248054 07/28/15 ,CSN
CITY OF CARMEL, INDIANA VENDOR: 00352614
® I ONE CIVIC SQUARE TASER INTERNATIONAL CHECK AMOUNT: $***"1,706.06`
f. Q CARMEL, INDIANA 46032 PO 13OX 29661-2018 CHECK NUMBER: 248054
'�ir6N PHOENIX AZ 85038-9661 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 32985 SI1405205 1,682.50 CARTRIDGE
1110 4342100 32985 SI1405205 23.56 CARTRIDGE
I -
Prepared By Ron Dehne Created Date 7/6/2015
Company Name TASER International Expiration Date 8/31/2015
Company Address 17800 N.85th Street Quote Number 00043058
Scottsdale,AZ 85255-9603
US
E-mail rdehne@taser.com
Customer Information
Account Name Carmel Police Department-IN Email rjellison@carmel.in.gov
Contact Name Ryan Jellison Phone (317)571-2599
AX Account Number 106575
Shipping and Billing Information
Bill To Name Carmel Police Department-IN Ship To Name Carmel Police Department-IN
Bill To 3 CIVIC SQ. Ship To 3 CIVIC SQ.
Carmel,IN 46032 Carmel,IN 46032
US US
•- •e 7"r, ,is ,�` �
44203 CARTRIDGE-25'HYBRID 50.00 USD 27.35 USD 1,367.50
22151 CARTRIDGE,PERFORMANCE,SMART,25' 10.00 USD 31.50 USD 315.00
Subtotal USD 1,682.50
Total Price USD 1,682.50
Shipping and USD 23.56
Handling
Grand Total J USD 1,706.06
By signing this Quote,you are entering into a contract and you certify that you have read and agree to the provisions set forth in this Quote and
TASER's current Sales Terms and Conditions for Direct Sales to End User Purchasers or,in the alternative,TASER's current Sales Terms and
Conditions for Direct Sales to End User Purchasers for Sales with Financing if your purchase involves financing with TASER. If your purchase
includes the TASER Assurance Plan(TAP),then you are also agreeing to TASER's current Sales Terms and Conditions for the AXON FlexTM
and AXON BodyT" Cameras TASER Assurance Plan(U.S.Only)and/or Sales Terms and Conditions for the X2/X26P and TASER CAM HD
Recorder TASER Assurance Plan(U.S.Only),as applicable to your product purchase.All of the sales terms and conditions,as well as,the
TAP terms and conditions are posted at http://www.taser.com/sales-terms-and-conditions. If your purchase includes AXON hardware and/or
EVIDENCE.com services you are also agreeing to the terms in the EVIDENCE.com Master Service Agreement posted at
https//www.taser.com/master-service-acireement.The sale of the Professional Services is subject to the parties execution of TASER's
Professional Services Agreement and a Statement of Work.You represent that you are lawfully able to enter into contracts and if you are
entering into this agreement for an entity,such as the company, municipality,or government agency you work for,you represent to TASER
that you have legal authority to bind that entity. If you do not have this authority,do not sign this Quote.
00043058-2015-07-06
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carme: 1. � CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT sm
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Taw IfAM0 loflal Cartmd P®Uce Departmont
VENDOR SHIP 31 CIVIC squam
P.O. Boy g ig TO C@ts ol, IN 4M
Phoonlit, AZ V55=436i (w)671-M
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
gyy�,,.�e,6��yAgw�ppUNIITppOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 1/9i'./.10
10 Each Cartridge,Performance,Smart, 25' $31.50 $315.00
50 Each cartridge -WHOM $27.35 $1,367.50
Sub'Pohl: $1,682.50
Account 43-421.00
1 Each shipping charges i; $23.56 $23.56
Sub Total: $2.3.56
g'{�" •€.. '' baa
w-� ' W ,Y�➢ i,
Send Invoice To:
Camel Police Depa>rtmQtrot
Attn: Pat Young
3 Civic Squam
CatmGI, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Cwmel Police Dept. , w.
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 TH5RE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION FFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ��aa
SHIPPING LABELS. C If oY/p
pollen
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ��/j
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. y
CLERK-TREASURER
DOCUMENT CONTROL NO. 32985 A.P.V. COPY-SIGN AND RETURN TO CLERK`S OFFICE
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))
07/08/15 S11405205 shipping charges $23.56
07/08/15 S11405205 taser cartridges $1,682.50
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
$1,706.06
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32985 S11405205 43-421.00 $23.56 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
32985 S11405205 42-390.10 $1,682.50
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday July 23, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund