237680 09/30/14 "f CITY OF CARMEL, INDIANA VENDOR: 368636
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2`1 ONE CIVIC SQUARE TACTICAL ENERGETIC ENTRY SYSTEM§HECK AMOUNT: $*******825.00*
CARMEL, INDIANA 46032 PO BOX 469 CHECK NUMBER: 237680
HORN LAKE MS 38637 CHECK DATE: 09/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 32466 2390 825.00 TRAINING
TEES Invoice
P.O. Box 469
Date Invoice
Horn Lake, MS 38637-0469 #
EIN 26-1437845 9/17/2014 2390
Bill To
Carmel Police Dept
3 Civic Square
Carmel,IN 46032
- -- - - - - --- -- _ - = -- -P:O:No:— Terms
32466 Net 30
Item Quantity Description Rate Amount
MBI 1 Mechanical&Ballistic Breaching Instructor Course 825.00 825.00
October 6-9,2014
Lincoln,IL
William Gilbert
PH:901-326-5223
Fax:800-589-2459 Total $825.00
Thank you for your business!
I INDIANA RETAIL TAX EXEMPT PAGE
City of
Carmel
`-'EERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32-966
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
911712014
`EES Carmel Pollae D@pa.rtriient
VENDOR SHIP 3 Clvie squame
PO Bost 460 TO Caniwl, IN 46M
Isom Lake, MS 38M7 (317)671 92550
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
l
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00-570.00 - - -
1 Each Training $825.00 $825.00
Scab Total: $825.00
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Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 CIYIC GgUaF6
Camel, IN 400 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
Carne! Police Dept. PAYMENT M.04
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTI1 Y,THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. y/l
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL /// pI� /
SHIPPING LABELS. 19Id of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
. DOCUMENT CONTROL NO. 3 2/�`°'�'6 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.__ WARRANT NO�___.
ALLO9VED 20__�
|NTHE SUM OFs
'
ONACCOUNT OFAPPROPRIATION FOR
' .
Board Members
PO#or INVOICE NO, ACCT#/TITLE AMOUNT
DEPT# | hereby certify that the attached invoice(s), nr '
biU/a\ in (ave) true and correct and that the
materials orservices itemized thereon for
which charge iamade were ordered and
receivedn���
�
�
20____
Signature
Title
Cost distribution ledger classification if
VOUCHER NO. WARRANT NO.
ALLOWED 20
TEES
�(p IN SUM OF$
PO Box 469
Horn Lake, MS 38637
$825.00
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32466 2390 -570.00 $825.00
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
Thursday, September 25, 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))
09/17/14 2390 Breaching Instructor Course $825.00
I
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