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Home My WebLink About251355 11/04/15 �gAbF J� 't� CITY OF CARMEL, INDIANA VENDOR: 00351072 q b 31 ONE CIVIC SQUARE GLOCK INC CHECK AMOUNT: $"'""'"470.00' CARMEL, INDIANA 46032 Po sox 369 UPCHECK NUMBER: 251355 +MitoriSMYRNA GA 30081 CHECK DATE: 11/04/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 33172 SI-0085351 470.00 GLOCK REPAIR PARTS r� OCK GLOCK, Inc. USA PERFECTION GLOCK,Inc.,6000 Highlands Pkwy SE Tel.+1 7704321202 30082-7204 Smyrna, USA Fax(770)433-8719 Carmel Police Department Customer 012736 3 Civic Sq Customer PO No. 2110 Carmel, IN 46032-2584 USA Tax Number Cust. EORI No. Terms of Delivery CIF FFL-No. Destination code Shipment Date 14-Oct-2015 Frw Agent Shipment_ _ FedEx Ground (ASR)_ Airline Delivery Address: Carmel Police Department 3 Civic Sq INVOICE Attn:SGT Ryan Jellison Carmel,IN 46032-2584 USA SGT Ryan Jellison Invoice No. Date Order number Contact Person Page SI-0085351 15-Oct-2015 1062631 1 Pos. Deliv Item number Price/Unit Discount Discount Total Price No. city Item description USD USD USD 5 115 4368 2.00/pc 230.00 Locking Block Pin 10 115 420 2.00/pc 230.00 Trigger Pin Boxes/Weight: 1 Box(es) 0.345 lbs Net Weight Goods Charges Sum USD 460.00 10.00 470.00 Terms of Payment Net 30 Days GLOCK,Inc. Federal Tax ID#:58-1652822 FFL#:1-58-067-08-5M-21808 6000 Highlands Pkwy SE GA Sales Tax#:033-24-33264-2 USA-30082-7204 Smyrna USA INDIANA RETAIL TAX EXEMPT PAGE City ®f Cme arl CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 73All 2- 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 2 Mas Olock, Inc. Carmel Police Depadment VENDO SHIP 3 Civic gBsaii3 .0. Rei TO Cannel, IN 46032 Smyrna, OA 3001 9 (w)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Acce 'nt 42- .i0 1 Each Clock repair parts $465.00 $465.00 Sub Vial: $465.00 w t f{ 01 ; ij, �`S,Srtlil ' �L lid. }i � ;� •� �N Send Invoice To: Carmel Police Department Attn: Pat Young 3 Civic Square Camel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT _ AMOUNT Carmel Police Dept. PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. ` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND �l VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFYPAT,/THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPSIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • �,// •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. // •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY -� �+ SHIPPING LABELS. �9lef®1®Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO- 33172 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 I - Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Glock, Inc. IN SUM OF$ P.O. Box 369 Smyrna, GA 30081 $470.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 33172 I SI-0085351 I 42-390.10 I $470.00 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, ctober 29, 2015 �Z 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)) 10/15/15 SI-0085351 Glock parts $470.00 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