HomeMy WebLinkAbout240384 12/16/14 CITY OF CARMEL, INDIANA VENDOR: 00351567
® ONE CIVIC SQUARE NAVAL SURFACE WARFARE CENTER CHECK AMOUNT: $*******900.00*
CARMEL, INDIANA 46032 300 HWY 391 CHECK NUMBER: 240384
ELECTRO-OPTIC TECH DIV,BLDG 2044 CHECK DATE: 12/16/14
CRANEIN 47522
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 N00164LE0207 900.00 N00164LE0207-14
SHIPPING CONTAINER TALLY------->12 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 4142 43 44 45 46 47 48 49 50
INVOICE Form Approved
OMa No.0704-0248
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Jefferson Davis Hi hwa Suite 1204,Arlington,VA 22202-4302 and to the Office of Mana errant and Bud et Pa erwork Reduction Project 0704-.0246 Washin ton DC 20503.
1. FROM: (Include ZIP Code) SHEET NO.OF
COMMANDING OFFICER REQUISITION 5. DATE 6. REQUISITION NUMBER
NAVAL SURFACE WARFARE CENTER NO. SHEETS 12/ 4
300 HWY 361 7. DATE MATERIAL REQUIRED(YYMMDD) 8. PRIORITY
ELECTRO-OPTIC TECHNOLOGY DIVISION,BLDG.2044 ATTN:(S.SUTTON/D.OWENS)
CRANE,IN 47522
2.TO: (Include ZIP Code)
CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE
CARMEL,IN 46032 10. SIGNATURE Ila. VOUCHER NUMBER&DATE(YYMMDD)
POC: LT.JEFF HORNER PH 317-571-2729
3. SHIP TO-MARK FOR 12. DATE SHIPPED(YYMMDD) b.
SAME -
13. MODE OF SHIPMENT 14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
4. APPROPRIATIONS SYMBOL AND SUBHEAD OBJ.CL. BUR.CONT.NO. SUBAL- AUTHORIZATION TRANS. PROPERTY ACCT'G COUN- COST CODE AMOUNT
LOT. ACCT'G ACTIVITY TYPE ACTIVITY TRY
ITEM FEDERAL STOCK NUMBER,DESCRIPTION,AND CODING OF MATERIAL AND/OR SERVICE UNIT QUANTITY SUPPLY TYPE CON- UNIT TOTAL
NO. OF REQUESTED ACTION CON- TAINER PRICE COST
(a) (6) Additional devices, pro-rated for 6 months. Will be ISSUE TAINER NOS.
added to agreement in June When due. (c) (d) (e) M (9) (h) (I)
(1) NIGHT VISION EQUIPMENT; 6 $150.00 $900.00
DATE:
LOAN AGREEMENT FROM 1/1/2015 TO 6/21/2015
AGREEMENT # N00164LE0207-14
Supply Labor Charge#
16. TRANSPORTATION VIA MATS OR MSTS CHARGEABLE TO 1 17. SPECIAL HANDLING SENSITIVE NIGHT VISION EQUIPMENT
18. ISSUED BY TOTAL TYPE 19. CONTAINERS DATE BY SHEET TOTAL
O CON- CON- DESCRIPTION TOTAL TOTAL RECEIVED (YYMMDD)
R F TAINERS TAINER; WEIGHT CUBE R EXCEPT AS
E E NOTED
C S CHECKED BY
A H E QUANTITIES DATE BY GRAND TOTAL
P I RECEIVED (YYMMDD)
I
P EXCEPT AS
T NOTED
PACKED BY 1 DATE BY 20. RECEIVER'S
<---------------TOTAL--------------> POSTED (YYMMDD) VOUCHER NO.
co3 5t 567
VOUCHER NO. WARRANT NO.
ALLOWED 20
Commanding Officer, Naval Surface Warfare C
300 Hwy 361 IN SUM OF$
i
Electro-Optic Technology Division, Bldg 2044 f�
Crane, IN 47522
$900.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members i
I hereby certify that the attached invoice(s), or
1110 V00164LE0207-1 43-530.99 $900.00
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
Tuesday, De ember 092014
4/Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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
i
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
12/05/14 N00164LE0207-14 Night Vision Goggles $900.00
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