242187 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 367180
r d it ONE CIVIC SQUARE ADORAMA CHECK AMOUNT: $""**"`196.80*
a CARMEL, INDIANA 46032 42 WEST 18TH ST CHECK NUMBER: 242187
NEW YORK NY 10011 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4467099 32268 16347536 196.80 BLACKHAWK DYNAMIC
Page: 1
40
OR4^4
42 west 18th Street 888-874-1586INVOICEw York NY
11
Nc weww'ado ama.cOom 111111111111111
M ORE THAN A CAMERA STORE info@adorama.com 16347536 02/03/2015
Any item/s showing as "back-order^?
BILLING ADDRESS: SHIPPING ADDRESS: Order No: 15401765-1 An item listed as ^back-order^ is on order with the
supplier and is temporarily out of stock. These itev
CITY OF CARMEL CARMEL POLICE DEPT. Order Date: 12/23/2014 will ship soon. Most backordered items ship within 1
Att: ACCOUNTS PAYABLE Att: BLAINE MALLABER Customer No: 7820810 business days. We never charge additional shipping e
a result of a back-order. Please feel free to contac
ONE CIVIC SQUARE 3 CIVIC SQUARE Customer P0: 32268 us for additional information at www.adorama.com/emu
CARMEL, IN 46032 USA CARMEL, IN 46032 USA Terms: Net 30
(317) 571-2559 (317) 571-2559 Note: Please be prudent when throwing away peckeginc
material or boxes. It is possible to miss sone conte
Checking off contents against the packing list is a]
good idea. If something is indeed missing please me
SKU# Item QtyOrd Ship B/0 Price Total claim within five days to be compliant with our poli
BHDEMS BLACKHAWK DYNAMIC ENTRY MONOSHCK RAM 1 1 182.00 182.00 We want to buy your used photo equipment:
In the last year alone, Adorama spent millions
buying 35mm, medium / large-format, scopes, video
and digital equipment. Our satisfied customers
happily cashed in or traded their equipment and
Sub Total: 182.00 enjoyed our above market value payout. Adorama
Thank you for beim a repeat Customer. Shipping: 14.80 Pays top dollar for individual hens, rare pieces,
Y g p PP� g: collections and estates. For more information, call
Tax: .00 1-800-223-2500 or visit us at www.adorama.com/sell
This order was carefully processed by your sales rep Invoice Total: 196.80 and use our online quoting system.
Caroleann Fusco. Total Paid: .00
No Hassle Return Policy:
Ne want you to be completely happy with your purchas
For help with this order or to place another order, call Balance: 196.80 from Adorama. Please see the general Return/Exchange
Caroleann Fusco at (888) 874-1586 guidelines and policy posted on our website at
or email at caroleannf@adorama.com. www.adorama.com/policy.
To email Customer Service please go to www.adorama.com/email
LOOKING
FOR
WE'VE GOT 8T
We pay top dollar for your used photo 8 video equipment
To find out the value of your equipment
online by phone bring it
adorama.com/sell 800-223-2500 42 W 18 St NYC
Total Qty. Shipped: 1 Ship Via: United Parcel Service Salesman 00405 - Carole
Total Cartons Shipped: 1 Tracking: 1ZOX118AO392320116 Ordered By: PAT
Printed By: MOSHEN 02/10/15 05:11 PM
j INDIANA RETAIL TAX EXEMPT PAGE
City
of
Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT SIM
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,NP
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. VENDOR NO. DESCRIPTION
92/98/209
Adorma C2mol Police Dapartmont
VENDOR SHIP 3 Civic Sq(S 2ro
421 Mat 96th Strwt TO C@ QI' IN
Nowt York, Nit 90099 (398)689
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-680.M
9 Each Blaickhawk Dynamic Entry-Monoshoch $259.39 $259.39
Ram
Sub Total: $259.30
a4
V.
( d
co, MSend Invoice To: I
f
Cumel P®llce DapiAment
Attn: Pat Young
3 Civic squana
Carmel, IN 462- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. c`3 PAYMENT M.39
\ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY/
SHIP REPAID. THAT THERE IS A,*UNOBLIGATED BALANCE IN
THIS APP PRI TON SUFFICIENT-TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Chloe®q
Polleo
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 22 68 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
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 —
------------------------
20
------ --- 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))
02/03/15 16347536 Blackhawk Dynamic Entry- Monoshock Ram $196.80
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.
ALLOWED 20
Adorama
IN SUM OF $
42 West 18th Street
New York, NY 10011
$196.80
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
32268 16347536 44-670.99 $196.80
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, February 12, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund