186221 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1
ONE CIVIC SQUARE BROWNELLS INC
CHECK AMOUNT: $205.74
CARMEL, INDIANA 46032 200 S FRONT STREET
MONTEZUMA IA 50171 -1000 CHECK NUMBER: 186221
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 5969057 205.74 AMMUNITIONS ACCESSO
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INVOIC 05969057.00 p �T T T
05/19/2010 10:30 :02 B ROWNE L L S I (46032- CITY)057.00
.,05/19/2010 10:37:57
200 SOUTH FRONT STREET janh -C
DATE SHIPPED: 05/19/2010 MONTEZUMA, IOWA 50171 -1000 DLR GVN IAR
ACCOUNT 00296101 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 46032 FINAL
FAX 317- 571 -2507 PO NUMBER: VERBAL DWIGHT INVOICE
PICKER: 677 PRICER: 699
STOCK PRODUCT QTY QTY B /0, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
100 002 -950AC J07003B VICKERS COMBAT OPERATIONS SLING, BLACK 4 4 59.99 48.56 194.24
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4 161SO��S !l�L��'G ET r 'L-i AJ�iZ 4 OI'A1L
ORDER ON THE WEB AT www.brownells.com
ORDER TOTAL: 194.24
THE FOLLOWING COMMENTS FIELD FOR BROWNELLS USE ONLY
PLACED BY DWIGHT FROST 317 571 -2599 UPS GROUND: 11.50
GRAND TOTAL: 205.74
CASH: 0.00 CC: 0.00 OA: 205.74 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
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.
r Payee
Brownells, Inc. Purchase Order No.
2 00 South Front Street Terms
Montezuma:; IA 50171 -1000 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/19/10 5969057 payment for range supplies 205.74
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. r WARRANT NO.
ALLOWED 20
Broot Inc. IN SUM OF
200 South Front Street
Montezuma, TA 50171 -1000
205.74
ON ACCOUNT OF APPROPRIATION FOR
police generallfund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT I here certify that the attached invoices or
DEPT. hereby Y invoice( s),
1110 5969057 390 -10 205.74 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
June 3 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund