HomeMy WebLinkAbout258476 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 00351567
ONE CIVIC SQUARE NAVAL SURFACE WARFARE CENTER CHECK AMOUNT: $"*'*2,400.00"
CARMEL, INDIANA 46032 300 HWY 391 CHECK NUMBER: 258476
y ?.
ELECTRO-OPTIC TECH DIV,BLDG 2044 CHECK DATE: 05/10/16
CRANEIN 47522
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 33832 N00164LE0207 2,400.00 NIGHT VISION GOGGLES
VOUCHER NO. WARRANT NO.
ALLOWED 20
NAVAL SURFACE WARFARE CENTER
300 HWY 391 IN SUM OF$
ELECTRO-OPTIC TECH DIV, BLDG 2044
CRANE, IN 47522
$2,400.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
33832 I N00164LE0207-16 I 43-530.99 I $2,400.00 1 hereby certify that the attached invoice(s), or
1110 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
if
y r,✓� 1
Monday, May 02, 2016
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))
05/02/16 N00164LE0207-16 night vision goggle lease $2,400.00
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
Department of the Navy
' Naval Surface Warfare Center, Crane Division
CRANE300 Hwy 361, Bldg. 2044, Electro-Optic Technology Division
Crane, Indiana 47522
Cooperation With Civilian Law Enforcement Officials Agreement
Agreement entered into pursuant to SECNAV Instruction 5820.7C and NSWCCRANEINST 5700.1
1 a. Federal/State/Local Law Enforcement Agency Name: 2. Agreement Number: N00164LE0207-16
CARMEL POLICE DEPARTMENT
3. Agreement Start/Renewal Date: Jun 21,2016
1b. Agency Mailing Address:
3 CIVIC SQUARE
CARMEL 4. Agreement Termination Date: Jun 21,2017
5. Estimated Total Cost(See paragraph III Terms $2,400.00
State: INDIANA Zip Code: 46032 and Conditions below:
7. Statement of Supplies/Services to be Furnished:
' Desrgnateon;Nomendat re,xStck{Number ReplacementValue&5e (Numbers f lhitalxosprue Amours,"t
AN/PVS-7A,Night Vision Goggle,NSN:5855-01-228-0939,Replacement Value$3,000 Each 3 $300.00 $900.00
Serial Numbers: 11894,30096,57283A
AN/PVS-78,Night Vision Goggle,NSN:5855-01-228-0937,Replacement Value$3,000 Each 1 $300.00 $300.00
Serial Numbers: 00865
AN/PVS-7D,Night Vision Goggle,NSN:5855-01-422-5413,Replacement Value$3,000 Each 2 $300.00 $600.00
Serial Numbers: 43445,22026
AN/PVS-26,Clip-On Night Vision Weapon Sight,NSN:5855-01-538-8121,Repl Value:$4,000 Each 2 $300.00 $600.00
Serial Numbers: ANPVS26-00394,ANPVS26-02819
$300.00 $0.00
Serial Numbers:
Total $2,400.00
8.Points of Contact
Federal/State/Local Law Enforcement Agency Official(Name): Government Law Enforcement Program Manager(Name):
ASST.CHIEF JIM BARLOW- Roger Shaw
Phone: 317-571-2729 Phone: 812-854-1653
Fax: 317-571-2512 Fax: 812-854-8559
Email: jhorner@carmel.in.gov Email: roger.shaw@navy.mil
Government Agreement Administrator(Name): Government Agreement Administrator(Name):
Debbie Owens,CTR Sharon Sutton,CTR
Phone: 812-854-4439 Phone: 812-854-2923
Fax: 812-854-8559 Fax: 812-854-8559
Email: debbie.owens.ctr@navy.mil Email: sharon.l.sutton.ctr@navy.mil
Document Revision Date: Jan 2016 page 1
City
INDIANA RETAIL TAX EXEMPT Page 1 of 1
of
Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33832
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
4/29/2016 00351567
NAVAL SURFACE WARFARE CENTER Police Department
VENDOR 300 HWY 391 SHIP 3 Civic Square
ELECTRO-OPTIC TECH DIV, BLDG 2044 TO Carmel, IN 46032-
CRANE,IN 47522-
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
4420
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1110 Account: 43-530.99 Fund: 101 General Fund
8 Each Night Vision Goggle- ilAoit, $300.00 $2,400.00
Sub Total $2,400.00
,gin. g
Send Invoice To:
Police Department
3 Civic Square
Carmel, IN 46032- 1 All. �` r
C Z PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
�- PAYMENT $2,400.00
SHIPPING INSTRUCTIONS 'AIP 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 SUFFICIENT 0 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. 33832 CLERK-TREASURER