181173 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 356380 Page 1 of 1
ONE CIVIC SQUARE DICK'S SPORTING GOODS CHECK AMOUNT: $249.95
i CARMEL INDIANA 46032 ATTN: ACCOUNT RECEIVABLE
.s; PO BOX 7000 CHECK NUMBER: 181173
CORAOPOLIS PA 15108
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4356002 21283 17180 249.95 ATHLETIC SHOES
EVERY SEASON STARTS AT
Sales Invoices 17180
0 0 Date 12/812009
DICK'S SPORTING GOODS
PO BOX 7000
CORAOPOLIS PA 15108
CITY OF CARMEL POLICE DEPT.
TERESA ANDERSON
ACCOUNTS PAYABLE
3 CIVIC SQUARE
CARMEL IN 46032
Purchase Order Customer ID Territory Payment Terms ID
21283 13399 13399 00183 NET 30
Sales $267.45
0? qc
Please see attached detailed sales transaction, Subtotal $267.45
Freight $0.00
Please Remit to: Payment $0.00
DICK'S SPORTING GOODS Total Due $267.45
ATTN: ACCOUNTS RECEIVABLE Witir
PO BOX 7000
CORAOPOLIS PA 15108
For Questions Regarding This Billing
Please Call (800) 690 -7655 Ext. 3899
Fax: (724) 227 -1108
EMAIL: Store.Charges @dcsg.com
1,06 �S SPORTING
c� �aa� S
Carmel, LN ED
(317) 318 -3467
12/08/09 02:08 PM
RECEIPT EXPIRES ON 03/08/ /0
S -00193 R -2 T -0433 4- 0173919 SALE
Your associate today is: Adam
0o
SALES AUDIT COPY ul
1D
B83722367107 9T- 21408LA /B 68.99
Current Price 89.99
883722749330 GELPLATINU/P 89.98
Current Price 99.99
0419699B3265 WAVEiNSPIR /1i 89,99
I TOTAL o A L 2a9 .95
SUBTOTAL 249.95
TAX
TOTAL 2a
STORE CHAR9E PO 267.45
ACCOUNT 013399
PO #21283
CHANGE DUE 0,00
CUSTOMER INFORMlATION:
RICHARD THOHAS
CARMEL POLICE DEPT. m
3215 WAYSIDE LN
ANDERSON IN 46011
(785) 276 -5955
s rrown fa;
Carmel INDIANA RETAIL TAX EXEMPT PAGE
�1 of 1\ arme CERTIFICATE No. 003120155 002 0 I
PURCHASE ORDER R NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT 21283
35- 60000972
30 CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
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 8, 20C9 athletic shoes
VENDOR Sack's Sporting Coodd SHIP City of Carmel Police Deparfent
TO 3 Civic Squarew
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
3 athletic shoes for new officerssfor ILEA 249.95
Officer Richard Thomas
Officdr Teddy Gauthier
Officer Crystal Hu h-.`
OF Cd
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1.1 ye...-.
4
ku 10 -A
S
414
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 1 PROJECT PROJECT ACCOUNT AMOUNT
1110 560 -02 clothing accessori
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
J 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. hil,/:--k11,/,
(.(.J
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY l' Y f -b :_.J PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
L
.I.
A•
CLERK TREASURER
DOCUMENT CONTROL NO. COPY SIGN AND RETURN TO CLERK'S OFFICE
VQUCHER NO. NO._
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
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
Dick's SPorting Goods Purchase Order No. 21283RF
ATTN: Accounts Receivable Terms
A.O. BO x 7000
Coroapolis, PA 15108 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/8/09 17180 payment for athletic shoes for new officers 49.9
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
V U NO. WARRANT NO.
ALLOWED 20
Dick's Sporting Goods IN SUM OF
ATTN: Accounts Receivable
P.O. BOx 7000
Coraopolis, PA 15108
249.95
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
p PT r INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
21283RF 17180 560 -02 249.95 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
January 6 20 10
Ai-awl _1)
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund