246999 06/30/15 ,qwR. CITY OF CARMEL, INDIANA VENDOR: 00352614
6 ONE CIVIC SQUARE TASER INTERNATIONAL CHECK AMOUNT: $*****1,021.81*
CARMEL, INDIANA 46032 PO BOX 29661-2018 CHECK NUMBER: 246999
PHOENIX AZ 85038-9661 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467003 32961 SI1402674 1,021.81 HOLSTER BATTERY
Remit Payment to:
TASER International Invoice No SI1402674
PO BOX 29661 Invoice date 6/11/2015
DEPARTMENT 2018 Page 1 of 1
TA S E R PHOENIX,AZ 85038-9661 Sales order 50150178158
Ph:(480)991-0797
Fax:(480)991-0791 Purchase order Q00042100
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 Scottsdale
CARMEL,IN 46032
USA SHIP TO:
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL,IN 46032
USA
Item number Revision Description Ordered Shipped Backordered Unit price Amount
22010 A PPM, BATTERY PACK, 1.00 1.00 0.00 54.50 54.50
STANDARD,X2/X26P
11002 HANDLE,BLACK,CLASS III, 1.00 1.00 0.00 899.95 899.95
X26P
11501 X1 HOLSTER, BLACKHAWK, 1.00 1.00 0.00 53.25 53.25
RIGHT,X26P
Please see http://www.taser.com/sales-terms-and-conditions for all sales terms and Sales Amount 1,007.70
conditions. Misc./Handling 0.00
Shipping Freight&Handling 14.11
Sales tax 0.00
Payment due 07/11/2015 Total 1,021.81
Amount received 0.00
BALANCE DUE 1,021.81 USD
City ® (�° Carmel
INDIANA RETAIL TAX EXEMPT PAGE
,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3=1
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. I VENDOR NO. DESCRIPTION
66i�6�9g
TworInt@m2tiongd Camel Police DGp@dmont
VENDOR SHIP 3 CIVIC Squm
P.O. Box 2MI 2015 TO C@MGI, IN
Phoonliz, 9 (317)571-2M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
ACCoum 44-00.03
1 Each shipping charges 514.11 $14.11
1 Each PPM battery pk, standard XMISP 22010 $5.4.50 $54.50
1 Each Holster, ®laakhawk X26P $53.25 $53.25
1 Each Handle, black, da$s 111,X26P _I 1 002 $866.65 $899.65
Scab Total: $1,021.81
quoto 0 00042100
Send Invoice To:
Carmol Police DGpwtma t
Attn: Pat Young
3 CIVIC 0qum
Ca mol, IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. 01 .2 . 9
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS ';\I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION'SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• ( �
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. y. Chief of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 32961 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--.----
ALLOWED 20
IN THE SUM OF$
t `1
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))
06/11/15 S11402674 Taser $1,021.81
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
Taser International
IN SUM OF $
P.O. Box 29661-2018
Phoenix, AZ 85038-9661
$1,021.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32961 I S11402674 I 44-670.03 $1,021.81 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
Wednesday, June 24, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund