HomeMy WebLinkAbout182588 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 362959 Page 1 of 1
i4 g 0 ONE CIVIC SQUARE VIKING TACTICS, INC
�l r o CARMEL, INDIANA 46032 3725 HEATHERBROOKE DRIVE CHECK AMOUNT: $675.00
FAYETTEVILLENC 28306 CHECK NUMBER: 182588
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
210 4357000 21327 21214 600.00 TRAINING
210 4357000 21326 21215 75.00 TRAINING
Viking Tactics, Inc. Invoice
3725 Heatherbrooke Drive
Fayetteville, NC 28306
Phone: (910) 987 -5983
Fax: (910) 425-0700 10/31/2009 ?1214
www.vikingtactics.com
Ship To
City of Carmel City of Carmel
Police Department Police Department
ATTN: Teresa Anderson ATTN: Major Jim Barlow
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
P.O. iVuonber Terms Sales Rep Shipping.Date :,via F:O.B.
;s
21327 Net 30 MLamb 10/31/2009
Quantity Item Code Description Price Each Amount
Instruction Kyle March 25 -27, 2010; VTAC Night Fighter 600.00 600.00
RF: Ryan Jellison
Subt t tal 5600.00
VIKING AcTIcs NC +,s Tax (8.0 $0.00
Invoi a Total $600.00
E Pay entslCredits $0,00
We hope we will be able to do business. Please let us know if you need anything else. Kyle
Balance Due 600.00
h
VIKII`IC ACTICS
If this invoice is placed in the hands of an attorney or other third party for collection, you promise and agree to pay to
Seller's reasonable attorney's fees and /or collection costs, even though no suit or action is filed. If a suit or action is filed,
the amount of such reasonable attorney's fees shall be fixed by the Court or Courts in which the suit or action, including
any appeal, is tried, heard or decided.
Purchaser /User agrees to report and pay all applicable Sales and Use Taxes that are due. Seller only charges Sales and
Use taxes in their place of physical presence, North Carolina.
Any amounts due and owing to Seller (Viking Tactics, Inc.) remaining unpaid after forty -five (45) days from the invoice
date shall accrue interest at the rate of 12% per annum on all unpaid sums from the date of the invoice until all principal
and interest paid in full.
Any payment tendered that is returned for NSF, or cancelled or for any reason is void then customer will be responsible to
seller for any and all bank charges or fees related there to, in addition to a $35.00 handling fee and in addition to any
other remedies, charges or fees allowed by law.
Returns: There will be a 15% restocking fee for returned items.
Conflict of Law: Any dispute or legal action regarding any issue reflected on this invoice shall be resolved pursuant to the
laws of North Carolina. Purchaser agrees and consents to personal and subject matter jurisdiction in North Carolina.
If any terms and conditions of this transaction or agreement are declared void or unenforceable the remaining terms and
conditions shall remain in full force and effect.
Release of Liability Confidentiality Statement are implied and required in all transactions. Seller assumes no liability for
damage, injury or death resulting from the use or misuse of any Viking Tactics, Inc. product or service. For the
consideration of participating in business or business services with Viking Tactics, Inc. you promise and agree and do
hereby release forever and unconditionally discharge Viking Tactics, Inc., it's officers, agents, employees and volunteers
from any and all claims, causes of action or other liability for injury or damages arising from the use or misuse of any
Viking Tactics, Inc. product or service.
Some of Viking Tactics, Inc. products are intended for use in inherently dangerous activities or emergency situations or for
use in conjunction with firearms which, if improperly handled, may cause serious injury or death. No liability is expressed
or implied for damage, injury or death resulting from the use or misuse of any Viking Tactics, Inc. products or services.
User assumes any and all risks for use of Viking Tactics, Inc. products and agrees that Viking Tactics, Inc. will not be
responsible for any damages including those from injury or death resulting from the use or misuse of any Viking Tactics,
Inc. product. By accepting this product, purchaser represents, acknowledges and agrees that he /she has had adequate
training and possesses sufficient skills to properly use or participate in any activities while using Viking Tactics, Inc.
products prior to the purchase of any product.
Viking Tactics, Inc. Inv oice
3725 Heatherbrooke Drive
Fayetteville, NC 28306 4
Phone: (910) 987.5983 Date r Invoice
Fax: (910) 425 -0700 10/31/2009 21215
www.vikingtactics.com
To
City of Carmel City of Carmel
Police Department Police Department
ATTN: Teresa Anderson ATTN: Major Jim Barlow
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
a
P.O. Number Terms Sales Rep Shipping Date ;Via 6 F OB
21326 Net 30 MI-amb 10/31/2009
Quantity Item Code Description Price Each Amount
Instruction Kyle Leadership Seminar: May I I 2010, IN 75.00 75.00
Subt tat $75.00
(KIN
r�� FF G li NC :Sales Tax (8.0 J $0.00
M
Invoi e Total $75.00
Pay ents /Credits $0.00
We look forward to doing business with you in the future! Please call if you have any questions.
Balance Due $75:00
Viking Tactics, Inc.
I,, 3725 Heatherbrooke Drive
Fayetteville, NC 28306 -9718
PHONE: (910) 987 -5983
FAX: (910) 425 -0700
www,VIKINGTACTICS.COM
Registration and Application for Training
Viking Tactics, Inc. Team VTAC, Inc.
IN ACCORDANCE WITH ITAR REGULATIONS, ONLY U.S. CITIZENS WILL BE ACCEPTED TO PARTICIPATE IN VTAC COURSES
First Name r{ a.,. MI D Last Name Tc_l k
Email Address: r C!_ ar n„'_k I r Date of 13irth: Z(o IAN Age:
Home Address: 1_ 5 c cS }ter Q City: A_)o 4 v:. h e_ State T_T Zip Ut-
Occupation: y 'c.er Military or LE Affiliation: �2 A,Alt p !J Rank:
Work Address: 3 C ;v c_ S u,, r e City: c 1 State :Vl- Zip c, o 7_1
Home Phone (3) 36.�_ Work Phone: 5 W
Former Student: s 1 No If yes, provide prior dates: T" I09
Weapon Information: If Civilian, Pistol License Number, State of Issuance and Expiration Date:
Primary Weapon Type and Caliber. rz A L 2 Z Pistol License Number:
Secondary Weapon Type and Caliber: _�a I at Ili M t 2 11 /0 eP r State of Issue: Expiration Date:
COURSE DATE: 34') L') COURSE NAME: A) /5 a 4 Pre Requisites Met: ems! No
Emergency Name; /)�C"� 3-e14 5'� Emergency Phone: 3r 5 71 5''
LE/Military Only Courses; Must include credentials verifying active LE status or active Military ID. An application without one of the options below will be
rejected. There are NO exceptions. VTAC reserves the absolute right to refuse training for any reason whatsoever to any applicant. Submission of this
application indicates your clear understanding of this requirement.
Credentialing Policy: VTAC has a strict credentialing policy. A photocopy or completion of ONE of the following options should accompany your application.
LE/Military: Select one of the following options.
t Certificate of Good Conduct (from your local Police Departmep
z Active Duty Police Id; Police Dept/Unit Lo r r r 1'o .r c Badge 211.
V Active Duty Military; (No ID copy required) Unit Branch of Service
If Civilian Provide Either:
V Pistol License No. (any state) or CCW Permit No, Exp. Date_ Slate of Issue
V A current copy of a Criminal Record History Check from your state of residence within twelve (12) months of training course date showing no criminal
activity.
Payment Information: SEE VTAC INSTRUCTION PAGE AND FAQ PAGE FOR UPDATED INFORMATION
t A deposit is required to reserve your seat. Refer to the Course Announcement for the amount.
Course Cancellation Policy: We require the full tuition up front to reserve your slot. If you cancel outside of 30 days, we will refund 100% of your tuition.
If you cancel inside of 30 days, and we cannot fill your slot, we retain 50% of your tuition.
Deposit is waived for PO remittances and Mil Orders.
Payment method: Check Purchase Order Credit Card Amount (add 5% to course fee)
If paying by credit card: MAKE CHECKS PAYABLE TO: Viking Tactics, Inc.
"(Note an additional 5% will be added to course fee for processing CC payments) Send Payments to:
Payment Information: Viking Tactics, Inc.
Name on Credit Card: 3725 Heatherbrooke Drive
Credit Card Number: Fayetteville, NC 28306
Expiration Date of Card: Code:
Viking Tactics, Inc.
Tu 3725 Heatherbrooke Drive
Fayetteville, NC 28306 -9718
PHONE: (910) 987 -5983
FAX: (910) 425 -0700
www.VI KINGTACTICS.COM
Registration and Application for Training
Viking Tactics, Inc. I Team VTAC, Inc.
IN ACCORDANCE WITH ITAR REGULATIONS, ONLY U.S. CITIZENS WILL BE ACCEPTED TO PARTICIPATE IN VTAC COURSES
First Name Jnii A MI Last Name
Email Address: 0 M I L.LE ZJ Ci-G i,- Date of Birth: 1- 4 -71 Age: .3 S
Home Address: 1350 F City: State MJ Zip _q�
Occupation: Military or LE Affiliation: Rank:
Work Address: e Its fL S a Uwe City: C c --001 State T�j Zip LI (L'()'
Home Phone 31.1 I6 G�� i`i Work Phone: p <5 4 t
Former Student: Yes If yes, provide prior dates:
Weapon Information: If Civilian, Pistol License Number, State of Issuance and Expiration Date:
Primary Weapon Type and Caliber: G M C)C_V LAO �3 Ca II l Pistol License Number:
Secondary Weapon Type and Cali fr —4 is__ r Slate of Issue Expiration Date.
COURSE DATE: !S 1 f COURSE NACRE: L }.G.[�'f `.SL t rj 41e Q c Pre Requisites Met: Yes I No
Emergency Name: LAiLf I e 111 f 1 I E? 4' Emergency Phone: 9 1 Z 1 (0 0`'7 -3 c
Credentialing Policy: VTAC has a strict credentialing policy. A photocopy of ONE of the following must be emailed (lambr6tvikinatactics.coml faxed (910 -987-
5983), or mailed LISPS:
t Certificate of Good Conduct (from your local Police Department) r
r.
t Active Duty Police Id; Police DepUUnit l�Y �f 1� Badge 7 J
v Active Duty Military Id; Unit Branch of Service
If Civilian Provide Either:
s Pistol License No. (any state) or CCW Permit No. Exp. Date_ State of Issue
T A current copy of a Criminal Record History Check from your state of residence within twelve (12) months of training course date showing no criminal
activity.
LElPolice Military Only Courses: Must include credentials verifying active LE status or active Military ID. An application without one of the above will be
rejected. There are NO exceptions• VTAC reserves the absolute right to refuse training for any reason whatsoever to any applicant. Submission of this
application indicates your clear understanding of this requirement.
Payment Information:
SEE VTAC INSTRUCTION PAGE AND FAQ PAGE FOR UPDATED INFORMATION
A deposit is required to reserve your seat. Refer to the Course Announcement for the amount.
V Course Cancellation Policy: We require the full tuition up front to reserve your slot. It you cancel outside of 30 days, we will refund 100% of your tuition.
If you cancel inside of 30 days, and we cannot fill your slot, we retain 50% of your tuition.
Deposit is waived for PO remittances and Mil Orders.
t' If submitting online, fax or email, deposit or payme tin full must be made within 5 days of submission.
Payment method: Check Purchase Order Credit Card Amount
If paying by credit card: MAKE CHECKS PAYABLE TO: Viking Tactics, Inc.
Payment Information: Send Payments to:
Name on Credit Card: Viking Tactics, Inc.
Credit Card Number: 3725 Heatherbrooke Drive
Expiration Date of Card: Code: Fayetteville, NC 28306
INDIANA RETAIL TAX EXEMPT PAGE C i t y o C r�"�'� el CERTIFICATE NO.003120155 002 0 1 6 1
Jl 14�L 1i 1iJl 1i PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT 21327
35- 60000972
33D1- CIVIC SOUARE 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
January 22, 2010 training
VENDOR Viking Tactics, Inc SHIP City of Carmel Police Department
3725 Heather'brooke Drive TO 3 Civic Square
Fayettevlile, NC 28306 Carmel, IN 46032
CONFIRMATION I BLANKET CONTRACT PAYMENTTERMS FREIGHT
OUANTJTY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Viking Tactics Night Fighter school for Sgt. 600.00
RTan Jellison on March 25 27, 2010 in
Fayettevilke, NC
4� ell
Send Invoice To: City of Carmel Pol e e
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT P ROJECT PROJECT ACCOUNT AMOUNT
210 570 cont ed fund VPAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
A C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
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.
2 r
1 I CLERK- TREASURER
DOCUMENT CONTROL NO. A• COPY SIGN AND RETURN TO CLERK'S OFFICE
Y
VnUCHER NO. WARRANT NO.--.--
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #ffITLE 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
..m... Title
Cost distribution ledger classification if
claim pair[ motor vehicle highway fund
0 INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0 1 Of 1
C1 F f C arme l PURCHASE ORDER NUMBER
a
Carmel Police Dep art ment FEDERAL EXCISE TAX EXEMPT
35- 60000972 2 13 26
3O.NT,ci Vic 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
January 22. 2010 trainin
VENDOR Viking Tactics, Inc SHIP City of Carmel Police Department
3725 Heat-herbrooke Drive To 3 Civic Square
Fayetteville, NC 28306 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Leadership in the Shadows and Combat Mindset 75.00
seminar for Sgt. Adam Miller on May, 11, 2010
in Westfield, IN
ae".
Ike
ta
.'v`9 ��BE .ate f
Send Invoice To: City of Caravel. Po f
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT AC COUNT I PROJECT PROJECT ACCOUNT AMOUNT
210 570 cont ed fund PAYMENT
V A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
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
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ,rP` �✓{rf lJl.,/,�' ...L_1
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. f j
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2
1 3 CLERK TREASURER
DOCUMENT CONTROL NO COPY SIGN AND RETURN TO CLERK'S OFFICE
VQUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #CrITLE 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
I
Cost distribution ledger classification if I
claim paid motor vehicle highway fund
I
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
Viking TaCtics, Inc. Purchase Order No. 21326F 21327F
3725 Heatherbrookd Drive Terms
Fayetteville, NC 28306 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
21215 payment for Leadership seminar for Sgt. Adam Miller 75.00
on May 11 2010 in Westfield IN
10/3 1/09 21214 payment for Night Fighter school for S t. Ran 600.00
Jellison on March 25 27 2010 in Fayetteville, NC
Total 675.00
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
V iking Tactics, Inc. IN SUM OF
3725 Heatherbrooke Drive
Fayetteville, NC 28306
675.00
ON ACCOUNT OF APPROPRIATION FOR
cont ed fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21326F 21215 570 75.00 bill(s) is (are) true and correct and that the
21327F 21214 570 600.00 materials or services itemized thereon for
which charge is made were ordered and
received except
February 12 20 10
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund