185543 05/20/2010 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1
ONE CIVIC SQUARE BROWNELLS INC
CARMEL, INDIANA 46032 200 S FRONT STREET CHECK AMOUNT: $141.14
MONTEZUMA IA 50171 -1000 CHECK NUMBER: 185543
CHECK DATE: 5/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 5924517 141.14 AMMUNITIONS ACCESSO
INVOICE 0 5 9 2 4 517 0 p� �T�r
04/21/2010 13:25:01 B ROWNE LL S I NC (46032- CITY)517.00
04/21/2010 13 :30:09
200 SOUTH FRONT STREET beverlyd -C
DATE SHIPPED: 04/21/2010 MONTEZUMA, IOWA 50171 -1000 DLR GVN IAR
ACCOUNT 002961.01 800- 741 -0015 M62T
24 HR. FAX (641) 623 -3896 U4 P4
SOLD TO:
CITY OF CARMEL POLICE DEPT, Federal I.D. #42 0838235
ATTN: TERESA ANDERSON I N V O I C E
3 CIVIC SQUARE
CARMEL, IN 46032
SHIP VIA: UPS GROUND
PAYMENT METHOD: OPEN ACCOUNT
SHIP TO:
CARMEL POLICE DEPT. TERMS: NET 30
ATTN: LT. FROST
3 CIVIC SQUARE
CARMEL, IN 46.032
FINAL
FAX 317 571 -2507 PO NUMBER: 42110 INV
PICKER: 215 PRICER: 678
STOCK PRODUCT QTY QTY 9 /0, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
699 902 -032AC J15G03A HOPPE'S 99 NITRO SOLVENT, QUART 6 6 20.99 15.34 92.04
ORM -D ITEM
234- 000 -074AC WN01EISA 22C -30 CLEANING ROD 8 -36 MALE THREAD 2 2 28.95 18.80 37.60
ORDER ON THE WEB AT www.brownells.com
ORDER TOTAL: 129.64
UPS GROUND: 11.50
PLEASE
GRAND TOTAL: 141.14
CASH: 0.00 CC: 0.00 OA: 141.14 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
Presaloed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Brownells, Inc. Purchase Order No.
200 South Front Street Terms
Montezuma, TA 50171 -1000 Date Due
Invoice Invoice Description Amount.
Date Number (or note-attached invoice(s) or bill(s))
4121110 9994517 payment for rqnge mipplip-q 141 14
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) truer-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
B rownells, Inc. IN SUM OF
200 South Front: Street
Montezuma, IA 50171 -1000
141.14
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
POO or INVOICE NO. ACCT /TITLE AMOUNT 1 hereby DEPT. y certify that the attached invoice(s), or
1110 5924517 390 -10 141.14 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
APril 27 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund