241128 01/13/15 .Cqq
�%"� ''f. CITY OF CARMEL, INDIANA VENDOR: 366725
® � ONE CIVIC SQUARE RANGE SYSTEMS CHECK AMOUNT: $****10,000.00*
s9 ,a; CARMEL, INDIANA 46032 5121 WINNETKA AVE N CHECK NUMBER: 241 128
•,,��TON�` NEW HOPE MN 55428 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4239010 32237 15936 10,000.00 DURA BLOC
RMGEM Invoice
SYSTEMS
5121 Winnetka Ave N k
New Hope,MN 55428 12/19/2014 15936
P
Carmel Police Dept. Carmel Police Range
Pat Young Sgt. Ryan Jellison
3 Civic Square 9609 Hazeldell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
317-727-9862, 317-.571-2599
32237 Net 15 MW 12/17/2014 Lift Gat. .. Origin
0.00
RB1068 DURA-BLOC, 36" X 12" X 911 - 100 ea 89.00 8,900.00
NSN: 9320-01-565-6452
001 Shipping 6 Handling Charges VIA R&L 1 1,100.00 1,100.00
WU11.28645 ETA 12/2.3/14
Note set up delivery 24 hrs in advance. 1 0.00 0.00
Sgt. Ryan Jellison #317-727-9862
We accept Visa, Mastercard, Discover and American Express. Total $10,000.00
GSA Contract#GS-07F-0139K Balance Due $10,000.00
Dunns#965573421
Tax ID#41-1811798
Cage Code:08QN6
Phone# 763-533-9200 Fax# 763-537-6657 www.range-systems.com
INDIANA RETAIL TAX EXEMPT PAGE
® : C°,�r CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
cot*
\��//ISJs l< �JL 11
FEDERAL EXCISE TAX EXEMPT S7
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. t VENDOR NO. DESCRIPTION
'1213120`14
Range Systems Carmel Police Department
VENDOR SHIP 3 Civic Square
5121 Winnetka Avenue North TO Cannel, IN 46032)
New Hopa, MI4 X28 (347)571,-2659
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .10
200 Each Dura-Bloc RIB 10008 $3P9.00 $ -
Sub Total: \O ZOO . ,y
r
r . 1
{ -'
y� ti 4• 3 c__ ! k
° ��
s a v( 1�:
( ( )1y,s
Send Invoice To: �
Cartmel Policy Dapaftm@nt
Atte: Pat Young
3 Civic Square
Ciel, IN 46032. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT T PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Crept. 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 AFFID IT ATTACHED.
SHIPPING INSTRUCTIONS IHEREBY CERTIFYITH�A`TTHERE ISANUN IGATENCE IN
THIS APPROPgg1�IONON SNT TO PAAt"ROVE 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 CHAPTER 99,ACTS 1945 TITLE Ahld of Polie@
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. ,3 2 2 3 7 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. `WARRANT NO.
ALLOWED 20
_ a
IN THE SUM OF$
t
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT 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
Iii
Signature
Title
I
Cost distribution ledger classification if
claim paid,motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Range Systems ALLOWED 20
IN SUM OF$
5121 Winnetka Avenue North
New Hope, MN 55428
$10,000.00
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
32237 15936 42-390.10 $10,000.00
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
Wednesday, anuary 07, 2015
Chief of Police
Title
I
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))
01/06/15 15936 Dura-Bloc for range $10,000.00
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