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HomeMy WebLinkAbout181560 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 00351072 Page 1 of 1 ONE CIVIC SQUARE GLOCK INC 1 .t CARMEL, INDIANA 46032 PO BOX ass CHECK AMOUNT: $147.00 4 SMYRNA GA 30051 CHECK NUMBER: 181560 CHECK DATE: 1120/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4239010 21297 528828 147.00 PARTS GLOC Inc. USA [I ocK PERFECTION GLOCK, Inc., Post Office Box 369 Tel. (770) 432 -1202 Smyrna, Georgia 30081 USA Fax (770) 433 -8719 Customer 22364 FFL No. Carmel Metro Police Department Tax Number Attn :Lt. Dwight Frost Del. Terms CIF destination #3 Civic Square Del. Date 01/04/2010 Carmel, IN Forw. Agent: Fedex 2Day(D &I) 46032 Customer PO: 21297 Attn Lt. Dwight Frost FFL- No.Info: Law Enforcement Agency INVOICE Invoice No. Date Order Number Contact Page SLS/ 528828 01/04/2010 427998 176 1 Pos Deliv Item Number Price /Unit Discount Total Price No. City. Item Description USD 5 1 NR17G24 32.00/pc 32.00 Sight Rear 6.5 GLOCK NS (Green 10 1 NF17G24 25.00 /pc 25.00 Sight Front GLOCK NS(Screw on) 15 1 SP05946 f.o.c. Sight Front Screw 20 2 GT03374 5.00 /pc 10.00 Disassembly Tool 2.5mn FFL 1 -58- 067 -08 -2M -21808 td4404.cary 67.00 FEDERAL TAX PAYER ID 58- 1652822 GA STATE SALES TAX #:033 -24- 33264 -2 L 0 C K, Inc. USA OCK PERFECTION CLOCK, Inc., Post Office Box 369 Tel. (770) 432 -1202 Smyrna, Georgia 30081 USA Fax (770) 433 -8719 Invoice No. Date Order Number Contact Page SLS/ 528828 01/04/2010 427998 176 2 Pos Deliv Item Number Price /Unit Discount Total Price No. Qty. Item Description USD Carry Forward: 67.00 25 10 SP00420 2.00 /pc 20.00 Trigger Pin 30 5 SP07496 8.00 /pc 40.00 Slide Stop Lever EXTENDED G17 35 5 SP01981 2.00 /pc 10.00 Magazine Catch Extended 9mm,.4 40 1 SHIP 10.00 /pc 10.00 Shipping Handling Charge Goods Costs Total USD 137.00 10.00 147.00 Payment Net 30 Days Should there be any discrepancies with your order, please contact customer service immediately. INDIANA RETAIL TAX EXEMPT lvs PAGE O C CERTIFICATE NO. 002 0 1 c6 1 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 21297 35- 60000972 30.NE 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 16, 2C09 parts VENDOR Glock, Inc. SHIP City of Carmm1 Police Department P.O. Box 369 TO 3 Civic Square Smyrna,. GA 30081 Carmel, IN 46032 ATTN: Lt. Dwight Frost CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION 1 NR17G24 Rear night sight 6.5mm 32.00 1 NF17G21 Front night sight 25.00 2 GT00374 Glock disassembly tool 5.00 10.00 10 SP00420 Trigger pin .2.00 x0.00 5 SP07496 Slide stop lever extend._,.wth spring 8.00 40.00 5 SP01981 Magazine catch e ed c l m 2..00 1��.00 shipping 10.00 4 c\p e UH ‘N'::-N T 1 4 1.- 4 0 ct i k, ki m M 111*. .„.1 1 1 4 l' 9 ,t i Nt A li. q 7' "4 0 f City of Carmel Pol c Send Invoice To. ATTN: Teresa Anderson' 3 Civ i Square Canal., IN 46032 DD l PLEASE INVOICE IN DUPLICATE 0:13-6- DEPARTMENT ACCOUNT PROJECT 1 I PROJECT ACCOUNT AMOUNT 1110 390 -10 ammo and accessories. PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND 1 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS i 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. hi 4 D J/ /3 °r'idr /l •�-�A! C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �..t r 0 {f c'. i' D 7 .iie PURCHASE ORDER NUMBER MUST APPEAR ON ALL f SHIPPING LABELS. Chief of Police fl THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETOO. 1 DOCUMENT CONTROL NO. 2A, 7 CLERK-TREASURER .V. COPY SIGN AND RETURN TO CLERK'S OFFICE VGUCHER NO. WARRANT 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 Slate 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 Glock, Inc. Purchase Order No. 21297RF P.O. Box 369 Terms Smyrna, GA 30081 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1/4110 528828 payment for parts 147.00 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOU PHER NO. WARRANT NO. ALLOWED 20 Glock, Inc. IN SUM OF P.O. Box 369 Smyrna, GA 30081 147.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 21297RF 528828 390 -10 147.00 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except January 13 20 10 b Signature Chief of POlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund