245579 05/20/15 �;; CITY OF CARMEL, INDIANA VENDOR: 369399
d 41•. ONE CIVIC SQUARE P F DISTRIBUTION CENTER INC CHECK AMOUNT: $*******724.70*
CARMEL, INDIANA 46032 1500 E HAMILTON AVE#112 CHECK NUMBER: 245579
'.y,�_pN�g CAMPBELL CA 95008 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4467001 22753 724.70 TASK FORCE EQUIPMENT
PF DISTRIBUTION CENTER, INC. ..�. Invoice
P D' ►
Supplying PowerFlare Products Worldwide
1500 E Hamilton Ave. Suite#112 Date Invoice#
CAMPBELL,CA 95008 USA
4/22/2015 22753
Ship To
Bill To
Ryan Meyer
Carmel Metropolitan Police Department Carmel Metropolitan Police Department
Ryan Meyer Special Enforcement Bureau (SWAT)
3 Civic Square 3 Civic Square '
Carmel, IN 46032 Carmel, IN 46032 USA
United States
P.O. Number Terms Rep Ship Via F .O.B.
32503 Net 30 JD 4/22/2015 UPS
Quantity. Part:No. Description Price Each Amount
10 PF21OM-RB-BK PF-200 Safety Light. Magnetic Base,CR-123 Battery, 70.72 707.20
Red/Blue LED. Black Shell(PF210M-RB-BK)
10 CAR13-001 Carabiner.•PowerFtare(GARB-001) 0.00 0.00
1 UPS UPS Tracking 41 Z7AE7690346334966 17.50 17.50
Sales Tax $0.00
Please remit to PF Distribution Center. Inc. Total
TIN#20-2023497 $724.70
We reserve the right to assess finance charges at the rate of 1.5%per month, 189N6 APR Payments/Credits $0.00
on balances outstanding over 30 days.
Balance Due :1;724.70
Phone# Fax# E-mail
1-877-256-6907 408-429-8660 admin@pfdistributioncenter.com
0 INDIANA RETAIL TAX EXEMPT PAGE
C
� ®f �\ 3 ,{�rmelCERTIFICATE NO.003120155 002 01 Of 1
ty �ti/ 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32503
r 35-60000972
3 WF 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4/22/15
VENDOR Power Flare SHIP Hamilton/Boone County Drug Task Force
PF Distribution Center TO 3 Civic Square
1500 E. Hamilton Ave. , Suite 112 Carmel, IN 46032
Campbell, CA 95008
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
quote fl 150421JD01
10 ea. PF21OM-RB-BK Safety light, magnetic base, CR-123
battery, Red/Blue LED, Black Shell 70.72 707.20
10 f ea. '`�
Carabiner, Powe 1 je (CAR -d13 0.00
$: . °
Shin .'i� �& Handling 17.50
� 'r� r\P { C1r r
Send Invoice To: Hamilton/Boone County Wi g_ Tadsk.Fvxce`
3 Civic Square
Carmel, IN 46032
Attie: Marie Doan
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
911 670-01 2015-911 PAYMENT 2015-2 $724.70
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY Sgt. Ran Meyer/Major Aaron Dietz
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE „I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER r
DOCUMENT CONTROL No- 32503 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFIC
VOUCHER NO. WARRANT NO.---
ALLOWED 20
IN THE SUM OF$
r �
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))
04/22/15 22753 $724.70
1 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
PF Distribution Center, Inc.
IN SUM OF $
1500 E. Hamilton Ave. Suite #112
Campbell, CA 95008
$724.70
ON ACCOUNT OF APPROPRIATION FOR
Project 2015-911 Task 2015-2
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
911 22753 44-670.01 $724.70
I hereby certify that the attached invoice(s), or
I I
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, May 14, 2015
av"
Major
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund