240734 01/07/15 Q
CITY OF CARMEL, INDIANA VENDOR: 367769
ONE CIVIC SQUARE LAW ENFORCEMENT TARGETS CHECK AMOUNT: S*****1,129.58CARMEL, INDIANA 46032 8802 WEST 35W SERVICE DRIVE NE CHECK NUMBER: 240734
BLAINE MN 55449 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4239010 32247 0266072-IN 1,129.58 TAC MAN CARDBOARD BAC
Page: 1
Invoice
Lai► Enforcement Targets, Inc.
Invoice Number: 0266072-IN
8802 West 35W Service Drive NE Invoice Due Date: 1/14/2015
Blaine, MN 55449-6740 Invoice Date: 12/15/2014
Inn (763) 746-53901 Fax (651-645-5360 Order Number: 0266793
(800) 779-0182 Order Date: 12/12/2014
Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
3 Civic Square Ryan Jellison
CARMEL, IN 46032-2584 9609 Hazeldale Parkway
CARMEL, IN 46032-2584
Confirm To:
Ryan Jellison
Customer P.O. Ship VIA F.O.B. Terms
32247 UPS FREIGHT NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
IPSC-CB EACH 100 100 0 0.6500 65.00
IPSC-CB CARDBOARD TARGETS
TAC-MAN EACH 10 10 0 35.9500 359.50
PLASTIC POLYMER TARGET
BAC-5 EACH 500 500 0 1.0985 549.25
24 X 48 CARDBOARD BACKERS
SHIP UPS FREIGHT$155.83
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: 973.75
Less Discount: 0.00
Freight: 155.83
Sales Tax: 0.00
Invoice Total: 1,129.58
i
INDIANA RETAIL TAX EXEMPT PAGE
City Y o I' ca'
rmelCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
1a
Y FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584VOUCHER, 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
1211112014
LE Targots Carmel Pmllco Department
VENDOR SHIP 3 CIVIC Squm
X02 W MW Somico Dr NE TO Cumol, IN 46M
®lain, MN SUB (317)67928
CONFIRMATION BLANKET CONTRACT PAYMENTTEF \ 1\ FREIGHT
QUANTITY UNIT OF MEASURE / / UNIT PRICE EXTENSION
Account 42-0.9 0
100 Each IPSC-CE $0.48 $48.00
10 Each Tac /Jan Target $35.95 $359.50
1 Each IAC-3 Cardboard Backers $405.00 $405.00"
Sub Total: 9 22 55
° F
Send Invoice To:
Carmol P®llco DCp2ftmont Y.,
Attn: Pat Young
3 Civic Squm
Catmel, IN 40032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cwmel Police Dept. PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY THAT THE
SHIPPING INSTRUCTIONS E IS AN UNOBLIGATED BALANCE IN�
THIS APPROPRIATION S EI'
SHIP REPAID. IGIENT TO PAY FOR THE ABOVE ORDER.
• /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. .,t)of PolIco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 8 Y'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ,
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 4 7 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
(r �
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#MTLE 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
i
which charge is made were ordered and
received except--------- ----- -- -- -- —
1
20
.................................................................. G
Signature
..............................._.-.......-.........-.............--.............................._.....................................--- -
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))
01/02/15 0266072-IN range supplies $1,129.58
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
VOUCHER NO. WARRANT NO.
LE Targets ALLOWED 20
IN SUM OF $
8802 W 35W Service Dr NE
Blain, MIN 55449
$1,129.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
Encumbered I hereby certify that the attached invoice(s), or
32247 0266072-IN 42-390.10 $1,129.58
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
Wednesday, December 31, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund