248413 08/1 2/15 i C.Iq
�1��.�„*F. CITY OF CARMEL, INDIANA VENDOR: 00350185
® z; ONE CIVIC SQUARE BILL KEHL CHECK AMOUNT: $*******675.00*
�� CARMEL, INDIANA 46032 8645 SOUTH STREET CHECK NUMBER: 248413
=;,,_roN, FISHERS IN 46038 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 32969 675.00 WALNUT GUN PRESENTATI
William D Kehl INVOICE
William D Kehl
8645 South Street Date Invoice#
Fishers IN 46038 7/28/2015
Bill To: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Comments or Special Instructions:
SALESPERSON P.O. NUMBER SHIP DATE SHIP VIA F.O.B. POINT TERMS
BK N/A Pick Up Due on receipt
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
3 Gun Walnut Presentation Cases $ 225.00 $ :. .. 675.00
SUBTOTAL
TAX RATE 0,00%
SALES TAX -
SHIPPING & HANDLING
TOTAL $. :'..6' 7.51:0&.
Please submit copy of invoice with payment.
Phone# Fax# r Web Site
317-727-5579
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carm el
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
y
FEDERAL EXCISE TAX EXEMPT sm
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-25$4 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
61MAIg
Wiliam O. Kohl CefmoI PollcG Dopartmo t
VENDOR SHIP 3 Civic Squ=
South Stmat TO C@va®l, IN 4M
F1$heru, 1111 4M, (M)571.2M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42fl.M
3 Each walnut gun prosentation aaso $230.00 $690.00
Sub Total: $690.00
ff} yyyyyy A • ,,.,,w \fy
ems,,,,,. <_.-"'l+ \ .f>�, •,7
rr^ . f
Send Invoice To:
Carmol Polka Dopaltmont K
Attn: Pet Young
3 CIT 6gumm
Carmel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT =.OBJ
• 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 t• I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
ATHIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• -
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED B //////tt''''''������� '�`"''
SHIPPING LABELS. ��, 1 Chid o?pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Chid I� _IY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
^ CLERK-TREASURER
DOCUMENT CONTROL NO. (��9 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))
07/28/15 gun presentation cases $675.00
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.
William D. Kehl ALLOWED 20
IN SUM OF $
8645 South Street
$675.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32969 I I 42-390.99 $675.00
I 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, August 06, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund