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181323 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 353788 Page 1 of 1 rig) ONE CIVIC SQUARE NATIONAL LAW ENFORCEMENT SUPPLI AMOUNT: $124.90 CARMEL, INDIANA 46032 226 N ALLEN ST ALBANY NY 12206 CHECK NUMBER: 181323 CHECK DATE: 1/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 523556 11.71 POSTAGE 1110 R4239099 21279 523556 113.19 LAB SUPPLIES ORDER DATE 12/09/09 INVOICE National Law Enforcement Supply SHIP TO: Carmel Police Dept CUSTOMER NO. INVOICE DATE INVOICE NO. Attn: teresa anderson 3 Civic Sq 201434 12/18/09 523556 00 Carmel IN 46032 P.O. NUMBER SALESREP DATE SHIPPED 21279 53 12/14/09 BILL TO: BACK ORDER NO. SHIPPED VIA Carmel Police Dept Attn: Teresa Anderson UPS 3 Civic Sq TERMS Carmel IN 46032 NET 30 DAYS STOCK N0. ORDER SHIP BACK DESCRIPTION UNIT PRICE TOTAL 78514 1 1 PKG /4 ACCUTRANS BROWN CASTING 113.00 113.00 ULTRONICS 75ML TUBE REFILLS WE ACCEPT MASTER CARD, VISA AND AMERICAN EXPRESS Please note National Law Enforcement Supply new Federal Tax ID below and invoice modificatons WE NOW BUY USED PHOTOGRAPHIC EQUIPMENT. ASK US HOW YOU CAN TAKE ADVANTAGE OF THIS PROGRAM. All accounts past due may be subject to a finance charge of 2% monthly, which is an annual percentage rate of 24% FED. ID. #26- 2994106 SUBTOTAL 113.00 National Law Enforcement Supply FRT HNDLG 11.90 226 North Allen Street Albany, NY 12206 Phone: (866) 972 -6464 (518) 724 -6464 Fax: (866) 682 -0940 SALES TAX .00 Web: www.nlescorp.com E- -Mail: billing @nlescorp.com TOTAL 124.90 NO DISCOUNTS ALLOWED ON SALES TAX OR FREIGHT Ch A INDIANA RETAIL TAX EXEMPT PAGE it (01 iC.irmel CERTIFICATE NO.003120155 002 0 1 of PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 21279 35- 60000972 IOU CIVIC SQUARE THIS NUMBE 1 T 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 Deeember 8, 2009 lab supplies VENDOR National Law Enforcement Supply SHIP Cit of Carmel Police Department 226 North Allen Street TO 3 Civic Square Albany, NY 12206 Carmel, IN 46032 ATTN: John Elliott CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Quote #1522507 3 LE42/500 Box /500 Retabs Forensics Source 18.25 54.755 2 DFS200P Each DFO Pump Spray 100m1 Sirchie DFO spryt 32.15 64.304, 1 JC350M Each Acrylic Magnifier 4X, 3.5" Sirchie Magnifier 49.68✓' 2 8006071 Box /10 Test A FR -14 NIK Primary General Screening Tewet 14.05 28.10v4, 2 8006072 Test B Confirming lkaloids Lightning Pwdr 14.05 28.10 1 8006073 Ea. NIK Test C a± td Ii_htning Pude drug 22.94 3 4 -1120 Each Bio -Foal I'tn S ki I Al, Powder kttt 4.56 13.68 5 6 -3880 Set of 2 Bu t'c L I g i T k P e 9.26 46.30' 1 EE36 Pkg /100 3. ,5" °•white env41bp w.1i 8.74 8.74✓ 3 PI -30 Each IdeT ,t i-3 x 4-1/2 Pc. ect -g` .ttning Pwdr 43.57 130.71 1 ,78514 Pkg /4 A u raa frown casting= 1tr s 113,00K mAa w .!t!4.' 0 .4 City of Carmel Po i,`e k 7 5 LQ O -0 Send Invoice To ATTN: Teresa Anderes 1 R' 3 Civic Square Carmel, IN 46032 Li37, 5 j________.-----•Oqq.<5T- PLEASE INVOICE IN DUPLICATE 113 19 560.30 DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 390 -99 other miscellaneous PAYMENT AP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.0. 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.O.D. SHIPMENTS CANNOT BE ACCEPTED. 46.�? �f S V PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY L4 1_.4r _L✓ L, f /A 1 1. SHIPPING LABELS. e I THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. e f CLERK- TREASURER DOCUMENT CONTROL NO. A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. NO.___—_..a ALLOWED 20 IN THE BUM OF ON ACCOUNT OF APPROPRIATION FOR t, 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 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 National Law Enforcement Supply Purchase Order No. 21279RF 226 North Allen Street Terms Albany, NY 12206 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/18/09 523556 payment for lab supplies 124.90 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 4 at UCHER NO. WARRANT NO. ALLOWED 20 ional Law Enforcement Supply IN SUM OF 226 North Allen Street Albany, NY 12206 124.90 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members rt or INVOICE NO. ACCT #!TITLE AMOUNT hereby certify oE I hereb certif that the attached invoice(s), or 21279RF 523556 390 -99 113.19 bill(s) is (are) true and correct and that the 1110 523556 421 11.71 materials or services itemized thereon for which charge is made were ordered and received except January 6 20 .1 htitivell_b 10 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund