246007 06/03/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352614
ONE CIVIC SQUARE TASER INTERNATIONAL CHECK AMOUNT: $*****1,351.16*
CARMEL, INDIANA 46032 PO BOX 29661-2018 CHECK NUMBER: 246007
PHOENIX AZ 85038-9661 CHECK DATE:. 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 32884 SI1400151 1,332.50 TASER SUPPLIES
1110 4342100 32884 SI1400151 18.66 TASER SUPPLIES
Remit Payment to:
TASER International Invoice No SI1400151
%14*1L00 PO BOX 29661 Invoice date 5/19/2015
DEPARTMENT 2018 Page 1 of 1
PHOENIX,AZ 85038-9661
TAS E R Ph:(480)991-0797 Sales order 50150174614
r+worecr une.
Fax:(480)991-0791 Purchase order 38284
sales@taser.com Your ref
www.taser.com Payment Net 30
Invoice account 106575
BILL TO: RMA number
CARMEL POLICE DEPT Mode of delivery Fedex-Ground
3 CIVIC SQUARE Terms of delivery FOB Destination
CARMEL,IN 46032 SHIP TO:
USA CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL,IN 46032
USA
Item number Revision Description Ordered Shipped Backordered Unit price Amount
26700 R DPM Battery PK Assembled 10.00 10.00 0.00 36.80 368.00
26701 P XDPM BATTERY PK 10.00 10.00 0.00 41.95 419.50
ASSEMBLED
22010 A PPM,BATTERY PACK, 10.00 10.00 0.00 54.50 545.00
STANDARD,X2/X26P
*PLEASE REFERENCE PO#38284 ON ALL BOXES AND PAPERWORK
Please see http://www.taser.com/sales-terms-and-conditions for all sales terms and Sales Amount 1,332.50
conditions. Misc./Handling 0.00
Shipping Freight&Handling 18.66
Sales tax 0.00
Payment due 06/18/2015 Total 1,351.16
Amount received 0.00
BALANCE DUE 1,351.16 USD
INDIANA RETAIL TAX EXEMPT PAGE
City ® C sane� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
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
WW2015
Taw Intotnational Carmel Police Department
VENDOR SHIP 3 Civic Squame
P.O. a o X 2W1 1a TO Calfalel, IN QW2
Phoenix, AZ (317)671.2669
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .
10 Each XDFM t3atteryPly assembled $41.95 $419.50
10 Each PPIM battery pk, standard X2 M, 613 22610 $54.50 $545.00
10 Each DPM battery PK assembled $36.80 $368.00
1 %< /, 7 Sub"Fatal: $1,332.50
Account 43421.00 �r � � -�
rCj
j; t,�'
� �, 41
1 Each shipping charges V $18.136 $18.66
Sub Total: $18.60
VIS _.
a
I In
j! �
�N r
5 '1I
Send Invoice To:
Camel Police Department
Atte: Pat Young
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. 3 PAYMENT $1,351.16
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTyERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUR ICIENTTO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. j
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY l
SHIPPING LABELS. !of of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �!
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL N0. 32884 A.P,V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. _WARRANT NO.----
ALLOWED 20
IN THE SUM OF$
a _
ON ACCOUNT OF APPROPRIATION FOR
4 :
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
$1,351.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
32884 S11400151 43-421.00 $18.66 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
38284 S11400151 42-390.99 $1,332.50
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, May 28, 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))
05/19/15 S11400151 shipping charge $18.66
05/19/15 S11400151 taser batteries $1,332.50
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