police Department
VENDOR TO 3 Civic squam
2 Wort 35W Servlce Wye NE Camel, IN AM
®lame, MN O-6940 (317)671-2574
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
OUANTTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 p pA0
80 Each Target Overlays $0.20 $16.00-
1 Each RF-S(range flag) $29.05 $21.95
2 Each E24 $49.95 $99.90 �
300 Each K5T 300 count $0.25 $75.00
,
100 Each i EFI-QP a � $0.26 $26.00-
10 Each CLT-J $0.20 $2.00-
180 Each Le-39,40,W-1.2.5 VIP 3,�4 ai'�e#s $0.57 $102.60
240 Each 20 Targets <' '$0.57 $138.80
20 .Each SS-18F (weapon flag) �� �� � �" �� �` $6.49 $129.80
vt
100 Each M4 Carbine 900 count "- $0.21 $21.00
100 Each PDT-02T 100 count =l'A
$0.92 $12.00
200 Each -24 200 tout $0.25 $50.00
100 Each SR-21C3A 100 count $0.25 $25.00
980 Each Mix &Match - 180 Target v#9-4 p �. � �= ��€;��� � ��� $0.57 $102.60
500 Each VTAC-P, 500 count _ �, $0.39 $105.00 ,
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic squama
Ca>fmQl, IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. '' PAYMENT $1,017.65
., A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THYRE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATIOIjI FFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. /PROPRI�IDV
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. ^'
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .1',of i%f Pollen
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 3 7 9 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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
c0 INDIANA RETAIL TAX EXEMPT PAGE
l-Ly Z`�), lug®f °�anal CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 31379
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
4462 Mia
Law En?omemont Talots, Inc. Cwm@I Police Dopar4ment
VENDOR TO 3 CIVIC I quam
MW st 35W Seryleo Drive NE Camel, IN 46M
Elaino. MN -M1 (M)579-2574
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION - UNIT PRICE EXTENSION
40 Each OLT4i $0.20 $2.00
Saab Total: $9,097.05
% 30,
ra`� •«u
AM
13'
-
AroW�
Send Invoice To:
Carmel Police Dep2dment
Attn: lett Young
3 CIVIC 11?qum
Carmel, IN 2= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,097,1
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROF ER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRI Tib SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (if pellr-o
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 3 8® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.
ALLOWED 20___
|NTHE SUM OF$
�
'
�
ONACCOUNT OFAPPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#[TITLE AMOUNT
DEPT# | hereby certify that the attached immice(s), or
bill(s) is (are) bna and correct and that the
mm1eha|a or services itemized thereon for
which change in made were ordered and
received except
.
` .
. '
` ,20_-__
�
�� ` �. ��. .... .............................................
Signature
� Tule
. .
'
Cost distribution ledger if
:lam`paid motor vehicle highway fund � '
VOUCHER NO. WARRANT NO.
ALLOWED 20
Law Enforcement Targets, Inc.
IN SUM OF $
8802 West 35W Service Drive NE
Blaine, MN 55449-6740
$997.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31379%I 0235340 IN 42-390.10 $997.59
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 21, 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))
03/19/14 0235340-IN range supplies $997.59
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