242848 03/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352614
ONE CIVIC SQUARE TASER INTERNATIONAL CHECK AMOUNT: $**'*`**245.96'
CARMEL, INDIANA 46032 PO BOX 29661-2018 CHECK NUMBER: 242848
PHOENIX AZ 85038-9661 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 SI1389957 32.96 POSTAGE
1110 4467099 32777 SI1389957 213.00 BLACKHAWK X26
TAS E R Remit Payment to: Invoice
TASER International Invoice No ...............: S11389957
E PO BOX 29661 Invoice date .............:2/17/2015
DEPARTMENT 2018 Page ....................: 1 of 1
PHOENIX,AZ 85038-9661 Sales order ..............: SO150007527
PH: (480) 991-0797 Purchase order .........: Q00036794
FAX: (480)991-0791 Your ref. .................:
SALES@TASER.COM Our ref. ..................:Admin
WWW.TASER.COM Payment ................: Net 30
Invoice account .........: 106575
RMA number ............:
Mode of delivery ........: Fedex-2 Day
Terms of delivery ........: FOB Scottsdale(No
BILL TO: SHIP TO:
CARMEL POLICE DEPT. CARMEL POLICE DEPT.
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
_—�!te �r !�e; ??e�isi3n—D'esciNcl I raerea -hip ep Bac ork—deed knit price Amount
11504 X1 HOLSTER, BLACKHAWK, LEFT, 1 1 0 53.25 53.25
X26P
44HTOOBK-L-B
11501 X1 LSTER, BLACKHAWK, RIGHT,X26P 3 3 0 53.25 159.75
44HTOOBK-R-B
Please see http://www.taser.com/sales-terms-and-conditions for all sales terms and Sales Amount 213.00
conditions. Misc./Handling 0.00
Shipping Freight& Handling 32.96
Sales Tax 0.00
Total 245.96
Payment due 3/19/2015 Amount Received 0.00
BALANCE DUE 245.96 US
City ®yl'l� INDIANA RETAIL TAX EXEMPT PAGE
Carm' d CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32777
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2117if2015
Taow Int@national cantol Police Depairtment
VENDOR
SHIP 3 Citric Squam
P.O. Box 29661 X013 TO Canie}l, IN 45032
Phoonik, AZ 85-038-Mi (317)571---,55S
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-670.99
jr }..\
3 Each Holster, Blackhhawk X25P $53.25 $1%75
9 Each Holster, Blackhawk X25P $53.25 $53.25
Sub Total: $213.00
u
JI
Z,
Send Invoice To: ` qtr
Cantel Police Department
Attn: Pat Young
3 Civic square
CaIrmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. �� � `, PAYMENT s- �Ia.UU
,\
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
\` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYTHAT`THERE IS AN UNOBLIGATED BALANCE IN
•
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. /jam Chief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 CLERK-TREASURER
DOCUMENT CONTROL NO. A.C.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF$
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
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
$245.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1110 SI1389957 43-421.00 $32.96 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
32777 S11389957 44-670.99 $213.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, February 26, 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))
02/17/15 S11389957 shipping charges $32.96
02/17/15 S11389957 taser holsters $213.00
i
it
I hereby certify that the attached invoice(s),or bill(s), is(acre)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer