HomeMy WebLinkAbout189881 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364676 Page 1 of 1
r 0 ONE CIVIC SQUARE LASERMAX, INC CHECK AMOUNT: $229.00
CARMEL, INDIANA 46032 3495 WINTON PLACE BUILDING B
ROCHESTER NY 14623 CHECK NUMBER: 189881
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 26927 869795 229.00 SIGHT
'.aserMax, Inc. Page 1
3495 Winton Place, Building B Invoice# 869795
Rochester, NY 14623 U.S.A. Invoice Date July 28, 2010
Ph: 585 272 -5420 Order 126684
Fax: 585 272 -5427 Order Date 07/28/2010
INVOICE Due Date 08/27/2010
Sold to: #CARMELPD Shipped to:
Carmel Police Department Carmel Police Department
Attn: Ryan Jellison Attn: Ryan Jellison
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Date Shipped Ship Via Shipping Terms Your P.O. Payment Terms Sales Rep Acct Mgr
07/28120! 0 OTHER Prepaid #26927 NET 30 DAYS MSCHM SCOLE
Quantity Quantity Quantity
Quantity This Prior Back Unit
Ordered Shipment Shpmts Ordered Item Code and Description Price Extension
I 1 EA NON STOCK ITEM T &E sight LMS -1141P S/N 229.000 229.00
5 AO3451
Sub -Total 229.00
HOT NEW PRODUCT: SABRE FOR GLOCK!!! Shipping& Handling
ASK ABOUT OUR GREEN LASERS! Tax #1
Tax #2
Credits
Invoice Total 229.00
INDIANA RE PAGE
C ity k arme� GERTIFfCATE NO.003120155 002 0 PURCHASE ORDER NUMBER 11 111111 TAIL TAX EXEMPT ��ff
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
=&CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PAGKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Axig
VENDOR LaserMax, Inc SHIP City of Carmel Police Department
3495 Winton Place, Building B TO 3 Civic Squsae„
Rochester, NY 14863 Carmel, IN 46032'
CONFIRMATVON BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 T E Sight LMS -1141P SIN 229000
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1 0
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accessor
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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS_ T r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER,99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-26927 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.� WARRANT NO..
ALLOWED 2a
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 ciassification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts T 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
LaserMax, Inc. Purchase Order No. 26927F
3495 Winton Place, Building B Terms
Rochester, NY 14623 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/28/10 869795 payment for sight 229.00
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.
ALLOWED 20
Lae.2rMax, Inc. IN SUM OF
3495 Winton Place, Building B
Rochester, NY 14623
229.00
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
26927F 869795 390 -10 229.00 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
August 31 2 0 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund