HomeMy WebLinkAbout243462 03/24/15 ,> CITY OF CARMEL, INDIANA VENDOR: 00352583
i d ONE CIVIC SQUARE BROWNELLS INC CHECK AMOUNT: $*******189.15*
s ?�; CARMEL, INDIANA 46032 200 S FRONT STREET CHECK NUMBER: 243462
°M�„oN •� MONTEZUMA IA 50171-1000 CHECK DATE: 03/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 32754 10928275.01 189.15 SUPPLIES
INVOICE #: 10 9 2 8 2,7 5 . 01 ( )
02/03/2015 09:02:49 BROWNE L L S , INC . (46032-CITY)275.01
02/23/2015 17:09:47
3006 BROWNELLS PARKWAY tinac-R
DATE SHIPPED: 03/12/2015 GRINNELL, IOWA 50112 DLR GVN IAR
ACCOUNT ##: 00296101 800-741-0015 016T
24 HR. FAX # (641) 623-3896 U4 P4
SOLD TO: REMIT PAYMENT TO: 200 SOUTH'FRONT STREET, MONTEZUMA, IOWA 50171-1000
CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235
ACCOUNTS PAYABLE * * * I N V O I C E
3 CIVIC SQ
CARMEL IN 46032-7570
SHIP VIA: 5-10 BD - ECONOMY
PAYMENT METHOD: OPEN ACCOUNT
SHIP TO:
CARMEL POLICE DEPT. TERMS: NET 30
ATTN: SGT JELLISON
3 CIVIC SQ
CARMEL IN 46032-7570 SHIP COMPLETE F I NAL
FAX #: 317-571-2507 I NVO I-C E
PO NUMBER: 32754
------------------ PICKER: 800 ------------------------------------- PRICER: 800 ------------------7---------------
STOCK. PRODUCT QTY QTY ' _ B_/0, _RET_A_I_L ,UNIT TOTAL
NUPlBER liOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
----------------------------------------------------------------------------------------------------------------------------
749-000-638WB GRMZ PRO-SHOT ZERO FRICTION OIL - 1 OZ. NEE 5 5 5.99 4.75 23.75
084-000-361WB; GRMZ 3 TRANSLUCENT NEEDLE OILERS, 1/2 FL OZ 4 4 7.99 6.36 - 25.44
749-004-651WB GRMZ SINCLAIR ACTION CLEANING TOOL KIT 4 4 34.99 34.99 139.96
I
Please Note: TRANSFER OF THESE PRODUCTS TO ANY INDIVIDUAL OR ENTITY OR LOCATION (WHETHER IN YOUR CITY, STATE,
OR OUTSIDE THE UNITED STATES) MAY BE SUBJECT TO RESTRICTIONS AND/OR LICENSING REQUIREMENTS.
---- ---------------------------------------- -*** ORDER ON THE WEB AT www.brownells.com *** ------------
INVOICE #: 10928275.01 ORDER TOTAL: 189.15
GRAND TOTAL: 189.15
CASH: 0.00 CC: 0.00 OA: 189.15 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
INDIANA RETAIL TAX EXEMPTPAGE
City o Carmel
CERTIFICATE NO.003120155 002 0 Y PURCHASE ORDER NUMBER
32754
FEDERAL EXCISE TAX EXEMPT
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
z1ZIZU1 D
Bromollo Inc. lco Doparulle t
3 Civic Squart,
SHIP
vENDOR,>Do South Front Streat TO Cannel, IN 46032
Montezuma, IA. 50171 (317)571421659
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-&A3.10
0
4 Each needle nose applicator 084-000-36ANS $7.99 $31.96
5 Each ail 743-994-033 $5.99 $29.95
1 Each 9reclean IOM15-792M $345.99 $345.09--
8 Each cotton rolls ��74MOO 135M $2.99 $23.92-.-
4
23.92-.-4 Each lug recess cleaning kit / j 1.. 49C 1 = $34.99 $139.99
, u15 Total: $571.78
I'
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¢';.`.--...^:.` _ - °• _ /r c °�x.71
Send Invoice To:Carmel Police Police Department � 22%y�
Attn: Pat Young
3 Clylc Square
Carmel, IN 46M2.-
PLEASE INVOICE IN DUPLICATE
�awraap p.EF�RJMENT ACCOUNT PROJECT PROJECTACCOUNTF�AMO,UNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PF OPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CER )FAT THERE IS/aN UNOBLIGATED BALANCE IN
THIS APPROP��IATIO�rjj SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL r•rnl@f or Police
SHIPPING LABELS. f
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO-3 4 A.R•+I. COPY-SIGN AND RETURN TO CLERK'S OFFICE
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
1N THE SUM OF$
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
1
20
'— Signature
Title
Cost distribution ledger classification if
claim paid,motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brownells Inc.
IN SUM OF$
200 South Front Street
Montezuma, IA 50171
$189.15 r
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32754 I 10928275.01 I 42-390.10 I $189.15 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
/Friday, March 20, 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))
03/12/15 10928275.01 cleaning tool kit,oil, needle oilers $189.15
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