180935 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 363304 Page 1 of 1
.4 ONE CIVIC SQUARE QUALIFICATION TARGETS INC
CARM INDIANA 46032 1145 CLYDE HANSON DRIVE CHECK AMOUNT: $764.09
0 HAMMOND WI 54015 CHECK NUMBER: 180935
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
_1110 4239010 21296 20903063 764.09 TARGETS
h 9
Qualification Targets Inc.
Federal EIN 20- 1 38 34 30
D... 12/17/2009
Invoice Num... 20903063 Invoice
BILL TO SHIP TO
Carmel Police Department Carmel Police Department
Dwight Frost Dwight Frost
#3 Civic Square #3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
P.O. NUMBER TERMS REP SHIP DATE VfA F.O.B.
Net 30 Judy 12/17/2009 UPS Q Targets
QUANTITY ITEM DESCRIPTION AMOUNT
500 TRNG -2 Multiple Shaped Training Target with Numbers 24" X 260.00
40" Full Color
500 TRNG -7 Multiple Shaped Training Target Red and Black Inks 147.50
24" X 40"
100 TQ -15 -P5 Photo Target with TQ -15 Scoring 23" X 35" Black 21.95
Ink
100 CR -111 Female Tactical Target 23" X 35" Full Color 55.00
1 CR- Mini -1 Starter Group of Critical Response Targets 25 each of 150.00
the base targets (CR -113 through CR -116) plus 10
each of 10 overlays.
1 MAX -30 Pre Shaped Foam Earplugs with Poly Cord Box of 32.99
100 Pairs
Freight Shipped On: 12/17/2009 Tracking 96.65
1ZE962550351979248
Thank you for your business. Pkgs in Shipment 7 Total $764. 09
Please remit payment to:
1145 Clyde Hanson Drive Hammond, WI 54015 866 498 -8228 Fax 866- 498 -8448
www.targets.net sales @targets.net
C 0 INDIANA RETAIL TAX EXEMPT PAGE
1 l Of Carmel CERTIFICATE NO. 003120155 002 0 1 o 1
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 717q
Q I_ 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
December 18, 2C09 tangetsu
VENDOR flualification Targets Inc. SHIP City of Carmel Police Department
1145 Clyde Hanson Drive TO 3 Civic Square
Hammond WI 54015 Carmel, IN 46032.
ATTN Lt. Dwight Frost
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
500 TRNG -2 Multiple shaped training targeaswdztbh ngmbers 260,00
500 TRNG -7 Multiple shaped trainiggttarget red and black 147.50
100 TQ -15 -P5 Phototaagget with TQ -15 scoring 21.95
100 CR --111. Female tactical target 55.00
1 CR- Mini. -1 Starter group of critical response targets 150.00
1 MAX -30 Pre shaped foam ear •oly cord 32.99
shipping 96.65
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a.„..... ,,,,<SC, ,`4,,'4.4-,. 40
I
Send Invoice To ✓j
PLEASE INVOICE IN DUPLICATE 764.09
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accessories PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER 15 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.
ti-j
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ,t j —y�''
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY .a. f t f? p r ail f -V ,f
SHIPPING LABELS. i
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
j CLERK- TREASURER
DOCUMENT CONTROL NO. A.P 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. #fiITLE 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
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Priscnbed 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
Qualification Targets, Inc. Purchase Order No. 212967a
1145 Clyde Hanson Drive Terms
Hammond, WI 54015 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/17/09 20903063 payment for targets 764.09
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Qualification Targets Inc. IN SUM OF
1146 Clyde Hanson Drive
Hammond, WI 54015
764.09
ON ACCOUNT OF APPROPRIATION FOR
police general! fund
Board Members
#t I NVOICE NO. ACCT #/TITLE AMOUNT
oEPr Poor I hereby certify that the attached invoice(s), or
21796F 20903063 390 -10 764.09 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
December 18 20 09
Signature
Assistant Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund