HomeMy WebLinkAbout252106 12/02/15 �.F.IN
'{ '' CITY OF CARMEL, INDIANA VENDOR: 366725
J;® t, ONE CIVIC SQUARE RANGE SYSTEMS CHECK AMOUNT: $*****2,947.00*
s. `ro. CARMEL, INDIANA 46032 5121 WINNETKA AVE N CHECK NUMBER: 252106
9,y, � NEW HOPE MN 55428 CHECK DATE: 12/02/15
ETON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 33228 17829 2,947.00 DURA BLOC
RANGEM Invoice
SYSTEMS
5121 Winnetka Ave N -New Hope, MN 55428 11/23/2015 17829
Carmel Police Dept. Carmel Police Range
Pat Young Sgt. Ryan Jellison
3 Civic Square 9609 Hazeldell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
317-727-9862, 317-571-2599
33228 Net 15 BL 11/23/2015 Lift Gat. ..
'IL
RB1008 'DURA-BLOC, 3611 X 1211 X 911 24 ea 103.50 2,484.00
NSN: 9320-01-565=6452
001 Shipping & Handling Charges VIA UPS 1 463.00 .463.00
FREIGHT ETA 11/25/15 Carmel Police
Range [348720271] - - -..- ---- - -- - -
We accept Visa, Mastercard, Discover and American Express. Total $2,947.00
GSA Contract#GS-07F-0139K Balance Due (US Dollars) $2,947.00
DUNS#965573421
Tax ID#41-1811798
Cage Code:08QN6 REMIT TO:
Range Systems, Inc.
Phone# 763-533-9200 P.O. Boz 28342
Fax # 763-537-6657 www.range-systems.com Oakdale, MN 55128
4 INDIANA RETAIL TAX EXEMPT PAGE
City ®f Car' mel ;,' CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �'8
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
Range Systems Catmel Police Deparkment
VENDOR SHIP 3 CIVId S fUal@
6121 WrInotha Avenue Noith TO Cai7nol, IN 46032
Now Hope, MN 65428 (317)571.255-S
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE t DESCRIPTION UNIT PRICE EXTENSION
Account 42-390,111
24 Each Dura-Bloc RB1000 $122.70 $2,947.00
Saab Total: $2,947.00
�K,
f
tFi�
Send Invoice To: r f f I )
Cannel Police Department
Attn: Pat Young
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. $2,047.00
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFYPTHATTHERE IS N UNOBUGATED BALANCE IN
THIS:AP�PRO�OP�r�A(�IOVSSUFFICIENT'TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.C.O.D.SHIPMENTS CANNOT BE ACCEPTED.PURCHASEORDER NUMBER MUST APPEAR ON ALL ORDERED BYF3e @ Police
SHIPPING LABELS. Ry�Y1IFi �!
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL NO. 3322—8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
Cost distribution ledger'class ification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
Range Systems ALLOWED 20
IN SUM OF$
5121 Winnetka Avenue North
New Hope, MN 55428
$2,947.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33228 I 17829 I 42-390.10 I $2,947.00 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
Tuesday, November 24, 2015
Chief of Police
Title
Cost distribution ledger classification if
claimP aid motor vehicle highway hwa 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))
11/23/15 17829 Dura-Bloc $2,947.00
I 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