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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 le ell a r E 1 0 a s_aq Send Invoice To: 'w 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