HomeMy WebLinkAbout257227 04/05/16 0j ��p � CITY OF CARMEL, INDIANA VENDOR: 356503
® �• ONE CIVIC SQUARE LEUPOLD&STEVENS INC CHECK AMOUNT: $****11,160.00*
s � CARMEL, INDIANA 46032 PO Box 4985 CHECK NUMBER: 257227
v �T�N BEAVERTON OR 97076 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 33710 381037 11,160.00 LEUPOLD LCO SIGHT - 1
1L1EZC7IP(01LM) &E n XIE VIEKn- , IIW(C." ORDER NBR DATE ORDERED
A�'® .. e_., 610580 103/09/16
® � � TM CUSTOM33710 ER PO NUMBER
i
GA N/A SALES REP REP GROUP ID/REP ID
Telephone: 503-646-9171 SHIP VIA FREIGHT TERMS
Fax: 503-526-1475 UPS 2nd Day Air DAP-Prepaid
PAYMENTTERMS TAX
Net 90 Standard
Carmel Police Department Carmel Police Department
City of Carmelx Att: Sgt. Ryan Jellison
SOLD TO = One Civic Square SHIP TO.;.. 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
United States United States
LINE# 'ITEM NUMBER/DESCRIPTION QRD, SCHED:- DATES NET.P:RICE .TOTAL PRICE
QTY .
QTY.
REQ DATE. "PROM DATE SCHED•DATE.
1.1 120808 ECCN: OA987 16 16 03/09/16 03/09/16 03/10/16 697.50 11160.00
SKU ASSEMBLY, CQ LEUPOLD CARBINE OPTIC, 1X, 1.0 MOA,
SMU -
All amounts shown in US CURRENCY. SUBTOTAL 11,160.00
TAX 0.00
60
TOTAL '
11 1.. 00
. . ._ __
vINDIANA RETAIL TAX EXEMPT Page 1 of I .
Cty o- f Carmel CERTIFICATE NO.003120155002-0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 337.1 O.
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED' REQUISITION NO. VENDOR NO. DESCRIPTION
3/112016 356503
LEUPOLD STEVENS INC Carmel Police
VENDOR PO BOX 688 SHIP 3 Civic Square
TO Carmel, IN 46032=
BEAVERTON,OR 97075-
CONFIRMATION BLANKET CONTRACT, PAYMENTTERMS FREIGHT
QUANTITY.- UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110' Account:. 42-390.10 Fund: 101 ' General Fund
16 Each Leupold,LCO sight $697.50: _ $1.1,160.00.
Sub Total
$1:1.,160.00
.I
Send Invoice To: .
Carmel Police
3 Civic Square
".Carmel;IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENTACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Q-9PAYMENT $11;160.00
AIP VOUCHtR CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
T.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SU FIGIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE'
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194
ORDERED BY
AND ACTS AMENDATORY THEREOF.AND SUPPLEMENT THERETO."
TITLE.
CONTROL No. 33710 CLERK-TREASURER
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/11/16 610580 carbine optic gun sights $11,160.00
1110 101
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
LEUPOLD &STEVENS INC ALLOWED 20
PO BOX 688 IN SUM OF$
BEAVERTON, OR 97075
$11,160.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
00#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
i0-3-71'06r 42-390.10 $11,160.00
1110
%� �C � 101 I I hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
A;- materials or services itemized thereon for
�r
� — y which charge is made were ordered and
received except
�r ,,�•�,�` .�:�,�k�_ `�.��. ,�:-- Monday, March 14, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund