241855 02/03/15 CITY OF CARMEL, INDIANA VENDOR: 00352614
ONE CIVIC SQUARE TASER INTERNATIONAL CHECK AMOUNT: $*******855.95*
CARMEL, INDIANA 46032 PO BOX 29661-2018 CHECK NUMBER: 241855
(9,
PHOENIX AZ 85038-9661 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 32299 1385800 855.95 TASER WITH HOLSTER
TAS E R Remit Payment to: Invoice
TASER International Invoice No ...............: S11385800
N/ftWOOOF' P R O T E O T L I F E PO BOX 29661 Invoice date .............: 1/20/2015
DEPARTMENT 2018 Page ....................: 1 of 1
PHOENIX,AZ 85038-9661 Sales order ..............: SO 150002698
PH: (480) 991-0797 Purchase order .........:
FAX: (480) 991-0791 Your ref. .................: Bill my department
SALES@TASER.COM Our ref. ..................:
WWW.TASER.COM Payment ................: Net 30
Invoice account .........: 106575
RMA number ............: RMA 201004
Mode of delivery ........: Fedex-Ground
Terms of delivery ........: FOB Scottsdale(No
BILL TO: SHIP TO:
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT- IN
ATTN: PAT YOUNG 3 CIVIC SQUARE
3 CIVIC SQ CARMEL, IN 46032
CARMEL, IN 46032
Item number Revision Description Ordered Shipped Backordered Unit price Amount
26550 A X26E KIT-BLACK/BLACK, DPM, 1 1 0 855.95 855.95
W/O HOLSTER
Please see http://www.taser.com/sales-terms-and-conditions for all sales terms and Sales Amount 855.95
conditions. Misc./Handling 0.00
Shipping Freight& Handling 0.00
Sales Tax 0.00
Total 855.95
Payment due 2/19/2015 Amount Received 0.00
BALANCE DUE 855.95 US
INDIANA RETAIL TAX EXEMPT PAGE
City of CCERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32294
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.
URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1r._7t2015
Tafmw Intemation al Carm,91 P611cc Department
VENDOR SHIP 3 Civic Squats
P.O. Box 29661-2018 TO Carinal, IN 4132
Phoenix, AZ 3961 (317)571.2-959
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-3S,0.10
1 Each Taser with holster 26550 $855.95 $855.95
Sub Total: $855.9s
•
Send Invoice To:
Carmel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 460r..- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT - "55.95
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SU.FICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �/� JS
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY U�
SHIPPING LABELS. /-
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE rlld of Police
v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 32299 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
0
C
20
Signature
Title
-Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Taser International
IN SUM OF$
P.O. Box 29661-2018
Phoenix, AZ 85038-9661
$855.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
C
32299 1385800 42-390.10 $855.95 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
Wednesd y, January 28, 2015
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))
01/20/15 1385800 taser with holster $855.95
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