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Home My WebLink About244303 4 /15/2015 4� EgAf� CITY OF CARMEL, INDIANA VENDOR: 00351567 i ® �• ONE CIVIC SQUARE NAVAL SURFACE WARFARE CENTER CHECK AMOUNT: $.....2,400.00' s. ?q CARMEL, INDIANA 46032 300 HWY 391 CHECK NUMBER: 244303 9yt*oN ELECTRO-OPTIC TECH DIV,BLDG 2044 CHECK DATE: 04/15/15 CRANEIN 47522 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4353099 32840 N00164LE0207 2,400.00 N00164LE0207-15 Department of the Navy tTM ' Naval Surface Warfare Center, Crane Division CRANE 300 Hwy 361, Bldg. 2044, Electro-Optic Technology Division Crane, Indiana 47522 Cooperation With Civilian Law Enforcement Officials Agreement Agreement entered into pursuant to SECNAV Instruction 5820.7C j 1 a. State/Local Law Enforcement Agency Name: 2. Agreement Number: N00164LE0207-15 CARMEL POLICE DEPARTMENT 3. Agreement Start/Renewal Date: Jun 21,2015 1 b. Agency Mailing Address: 3 CIVIC SQUARE CARMEL 4. Agreement Termination Date: Jun 21,2016 5. Estimated Total Cost(See paragraph III Terms ' $2,400.00 State: INDIANA Zip Code: 46032 and Conditions below: 7. Statement of Supplies/Services to be Furnished: Desiginaid on,Nomenclature,Stack Nunnbe°IReplacement iue&Barret Nu,tubers' Qty Unit Prece Amour fN AN/PVS-7A,Night Vision Goggle,NSN:5855-01-228-0939,Replacement Value$3,000 Each 3 $300.00 $900.00 Serial Numbers: 11894,30096,57283A AN/PVS-76,Night Vision Goggle,NSN:5855-01-228-0937,Replacement Value$3,000 Each 1 $300.00 $300.00 Serial Numbers: 00865 AN/PVS-7D,Night Vision Goggle,NSN:5855-01-422-5413,Replacement Value$3,000 Each 2 $300.00 $600.00 Serial Numbers: 43445,22026 AN/PVS-26,Clip-On Night Vision Weapon Sight,NSN:5855-01-538-8121,Repl Value:$4,000 Each 2 $300.00 $600.00 Serial Numbers: ANPVS-26-00394,ANPVS-26-02819 $300.00 $0.00 Serial Numbers: Total $2,400.00 8.13oints of Contact o r�,�Y' - State/Local Law Enforcement Agency Official(Name): Government Law Enforcement Program Manager(Name): ASST.CHIEF JIM BARLOW Roger Shaw Phone: 317-571-2729 Phone: 812-854-1653 Fax: ' 317-571-2512 Fax: 812-854-8559 Email: jhorner@carmel.in.gov Email: roger.shaw@navy.mil Government Agreement Administrator(Name): Government Agreement Administrator(Name): Debbie Owens,CTR Sharon Sutton,CTR Phone: 812-854-4439 Phone: 812-854-2923 Fax: 812-854-8559 Fax: 812-854-8559 Email: debbie.owens.ctr@navy.mil Email: sharon.l.sutton.ctr@navy.mil Document Revision Date: Feb 2014 page 1 PAGEINDIANA RETAIL TAX EXEMPTCity of Carmel '' CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT M44 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 iPURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION d�124'l� Commanding Officer, Naval Surface Warfare Cent Cantil Police Department 00 Hwy 361 SHIP 3 Civic Sgua-o VENDOR Electra-Optic Technology Division, Bldg 2044 To Cannel, IN 46432 Crane, IN 47522 (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 4M30.99 0 Each night vision goggles $300.00 $2,400.00 Sub Total: $2,400.00 A s J__ j, Send Invoice To: Carel Police Depaftmont Attn: Pat Young 3 Civic uguam Camial, IN 46432® PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT Carrrael Police Dept. '� �� $1,44n1I.UU PAYMENT \ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. �- NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • �/ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �aC� ��--�"''� SHIPPING LABELS. d/ef of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO- 3284 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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--_ f ' 20 Signature _ _-- Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Commanding Officer, Naval Surface Warfare C 300 Hwy 361 IN SUM OF $ Electro-Optic Technology Division, Bldg 2044 Crane, IN 47522 $2,400.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members </ 32840 IqOO164LE0207-1] 43-530.99 I $2,400.00 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 Thursday, April 09, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 04/08/15 N00164LE0207-lE night vision gogles $2,400.00 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