188967 08/18/2010 a CITY OF CARMEL, INDIANA VENDOR: 261500 Page 1 of 1
ONE CIVIC SQUARE RAY O'HERRON CO INC CHECK AMOUNT: $3,284.46
CARMEL, INDIANA 46032 PO BOX 1070
DANVILLEIL 61834 CHECK NUMBER: 188967
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 26947 1017106IN 3,259.80 ACCESSORIES
1110 4342100 26947 1017106IN 24.66 ACCESSORIES
Page: 1
0 RAY
0�hJLJL��,� R tV��N Invoice
CO., Inc. Invoice Number: 1017106 -IN
3549 North Vermilion Street 1- 800 223 -2097 Invoice Date: 7/28/2010
PO Box 1070 www.oherron.com
Danville, IL 61834 -1070 rayoherron @oherron.com Order Number: 1010680
Suppliers of public safety equipment since 1964 Order Date 7/19/2010
Salesperson: GC
Sold To: Customer Number: 46032PD
CARMEL POLICE DEPT Ship To:
3 CIVIC SQUARE CARMEL POLICE DEPT
CARMEL, IN 46032 3 CIVIC SQUARE
CARMEL, IN 46032
Confirm To:ATTN: LT DWIGHT FROST
Customer P.O. Ship VIA Terms
26947 UPS NET 30 DAYS
Item Number Ordered Shipped Back Ordered Price Amount
CJJ
26015 4.00 4.00 0.00 814.95 3,259.80
TASER &,X26 BK/BK/XDPM144952
Serial Number: T10610 -03W28
Serial Number: T10610 -03W2H
Serial Number: T10610 -03W2M
Serial Number: T10710 -0412T
ADD ACTUAL FREIGHT CHARGES
Net Invoice: 3,259.80
INVOICES PAID WITH PERSONAL PAYMENT Less Discount: 0.00
ARE SUBJECT TO SALES TAX Freight: 24.66
Sales Tax: 0.00
Invoice Total: 3,284.46
INDIANA RETAIL TAX EXEMPT PAGE 1 4f 1
C ity ®;I' Carme CERTIFICATE NO.00312D155 002 D PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 26947
f
3 CIVIC 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,, BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
OURCH ORDE DATE DATE REQUIRED REQUISITIO!:!,t VENDOR NO. DESCRIPTION
July-19, 2010 accessories
VENDOR Ray O'Herron Coop Inc. SHIP City of Carmel Police Department
B.O. Box 1070 TO 3 Civic Oquare
Danville, IL 61834 -1070 Carmel, IN 46032
ATTN: Lt. Dwight Frost
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
7 26015 X36E Black f black grip bates 814,95 5,704.65
100 44203 25 green blast door training use 23.95 2,395.OG'
100 34200 15' yellow blast door trainig�gunse 18.95 1,895 .00,
5 36700 DPM- digital pow6r magazine 32.95 5� Q
5 26701 XDPM- extended digital pow- er magazine 37.95 4
r 85.00
shipping
lee
£f
390 -10 $10,350.15 r a °e i
421 85.00 r ,�p
a e
City of Carmel Police.yDepartttselat
Send Invoice To: dr'
ATTN: Teresa Anderson
3 Civic Square'
Carmel., IN 46032
PLEASE INVOICE IN DUPLICATE 10,435.15
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accessories PAYMENT
1110 421 postage A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS idd is tantChief AN UNOBLIGATED BALANCE IN
SHIP REPAID.
TO F!E ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL PAY FOR
RDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE f O Polidd
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No- 26947 A.P.V. COPY SIGN AND'RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
S
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #iTITLE 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, ,1
i 4 i
Cost distribution ledger classification if
claim paid inotor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 3995)
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
Ray O'Herron, Co. Inc, Purchase Order No. 26947F
P.O. Box 11070 Terms
Danville, IL 61834 -1070 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/28/10 1017106IN payment for tasers 3,284.46
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
Ray O'Herron Co., Inc. IN SUM OF
P.O. Box 1070
Danville, IL 61834 -1070
3,284.46
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
26947F 1017106IN 390 --10 3,259.80 bill(s) is (are) true and correct and that the
26947F 1017106IN 421 24.66 materials or services itemized thereon for
which charge is made were ordered and
received except
August 11 20 10
Siggnature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund