239305 11/19/14 �/ 4� CITY OF CARMEL, INDIANA VENDOR: 367769
�) ONE CIVIC SQUARE LAW ENFORCEMENT TARGETS CHECK AMOUNT: $*******381.41*
=q CARMEL, INDIANA 46032 8802 WEST 35W SERVICE DRIVE NE CHECK NUMBER: 239305
9M_._.,a BLAINE MN 55449 CHECK DATE: 11/19/14
t «ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 32498 0262968-IN 381.41 TARGETS
Page: 1
Invoice
Law Enforcement Targets, Inc. Invoice Number: 0262968-IN
i
` I � 8802 West 35W Service Drive NE Invoice Due Date: 11/27/2014
Blaine, MN 55449-6740 Invoice Date: 10/28/2014
(763) 746-5390/ Fax(651-645-5360 Order Number: 0263650
(800) 779-0182 Order Date: 10/28/2014
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
UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
TQ-15 EACH 500 500 0 0.3400 170.00
TQ-15 GRAY TARGETS
B-27S BLACK EACH 500 500 0 0.3000 150.00
B-27S BLACK TARGETS
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: 320.00
Less Discount: 0.00
Freight: 61.41
Sales Tax: 0.00
Invoice Total: 381.41
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Car._':.:.M gil CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
t
FEDERAL EXCISE TAX EXEMPT 32498
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
IOM/2014
Law Enforcement Targets, Inc. Can-feel Police Department
VENDOR SHIP 3 Civic Square
TO
West 35W Service DHY@ NE Capel, IN 46032
Blaine, MN 65440-6740 (31 e)571 M9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.10
I Each shipping charges $01.41 $01 AI
500 Each targets -black D-271,3 $0.30 $150.04
500 Each targets -gray $0.34. $170.00
Sub ictal; $381.41
,.r
r"
• n o .}'i .
,• _
nrt��`r in0 �:��SQ
voice o:
Send
Carmel Police Department
Attn: Pat Young
3 Civic Square,
Carmel, IN 46M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. : , (K PAYMENT "' 1.41
`~ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS IHEREBYCERTIFYTHATTHERYISANUNOBLIGATEDBALANCEIN
THIS APPROPRIATION SUFF,,ICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER199,ACTS 1945 TITLE hit of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
® CLERK-TREASURER
DOCUMENT CONTROL NO. 324, 9 Q A.P.V. COPS'-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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 except
1 1
20
Signature
-----__ Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Law Enforcement Targets, Inc. ALLOWED 20
IN SUM OF$
8802 West 35W Service Drive NE
Blaine, MN 55449-6740
$381.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
32498 0262968-IN 42-390.10 $381.41 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
Thursday, November 13, 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 p Amount
Date Number (or note attached invoice(s)or bill(s))
10/28/14 0262968-IN range targets $381.41
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