HomeMy WebLinkAbout190355 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 364675 Page 1 of 1
ONE CIVIC SQUARE L N SUPPLY
CARMEL, INDIANA 46032 PO Box 1850 CHECK AMOUNT: $2,990.00
VALPARASIOIN 46384 -1850 CHECK NUMBER: 190355
CHECK DATE: 9129/2010
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467003 27021 365 2,990.00 BALLISTIC SHIELD
T
v
t U Re a��t� Based cear Invoice Number:
P 365
Invoice Date:
Sep 14, 201C
Page:
P.O. Box 1850 1
Valparaiso, IN 46384 -1850
(219) 397 -9500
Sold To: Ship To
City of Carmel Police Department City of Carmel Police Department
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
C usto m er_ID Customer PO Payment Terms
COCPD 27021 Net 30 Days
Sales Rep Shipping Method Ship Date Due Date
Fed-EX 10/14/10
Quantity Item Description Unit Price Extension
2.00 US[-HMLP United Shield Int'I NYC Custom Level IIIA 1,495.00 2,990.00
Ballistic Shield
Subtotal 2, 990.00
Sales Tax
Freight
Total Invoice Amount 2 ,990.00
Check /Credit Memo No: Payment/CreditApplied
TOTAL $2,990.00
INDIANA RETAIL TAX EXEMPT PAGE
o armel CERTIFICATE NQ. 003120155 002 0 PURCHASE 1 of
ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
31OLLWIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF AGGOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
September 3 2010 ballistic shield
VENDOR L N Supply SHIP Clty of Carmel Police Department
P.O. Box 1850 TO 3 Civic Square
Valparaiso, IN 46364 -1850 Carmel, IN 46032
ATTN: Bator Jim Barlow
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 United Shield high mobility low profile shi &sods 1,495.00 2,990.00
shipping 40,00
421 a 40.00
670 -03
$2,990.00 >'AI
4
y a 3 3
city of C armel Po T3ap�.r iB i
Send Invoice To: ATTN: Teresa Anderso
3 Civic Squasew
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 3,030.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT r AMOUNT
1110 421 postage kYMENT
1110 670-03 firearms,/ 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.
yR.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY J
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Poli
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No-27021 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
C t
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
I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
L N Supply Purchase Order No. 27021F
P.O. Box 1850 Terms
Valparaiso, IN 46384 -1850 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/14/10 365 payment for ballistic shields 2 990.00
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
L a N Supply IN SUM OF
P.O. Box 1850
Valparaiso, IN 46384 -1850
2,990.00
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
27021F 365 670 -03 2,990.00 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
September 21 20 10
*"A, -,-f
Signature
C ief, "'Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund