HomeMy WebLinkAbout251921 12/02/15 CITY OF CARMEL, INDIANA VENDOR: 00352583
ONE CIVIC SQUARE BROWNELLS INC CHECK AMOUNT: $ ...*"267.75'
:•- a CARMEL, INDIANA 46032 200 S FRONT STREET CHECK NUMBER: 251921
MONTEZUMA IA 50171-1000 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 33226 1183624000 267.75 DEFENSE REAR SIGHT
INVOICE #: 118 3 6 2 4 0 . 0 0
11/12/2015 13 :10:22 B ROWNE L L S , INC . (46032-CITY)240.00
11/12/2015 13 :13 :31
3006 BROWNELLS PARKWAY bethh-C
DATE SHIPPED: 11/13/2015 GRINNELL, IOWA 50112 DLR GVN IAR
ACCOUNT #: 00296101 800-741-0015 ' L3CT
24 HR. FAX # (641) 623-3896 U4 P4
SOLD TO: REMIT PAYMENT TO: 200 SOUTH FRONT STREET, MONTEZUMA, IOWA 50171-1000
CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235
ACCOUNTS PAYABLE * * * I N V O I C E
3 CIVIC SQ
CARMEL IN 46032-7570
SHIP VIA: 4-7 BD - STANDARD
SHIP TO: PAYMENT METHOD: OPEN ACCOUNT
CARMEL POLICE DEPT. TERMS: NET 30
ATTN: SGT JELLISON
3 CIVIC SQ
CARMEL IN 46032-7570
FINAL
PO NUMBER: 33226 I NVO I C E
----- PICKER: 800 ——-—----------——-------------—- PRICER: 800 ---------------------------------
STOCK PRODUCT _ _- QTY _QTYB/_0„__RETAIL UNIT TOTAL_—___
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
100-004-457WB GRMZ AR-15 A1.5 FIXED BACK UP IRON SIGHT 4 4 73.00 71.20 284.80
PROMOTION CODE DISCOUNT 25.00-
Please Note: TRANSFER OF THESE PRODUCTS TO ANY INDIVIDUAL OR ENTITY OR LOCATION (WHETHER IN YOUR CITY, STATE,
OR OUTSIDE THE UNITED STATES) MAY BE SUBJECT TO RESTRICTIONS AND/OR LICENSING REQUIREMENTS.
--------------------------------- *** ORDER ON THE WEB AT www.brownells.com ***
INVOICE #: 11836240.00 ORDER TOTAL: 259.80
4-7 BD - STANDARD: 7. 95
I"Is IS YOUR
t w I c GRA"p TpTAI.
p�EASE REMlT , .
GRAND TOT
�67.75
CASH: 0.00 CC: 0.00 OA: 267.75 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
,�.gy� INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel ' +a 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.
'URCHASE ORDER DATE DATE REQUIRED _[____.REQUISITION NO. VENDOR NO. DESCRIPTION
ii19M5
®mtnnnollc Inc. Camel Police Dop@dment
SHIP 3 Civic Squm
VENDOR
200 South Front StFoet TO Carmel, IN 4M
MonloRufna, IA 50171 (317)571-M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
,Account 42 .10
4 Each Daniel Defense Roar Sight A1.5 $71.00 $284.00
Sub Total: $284.00
Ji r
p�
.�: :-�;-`�..�` �=�� DIY `'1�. '•f � nS
Send Invoice To:
Carmel Police DGpdmewt
Attn: P@t Young
3 Civic Squm
Camel, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. $28 .60
C� 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 APP ROPRIA,10N'.SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• /
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL �}
SHIPPING LABELS. ljl€e'1 o?
Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 33226 A.P.V. COPY-SIGN AND RETURN TO CLERKS 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))
11/12/15 11836240.00 rear sight $267.75
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
Brownells Inc.
IN SUM OF $
200 South Front Street
Montezuma, IA 50171
$267.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
x--
33226 I 11836240.00 I 42-390.10 I $267.75 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
Monday, November 23, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund