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235850 08/13/14 "\*� CITY OF CARMEL, INDIANA VENDOR: 00351072 ONE CIVIC SQUARE GLOCK INC CHECK AMOUNT: $*******729.00* CARMEL, INDIANA 46032 o PO BOX 1.. 4 CHECK NUMBER: 235850 r, .y,TON�, SMYRNA GA 3008T I CHECK DATE: 08/13/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4467003 32074 847290 729.00 WEAPON REPAIR PART GLOCK,, Inc. USA OCK PERFECTION GLOCK,Inc.,Post Office Box 369 Tel.(770)432-1202 Smyrna,Georgia 30081 USA Fax (770)433-8719 Customer 22364 FFL No. Carmel Metro Police Department Tax Number : #3 Civic Square Del. Terms : CIF destination Carmel, IN Del. Date : 07/30/2014 46032 Forw. Agent: Fedex Ground Customer PO: 32074 Attn Ryan Jellison FFL-No. Info: Law Enforcement Agency Delivery Address: INVOICE Carmel Metro Police Department #3 Civic Square Carmel, IN 46032 i Invoice No. Date Order Number Contact Page SLS/ 847290 07/30/2014 469830 475 1 Pos De Liv Item Number Price/Unit Discount Total Price No. Qty. Item Description USD 5 1 SP03577 125.00/pc 125.00 Serial Numbers L78118 Barrel G19 US (original) 10 1 1895 13.00/pc 13.00 Extractor 9mm,.380 15 1 2714 1.00/pc 1.00 Spr Load Bearing LCI 9mm,.380 FFL#: 1-58-067-08-5M-21808 Carry Forward: 139.00 FEDERAL TAX PAYER ID#: 58-1652822 GA STATE SALES TAX#:033-24-33264-2 GLOCKI Inca USA OCK PERFECTION GLOCK,Inc.,Post Office Box 369 Tel.(770)432-1202 Smyrna,Georgia 30081 USA Fax (770)433-8719 Invoice No. Date Order Number Contact Page SLS/ 847290 07/30/2014 469830 475 2 Pos Deliv Item Number Price/Unit Discount Total Price No. Qty. Ttem Description USD Carry Forward: 139.00 20 20 SP00112 3.00/pc 60.00 Extr.dep.plunger 9mm,.40,.380, - 25 5 4270 30.00/pc 150.00 Firing Pin .40,.357 30 20 SP00077 2.00/pc 40.00 Firing Pin Safety Assy (SMALL) 35 5 SP07815 12.00/pc 60.00 Recoil Spring G23/32 (GEN4) 40 20 SP07577 12.00/pc 240.00 Recoil Spg. G22/31/35/37 GEN4 45 1 30275 5.00/pc 5.00 Trigger Hous. w/Ejt.9mm GEN4 50 5 SP07416 1.00/pc 5.00 Trigger Housing Pin MBS Carry Forward: 699.00 GLOCK, Inc. USA OCK PERFECTION GLOCK,Inc.,Post Office Box 369 Tel.(770)432-1202 Smyrna,Georgia 30081 USA Fax (770)433-8719 Invoice No. Date Order Number Contact Page SLS/ 847290 07/30/2014 469830 475 3 Pos Deliv Item Number Price/Unit Discount Total Price No. Qty. Item Description USD Carry Forward: 699.00 55 20 350 1.00/pc 20.00 _ -------— Trigger Spring - - 60 1 SHIP 10.00/pc 10.00 Shipping / Handling Charge Goods Costs Total USD 719.00 10.00 729.00 Payment Net 30 Days Should there be any discrepancies with your order, please contact customer service immediately. INDIANA RETAIL TAX EXEMPT PAGE City oCarmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32974 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 IREQUISITION NO. VENDOR NO. DESCRIPTION 702014 Glock, Inc. Carmel Police Depar=tment VENDOR SHIP 3 CIVIC Beware P.C. Box 3M TO Carnal, IN 4W32 Smynia, GA 30091 (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44.670•M 1 Each weapon repair parts $822.83 $522.83 Sub Total: $822.83 (Iyyl, t I ASS` J,ef 7��,t1 '�� Iw G•I; r n i�i : 1 i Send Invoice To: Cafmal Police Department Attn: Pat Young 3 Clylc Square - Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT Carmel Police Dept. W22.0 PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE ,.OPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS SHIP REPAID. I HEREBY CERTIFY ,, TTHERE IS AN UNOBLIGATED BALANCE IN THIS APPR PRI T O SUFFICIEN TO PAY FOR THE ABOVE ORDER. • • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I / SHIPPING LABELS. hid of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 32074 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 1N THE SUM OF$ 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 20 Signature ; 1 �— - Title � Cost distribution ledger classification if "s claim paid motor vehicle highway fund F t VOUCHER NO. WARRANT NO. ALLOWED 20 Glock, Inc. IN SUM OF$ P.O. Box 369 Smyrna, GA 30081 $729.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or F 32074 847290 44-670.03 $729.00 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 07, 2014 41Z 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)) 07/30/14 847290 weapon repair parts $729.00 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