183857 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 173590 Page 1 of 1
ONE CIVIC SQUARE KIESLER POLICE SUPPLY INC
CARMEL, INDIANA 46032 2802 SABLE MILL ROAD CHECK AMOUNT: $4,863.00
JEFFERSONVILLE IN 47130
CHECK NUMBER: 183857
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION
1110 4239010 21849 662591 4,863.00 AMMO
KIESLER'S POLICE SUPPLY, INC.
'Fj 2802 SABLE MILL RD JEFFERSONVILLE, IN 47130
EIN 35-1361847
Orders: (800)444 -2950
Information: (812)288 -5740
INVOICE Fax: (812)288 -7560 Page l
Sold CARMEL POLICE DEPARTMENT Ship CARMEL POLICE DEPT.
To 3 CIVIC SQ Td; 3 CIVIC SQUARE
1 Loossal ATTN: TERESA ANDERSON ATTN: DWIGHT FROST
CARMEL, IN 46032 CARMEL, IN 46032
(317)571 -2500 21849
Our Order Date Rep {ID Order No Ord Da #e Shrp ',Via Terms; lri No
00662591 03/16/10 IN /T 21849 03 /16 /10 NET 3o/PICKUP NET 30 DAYS 10662591
Item %Description Qoantrti.es Units' Price >4moun;f
FEDEP40HST3 Ordered 15.0000
FEDERAL PREM 40S &W 165GR HST JHP Shipped 15.0000 CASE 324.200 4863.00
Subtotal 4863.00
Non- Taxable Taxable Sales Tax' F7eight Misc *:'Invoice Tota/
4863.00 .00 .00 .00 .00 4863.00
RETURNED GOODS POLICY
No returned goods will be accepted without prior consent.
Any packages returned without properly displaying a return
authorization number will be refused. All returned goods
will be subject. to a restocking fee.
DEFECTIVE MERCHANDISE POLICY
We are not a warranty repair station for any manufacturer.
Returns of defective merchandise must be made directly to
the manufacturer for repair or replacement.
DAMAGED GOODS POLICY
Claims of shortages or damaged shipments must be made
immediately upon receipt of shipment.
A INDIANA RETAIL TAX EXEMPT PAGE
y ®I' Car CERTIFICATE NO. 003120155 002 0 1 O 1
Y PURCHASE ORDER NUMBER
3 Police Depariment FEDERAL EXCISE TAX EXEMPT
35- 60000972 21849
3 0WCIVIC 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
Mar ch 11, 2010 ammo
VENDOR Kiesler' Police Supply,.Ince SHIP City of Cammel Police Department
2802 Sable Mill Road TO 3 Civic Square
Jeffersonville, IN 47130 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
15 cases Federal Prem 40 S &W 165GR HST JUP 324.20. 4,863000
L
n
Send Invoice TO: r
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT f PROJECTACCOUNT AMOUNT
1110 390-10 ammo and accessorie_ PAYMENT
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
PURCHASE ORDER NUMBER MUST APPEAR ON ALL r
SHIPPING LABELS. eihief Of Po
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
�A.0 COPY SIGN ANN RETURN TO CLEWS OFFICE
VOUCHER 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 State Board of Accounts City Form No. 201 (Rev. 1995)
M 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
Kiesler Police Supply, Inc. Purchase Order No. 21849F
2802 Sable Mill:_�Road Terms
Jeffersonville, IN 47130 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3116/10 662591 payment for ammo 4,863.900
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
Ki esler';s Police Supply, Inc.
IN SUM OF
2802 Sable Mill Road
Jeffersonville, IN 47130
4,863.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21849F 662591 390 -10 4,863.00 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
March 24 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund