180932 12/30/2009 1. F CITY OF CARMEL, INDIANA VENDOR: 252700 Page 1 of 1
ONE CIVIC SQUARE PRO -SHOT PRODUCTS, INC
"`-...1 I" CARMEL, INDIANA 46032 CHECK AMOUNT: $362.91
PO BOX 763
V -i, H .�p TAYLORVILLE IL 62568 CHECK NUMBER: 180932
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,1110 4342100 14937 11.71 POSTAGE
1110 4239010 21306 14937 351.20 CLEANING SUPPLIES
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pro -Shot Products IN SUM OF
P.O. Box 763
Taylorville, TL 62568
362.91
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT hereby certify invoice( s),
DEPT. I hereb certif that the attached invoices or
21306F 14937 390 -10 351.20 bill(s) is (are) true and correct and that the
1110 14937 421 11.71 materials or services itemized thereon for
which charge is made were ordered and
received except
Dece ber 26 20 09
Signature
Assistant Chief of POlice
Cost distribution ledger classification if Title
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
Pro SHot Products Purchase Order No. 21306F
P.O. Box 763 Terms
taylorville, IL 62568 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/21/09 14937 payment for weapon cleaning supplies 362.91
Total
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
C) Invoice
PRO -SHOT PR. aI1�CTS.
Manufacturer of Oun :cieanins Supplies forReouracy Ea Ea
Bill Date I Custgmer i o 40
P.O. Box 763 12/21/2009 IN 1030 14937
Taylorville, IL 62568
5 I d d d f "R a a
Bill To F 4.
mks H .1 �a�„ 1`wk r-,�. a e w m A�. .»,i m .;e i� k ,e.i E r� s
CITY OF CARMEL POLICE DEPT.
ATTN: DWIGHT FROST
CITY OF CARMEL POLICE DEPT. 3 CIVIC SQ.
ATTN: TERESA ANDERSON CARMEL, IN 46032
3 CIVIC SQ. USA
CARMEL IN 46032
`�?r -"f' a a E� 5 ae �S° ,52 ^r C O'9`p sr f
P O Numbers rt;R M £Terms Re Grou 1 h1 p Dat y r. 3 Va 3 "r o
s�fi�� a A ��..,�.....P �P P N.A A w ��y,M.�,.� <��E
21306 Net 30 Days PROSHOT 12/21/2009 UPS TAYLORVILLEIL
C; i .a. ;ria� g d' r§ w m. r s a E �k M -F-'-i I r
It Quantit y, w p Description E O N B a ck O -Price Eac h V �i A
®�u �;a �PA�. i gj �rElr u ia a Eti o •o `1^:, �.�L v x aru :a`�"° .a .,��.�1ss�
10P -D 4 10mm Dozen Pack 11.40 45.60
22CF -D 4 .22 Cal. Centerfire, Dozens Pack 11.40 45.60
38P -D I .38 Cal. Pistol Brush, Dozen Pack 11.40 11.40
CR8 -22 2 8" Coated Pistol Rod .22 Cal. Up 18.90. 37.80
30R -D 2 .30 Cal. Bore Brush, Dozen Pack €1.40 22.80
3 -500 20 12-16- Gauge 3" SQ. 500CT. 9.40 188.00
UPS 1 Shipping Charge 11.71 11.71
Sales Tax (6.25 $0.00
ph0lle r
F3 [m IA E m all ^i Web'«SIte
T
$362.91
(217)824 -9133 (217)824 -8861 pro- shot @ctitech.com www.proshotproducts.com
itY INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE No. 003124155 002 0 1 1
C �+r i Carmel PURCHASE ORDER ER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
t 35- 60000972 21306
301■E,CIVIC SQUARE 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
necei+ber 1R 700Q claaningg supplies
VENDOR Pro -Shot Products SHIP City of Carmel.Police Department
P.O. Box 763 TO 3 Civic Square
Taylorville, IL 62568 Carmel, IN 46032
ATTN: Lt. Dwight Frost
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY 1 UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4 10P .40 /10mm brads bore brushes 11.40 45.60
4 22CF .223 brass bore brushes 11.40 45.60
1. 38P 38ca1 brass bore brushes 11.40
2 CR8 -22 8" coated pistol rod .22 cal and up 18.90 37.80
2 30R brass bore brushes 11.40 22.80
e;
20 3 -500 3" cleaning pat, 9.40 188.00
if 44;"
.r g 1 kil
A 9 s a
w ;te
Send Invoice To
City of Cam iel Po peep i
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 351.20
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and acces ies PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
r 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER
SHIP REPAID.
C.0.D. SHIPMENTS CANNOT BE ACCEPTED. f s1•.fl .5 7/f 1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r If r SHIPPING LABELS. V 1
THIS ORDER ISSUED IN COMPLIANCE WITH. CHAPTER 99, ACTS 1945 TITLE Ch i Af of Poi ice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK
TREASURER
DOCUMENT CONTROL NO.. 21305,
COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO
1 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 classification if
claim paid motor vehicle highway fund