243175 3 /15/2018 04f• CITY OF CARMEL, INDIANA VENDOR: 368976
�; ONE CIVIC SQUARE C M C GOVERNMENT SUPPLY CHECK AMOUNT: $*****2,975.55*
:; ;?� CARMEL, INDIANA 46032 5200 KELLER SPRINGS ROAD,STE 522 CHECK NUMBER: 243175
M��TpN�°' DALLAS TX 75248 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4467003 32269 230606 2',975.55 PENN ARMS
CMC Invoice
Government. Supply
CMC Government Services, Inc. Customer No.: CITY0073
5200 Keller Springs Rd-Suite 522 Invoice No.: 230606
Dallas, Texas 75248
(972) 960-0800
Bill To: City of Carmel Police Department Ship To: City of Carmel Police Dept P032269
Attn: Pat Young Attn: Ryan Jellison
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
11 ORION=
03/04/15 ADULT UPS GROUND I Origin I[4 Due Receipt
Purchase Order Number Sales Person Our Order Number
32269 I 12/17/14 David Goldstein
Quantity Item
• • •• • : •
NumberDescription
3 3 CTS-1_140-4 SINGLE LAUNCHER GL1-COMPACT 959.00 2877.00
FOLDING STOCK GRIP QUAD RAIL
Invoice subtotal 2877.00
Shipping & Handling 98.55
Invoice total 2975.55
.ATI invoices are due and payable on receipt
Thank You
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carn� � CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT1
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
12/17t2014
CMC Goveer went Suppiy Carmel Police Department
VENDOR SHIP 3 Civic Square
5200 Keller Springs Road TO Carmel, IN 46
Dallao, TX 75240 (317)571 25
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE - DESCRIPTION UNIT PRICE EXTENSION
Account 44-670.03
3 Each Perm Arms L140-4 :$991.85 :x2,975.55
Sulo Total: $2,975.55
p
` '„tr( �-`'•fix
}, =��R.,
Send Invoice To: , I (
Carmel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 450x- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Policy Dept. 1: ? PAYMENT $2,975.55
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFF C
SHIP REPAID. IENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. 9 lef of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 2 6 9 A.P.V. COPY-SIGN AND(RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
1N THE SUM OF$ i
i
s
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
V Signature
Title
E Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
CMC Government Supply
l IN SUM OF$
I
5200 Keller Springs Road 5 s2.2
Dallas, TX 75248
$2,975.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
32269 230606 44-670.03 $2,975.55
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
Friday, March 13, 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))
03/04/15 230606 single launcher GL1-compact $2,975.55
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