HomeMy WebLinkAbout258108 04/29/16 +W-05Ng1
CITY OF CARMEL, INDIANA VENDOR: 00352583
ONE CIVIC SQUARE BROWNELLS INC CHECK AMOUNT: $*******256.63*
_�. CARMEL, INDIANA 46032 200 S FRONT STREET CHECK NUMBER: 258108
MONTEZUMA IA 50171-1000 CHECK DATE: 04/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 12466283 .00 7.95 POSTAGE
1110 4239010 33788 12466283 .00 248.68 RIFLE SIGHTS
VOUCHER NO. WARRANT NO.
ALLOWED 20
BROWNELLS INC
200 S FRONT STREET
IN SUM OF$
MONTEZUMA, IA 50171-1000
2,S)�p,
ON ACCOUNT OF APPROPRIATION FOR
Police Department
Pfd/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
C,33,7$'8] 12466283.00 I 42-390.10 I $248.68 1 hereby certify that the attached invoice(s), or
1110 1 101
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
Friday,April 22, 2016
1
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
04/15/16 12466283.00 riffle sights $248.68
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
INVOICE #: 12466283 . 00
04/15/2016 08:51:27 BROWNELLS , INC . (46032-CITY)283.00
04/15/2016 08:58:50 3006 BROWNELLS PARKWAY elisa-R
DATE SHIPPED: 04/15/2016 GRINNELL, IOWA 50112 DLR GVN TAR
ACCOUNT #: 00296101 800-741-0015 GOVT
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 0 1 C E
3 CIVIC SQ
CARMEL IN 46032-7570
SHIP VIA: 4-7 BD STANDARD
PAYMENT METHOD: OPEN ACCOUNT
SHIP TO:
CARMEL POLICE DEPT. TERMS: NET 30
ATTN: SGT JELLISON
3 CIVIC SQ
CARMEL IN 46032-7570 FINAL
PO NUMBER: 33788 INVOICE
------------------ PICKER: 800 ------------------------------------- PRICER: 800 ----------------------------------
STOCK PRODUCT QTY QTY B/01 RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
----------------------------------------------------------------------------------------------------------------------------
100-004-381WB GRMZ REAR FIXED BATTLE SIGHT-BLACK 4 4 64.99 62.17 248.68
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 #: 12466283.00 ORDER TOTAL: 248.68
4-7 BD - STANDARD: 7.95
----------
GRAND TOTAL: 256.63
CASH: 0.00 CC: 0.00 OA: 256.63 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel
CERTIFICATE NO.003120165 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33788
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
4/14/2016 1 00352583
BROWNELLS INC Carmel Police
VENDOR 200 S FRONT STREET SHIP 3 Civic Square
TO Carmel, IN 46032-
MONTEZUMA, IA 50171--1000
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
4026
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account. 42-390.10 Fund: 101 General Fund
4 Each riffle sights $62.17 $248.68
Sub Total $248.68
51.
Send Invoice To: - `
Carmel Police
3 Civic Square
Carmel,IN 46032-
, . a
'-t N Vk PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $248.68
SHIPPING INSTRUCTIONS '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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION S4FFIC14NT 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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY `
TITLE
CONTROL NO. 33788 CLERK-TREASURER