185695 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 353907 Page 1 of 1
ONE CIVIC SQUARE COMMANDING OFFICER -NAVAL WARF
CARMEL, INDIANA 46032 300 HIGHWAY 361 /ELECTRO -OPTIC TECH
"CHECK AMOUNT: $900.00
BLDG 2044 ATTN: S SUTTON /D. OWENS
CHECK NUMBER: 185695
CRANE IN 47522
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 900.00 OTHER RENTAL LEASES
SHIPPING CONTAINER TALLY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50
INVOIINVOI t=orrn APProvetl
CE OMB NO. 0704 -0248
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1. FROM: (Include ZIP Code) SHEET NO. OF 7041U21 QISITION DATE 6. REQUISITION NUMBER
COMMANDING OFFICER NO. SHEETS
NAVAL SURFACE WARFARE CENTER /2010
300 HWY 361 7. DATE MATERIAL REQUIRED (YYMMDD) 8. PRIORITY
ELECTRO -OPTIC TECHNOLOGY DIVISION, BLDG. 2044 ATTN: (S. SUTTON D. OWENS)
CRANE, IN 47622
2. TO: (Include ZIP Code)
CARMEL POLICE DEPARTMENT 10. SIGNATURE 11a, VOUCHER NUMBER DATE (YYMMDD)
3 CIVIC SQUARE
CARMEL, IN 46032
POC: MAJOR JIM BARLOW PH: 317 -571 -2527
3. SHIP TO MARK FOR 12. DATE SHIPPED (YYMMDD) b.
SAME
13, MODE OF SHIPMENT 14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
4. APPROPRIATIONS SYMBOL AND SUBHEAD OBJ. CL. BUR. CONT, NO. SUBAL- AUTHORIZATION TRANS. PROPERTY ACCT'G COUN- COST CODE AMOUNT
LOT. ACCT'G ACTIVITY TYPE ACTIVITY TRY
ITEM FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIAL AND /OR UNIT QUANTITY SUPPLY TYPE CON- UNIT TOTAL
NO. SERVICES OF REQUESTED ACTION CON- TAINER PRICE COST
(b) ISSUE TAINER NOS.
(a) (c) (d) (e) M (g) (h) (i)
(1) Z NIT V EQUIP c7 MENT; 3 $300.00 $900.00
j1 DATE: 16 LOAN AGREEMENT FOR 6/21/2010 TO 6/21/2011
AGREEMENT T N00164L E0207 -10
Supply Labor Charge
16. TRANSPORTATION VIA MATS OR MSTS CHARGEABLE TO 17. SPECIAL HANDLING SENSITIVE NIGHT VISION EQUIPMENT
18. ISSUED BY TOTAL TYPE f9 DATE BY SHEET TOTAL
O CON- CON- DESCRIPTION TOTAL TOTAL RECEIVED (YYMMDD)
R F TAINERS TAINER WEIGHT CUBE R EXCEPT AS
E E NOTED
A H CHECKED BY E QUANTITIES DATE BY GRAND TOTAL
RECEIVED (YYMMDD)
P I I EXCEPT AS
P P NOTED
PACKED BY T DATE BY 20. RECEIVER'S
POSTED (YYMMDD) VOUCHER NO.
TOTAL
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
Commanding Officer Purchase Order No.
Naval Surface Warefare Center
300 Hwy 361 Terms
Electro —Optic Technology Div, Bldg 2044
ATTN: S. Sutton D. Owens Date Due
e- 1 47522
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/21/1.0 annual payment for night vision goggles 900.00
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.
Commanding Officer ALLOWED 20
Naval Surface Warefare Center
Hwy 361 IN SUM OF
Electro_ =Optic Technology Div, Bldg 2044
ATTN: S. Sutton D. Owens
Crane, IN
900.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT4/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 530 --99 900.00 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
May 20 20 10
Signature
Assistant Chief of Poli
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund