234905 7 /16/2014 Cqq
CITY OF CARMEL, INDIANA VENDOR: 367769
j ONE CIVIC SQUARE LAW ENFORCEMENT TARGETS CHECK AMOUNT: $*******859.02*
;? ,?a CARMEL, INDIANA 46032 8802 WEST 35W SERVICE DRIVE NE CHECK NUMBER: 234905
q.,;�TON_ BLAINE MN 55449 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 0253233—IN 169.02 POSTAGE
1110 4239010 31992 0253233—IN 690.00 CARDBOARD BACKERS
Page: 1
Invoice
I N Law Enforcement Targets, Inc.�nc. Invoice Number: 0253233
8802 West 35W Service Drive NE Invoice Due Date: 8/2/2014
Blaine, MN 55449-6740 Invoice Date: 7/3/2014
(763) 746-5390/ Fax (651-645-5360 Order Number: 0254013
(800) 779-0182 Order Date: 7/2/2014
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square . Ryan Jellison
CARMEL, IN 46032-2584 3 Civic Square
CARMEL, IN 46032-2584
Confirm To:
Customer P.O. Ship VIA F.O.B. Terms
2110 UPS FREIGHT NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
BAC-5 EACH 500 500 0 0.9600 480.00
24 X 48 CARDBOARD BACKERS
B-27CB EACH 200 200 0 1.0500 210.00
B-27CB BLACK CARDBOARD TARGETS
Shipping:169.02
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: 690.00
Less Discount: 0.00
Freight: 169.02
Sales Tax: 0.00
Invoice Total: 859.02
INDIANA RETAIL TAX EXEMPT PAGE
City ® Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 319132
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
6110,2014
Law Entmoment Targ>its, Inc. Cam-10 pollco Depaftri nt
VENDOR
SHIP 3 Civic Square
88LT)Mst 35W Smico Dfivo NE TO Camiel, INr..
RIaim, MN 55449-6740 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42.30-0.10
500 Each cardboard backers BAC-5 $0.03 $405.00
200 Each Cardboard backers B-17CE $0.96 $192.00
Sub Total: $657-00
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Send Invoice To; i )-
Camel Policia Dapartment - -
Attn: Pat Young
3 Civic Square
Cartnel, IN 4M32- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmol Polio Deist. -� � PAYMENT $657.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
' NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIPPING INSTRUCTIONS THIS APPROPRIAIIO'oS
SHIP REPAID. UFFICIEN�TO PAY FOR THE ABOVE ORDER.
• �<99
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY / ��
SHIPPING LABELS. I�lof of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / iF Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. 31 g 2 A.P.V. COPY-SIGN AND RETURN TO CLERKS OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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 except _
20
Signature
-- — — _ Title
Cost distribution ledger classification if
claim 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
$859.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31992 0253233-IN 42-390.10 $690.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 0253233-IN 43-421.00 $169.02
materials or services itemized thereon for
which charge is made were ordered and
received except
Frid , July 11, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
07/02/14 0253233-IN targets $690.00
07/03/14 0253233-IN shipping charges $169.02
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