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190837 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 178620 Page 1 of 1 ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: $567.75 CARMEL, INDIANA 46032 PO BOX 411882 ATTN: ACCTS REC CHECK NUMBER: 190837 KANSAS CITY MO 64141 -1882 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INV NUMBE AMOUNT D 1110 4350000 27039 426991 245.75 RADAR REPAIRS 1110 4350000 27041 427026 161.00 RADAR REPAIRS 1110 4350000 27042 427104 161.00 RADAR REPAIRS Invoice Number 426991 Invoice KUSTOM SIGNALS, INC Customer Copy REMIT TO: Invoice Date 09/30/10 A PUBLIC SAFETY EQUIPMENT COMPANY Customer Number 16673 10.10 W. Chestnut P.O. Box 947 KUSTOM SIGNALS, INC.:, Chanute, KS 66720 -0947 PO BOX 411 Order Number 164129 SR (620) 431 -2700 Fax (620) 431 -2734 KANSAS CITY, MO 64141 -1882 Customer PO 27039 Page 1 of 2 SOLD TO CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 Net Due Date 10/30/10 Terms net 30 Shipping UPS 41707 1 41709 WR uw,�� tg UA,'Itlty 8,'&�S �f""� fi s E.:�. 2 3� r; E 1 1-M DESCRIPTION ES01414 m Pace y mnm m 2°?s„ a a a .maw x3w,.� 1 465 Eagle Serial Number(s) E22092 41707 41709 E 22092/KM23498/KM25629 OW 04/25/04 Unit has weak range. Also seems stuck inbetween moving and stationary modes. Jason Ogle 317 733 -4600 Fax 317 733 -6257 jogle @carmel.in.gov 1 888 8888 -33 CS FREIGHT GROUND 18.00 18.00 INBOUND SHIPPING CHARGES 1 135 0001 -00 RES VAR CLAIREX CL905L 14.40 14.40 1 096 1007 -10 CAP 47MF 20V10% TNT 20.96 20.96 2 222 2300 -01 CS RADAR PART 2 200- 1458 -80 CHOKE ASSY KA -BAND CS 10.47 20.95 4 187 0133 -00 O -RING RUBBER KA ANT END 0.86 3.44 8 187 0134 -00 O -RING NEOPRENE .101 I.D. 0.38 3.00 1 222 2312 -00 CS RADAR RECERTIFICATION 1 222 2312 -01 CS RADAR ROAD TEST ASSESSMENT 1 222 2312 -02 CS RADAR HEATED CHAMBER BURNIN 17 111 1111 -13 DOW Radar Labor tenths of hr 7.50 127.50 OOW Radar Labor tenths of hr Repaired the pre -amp and microwave assembly in both antenna. Replaced all antenna seals. Checked antennas frequency and sensitivity. Checked both antenna ports. Repaired the control head. Checked functions. Certified the unit- E 22092 KM25629 35.522ghz KM23498 35.502ghz 1 222 2312 -04 CS RADAR SIMULATOR ANALYSIS 5 111- 1111 -13 OOW Radar Labor tenths of hr 7.50 37.50 REMIT TO: FEDERAL ID 43- 1757730 KUSTOM SIGNALS, INC. PO BOX 411882 KANSAS CITY, MO 64141 -1882 Continued WWW.KUSTOMSIGNALS.COM r KUSTOM SIGNALS, INC. TERMS AND CONDITIONS 1. APPLICABILITY. Unless otherwise specified CONNECTION WITH THIS PURCHASE ORDER IS in a written bid, quote or contract, the following terms and LIMITED TO THE AMOUNT PAID FOR THE GOODS. conditions shall apply. 9. INDEMNIFICATION. Buyer will indemnify 2. PRICES AND 'TAXES. Prices will be Kustom defend and hold Seller harmless from all losses, damages, Signals, Inc.'s "Seller prices in effect on the date a liabilities and costs, including attorneys' fees, incurred or purchase order is accepted by Seller, and Seller may change sustained by Seller as a result of any third party claim made its prices at any time, in its sole discretion. All prices will against Seller, including a claim by a customer of Buyer, be F.O.B. Chanute, Kansas, and net of any duties, sales, use arising from its negligent, reckless, willful, or intentional or similar taxes, fees or assessments, and do not include actions in marketing and reselling the goods. shipping, packaging or any insurance costs, all of which are Buyer's responsibility. 10. EXPORT RULES. Buyer will not ship, transfer or export the goods into any country or use the goods in 3. PAYMENT. Unless otherwise provided on the any manner prohibited by the United States Export face of the invoice, payment is due net 30 days of invoice Administration Act or any other export laws, restrictions or in US dollars. Partial payments are not permitted unless regulations (collectively the "Export Laws In addition, if authorized in writing. Partial payments will be treated as the goods are identified as export controlled items under non payment. Each invoice is independent from shipping the Export. Laws, Buyer represents and warrants that Buyer sequence and disputes relating to other invoices. Failure to is not a citizen, or otherwise located within, an embargoed pay an invoice within 30 days will be considered a default. nation (including, without limitation Iran, Iraq, Syria, Sudan, Libya, Cuba, and North Korea) and that Buyer is 4. DELIVERY AND PERFORMANCE. Delivery not otherwise prohibited under the Export Laws from dates are approximate. Seller disclaims all liability for late receiving the goods. or partial delivery. Seller may deliver in such lots and at such times as is convenient for Seller. 1 1 MISCELLANEOUS. This purchase order, together with any other written agreement between Buyer 5. LOSS IN TRANSIT. Risk of loss will pass to and Seller, if any: (i) is the exclusive statement of the Buyer upon delivery of the goods to the carrier. In case of parties with respect to the subject matter and supersedes breakage or loss in transit, Buyer will have notation of any prior or contemporaneous communications; (ii) may same made on expense bill before paving freight. Seller not be amended except in writing executed by the parties; may reject claims for shortages not made within 15 days of and (iii) will be interpreted and enforced in accordance Buyer's receipt of the goods_ with the laws of the State of Kansas, without giving effect to principles of conflicts of law. This purchase order is: (1) solely for the benefit of the parties, and no provision of 6. TERMINATION, RESTOCKING CHARGES. this purchase order will be deemed to confer upon any Buyer may terminate this purchase order for its other person any remedy, claim, liability, reimbursement, convenience, in whole or in part, by written, faxed or cause of action or other right. Each party consents to the telegraphic notice at any time. If Buyer terminates this exclusive personal jurisdiction of the state and federal purchase order for convenience, Buyer will be liable to courts located in the State of Kansas for purposes of any Seller for Seller's reasonable costs incurred in the suit, action or other proceeding arising out of this performance of this purchase order that Seller cannot Agreement, waives any argument that venue in any such mitigate. Unless otherwise agreed upon in advance in forum is not convenient and agrees that the venue of any writing by Seller, Seller may charge Buyer a 25% litigation initiated by either of them in connection with this restocking fee, if: (a) tlhc Buyer returns any non- defective Agreement will be in either the District Court of Johnson goods covered by this purchase order; or (b) prior to County, Kansas, or the United States District Court, shipment, but after the goods are produced by Seller, Buyer District of Kansas. If any provision of this purchase order cancels the order for the subject goods. is unenforceable, the remaining provisions will remain in effect. No waiver (whether by course of dealing or 7. WARRANTY. Seller's warranty is provided otherwise) is effective unless it is made in writing and separately. signed by the party to be charged with such waiver. Unless otherwise specified in writing, notices must be given in 8. LIMITATION OF LIABILITY. SELLER IS writing by registered or certified mail, return receipt NOT LIABLE FOR ANY CONSEQUENTIAL, requested, addressed to: INDIRECT, OR INCIDENTAL DAMAGES, OR ANY LOST PROFITS OR LOST SAVINGS, EVEN IF A Kustom Signals, Inc. SELLER REPRESENTATIVE HAS BEEN ADVISED OF Attn: Sales Dept. THE POSSIBILITY OF SUCH LOSS, DAMAGES, 9325 Pflumm CLAIMS OR COSTS, NOR IS SELLER LIABLE FOR Lenexa, KS 66215 ANY CLAIM BY ANY THIRD PARTY. SELLER'S AGGREGATE LIABILITY UNDER OR IN Invoice Number 426991 Invoice III II I IIIII II III KUSTOM SIGNALS INC. Customer Copy REMIT T0: Invoice Date 09/30/10 A PUBLIC SAFETY EQUIPMENT COMPANY Customer Number 16673 1010 W. Chestnut P.O. Box 947 KUSTOM SIGNALS, INC. Chanute, KS 66720 0947 P.O. BOX 411882 Order Number 164129 SR (620) 431 -2700 Fax (620) 431 -2734 KANSAS CITY, MO 64141 1882 Customer PO 27039 Page 2 of 2 SOLD TO CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL POLICE DEPT 3 CIVIC SQUARE POLICE DEPT HDQTRS CARMEL IN 46032 3 CIVIC SQUARE CARMEL IN 46032 Net Due Date 10/30/10 Terms net 30 Shipping UPS p 41707141709 y z*.�ls€ r 'i' �s8 'a:s��".�`e, ttr �`�C �aa'", p "3kE °.''VV a �'Re'i o d �Quantty PartNurrikier'ESCRiPTION1.rSerllai 8 ^e N CII� 707 REMIT TO: FEDERAL ID 43- 1757730 Subtotal 245.75 KUSTOM SIGNALS, INC. If I Tax 0.00 PO 411882 KANS CITY, MO 64141 -1882 III Illll�ltl II41II�I TOTAL 245.75 WWW.KUSTOMSIGNALS.COM Invoice Number 427104 Invoice KUSTOM SIGNALS INC. Customer Copy Invoice Date 10/01/10 A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Customer Number 16673 1010 W. Chestnut P.O. Box 947 KUSTOM SIGNALS, INC. Chanute, KS 66720 0947 PO BOX 411882 Order Number 164922 SR (620) 431 2700 Fax (620) 431 2734 KANSAS CITY, MO 64141 1882 Customer PO 27042 SOLD TO Page 1 of 1 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL CLAY COMMUNICATIONS CI 3 CIVIC SQUARE 31 1ST AVE NW CARMEL IN 46032 CARMEL IN 46032 Net Due Date 10/31/10 Terms net 30 Shipping UPS 42241 Quanti r Part Number t I?rice E 3 QESCRIPTI0 4 Serial l �t�� E A F c a z 'r rrc' PR ,:��'�d m �m ::s s'° M x.: f �..w �+xw"'�a h F, k"c m F .,�tg r.e-.n ae i:.re �;.�,,.m` r.`±�. �'Si`a�....,�..- safi 1 200- 2072 -OOR PRO -LITE REPAIR 42241 LP03014 OW Calibration Brian Smith 317- 571 -2586 Fax 317 571 -2588 bmsmith @carmel.in.gov 2 888 8888 -33 CS FREIGHT GROUND 18.00 36.00 INBOUND AND OUTBOUND SHIPPING CHARGES 1 064 0075 -RC PL3 RECERTIFICATION 125.00 125.00 10 111 1111 -11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr I recertified the Pro -Lite LP03014 as requested by the customer. 7mm TOTAL Pulse Width Calibration 20.32 149.1 27.71 20.000048 REMIT TO: FEDERAL ID 43- 1757730 Subtotal 161.00 KUSTOM SIGNALS, INC. 411882 Tax 0.00 PO BOX KANSAS CITY, MO 64141 -1882 III IIIIIIIIIIIIIIIII lillfl TOTAL 161.00 WWW.KUSTOMSIGNALS.COM Invoice Number 427026 Invoice II I III I I I II III III KUSTOM SIGNALS, INC. Customer Copy REMIT TO:. Invoice Date 09/30/10 APUBLICSAFETYEQUIPMENTCOMPANY 1010 W. Chestnut 1 P.O. Box 947 KUSTOM SIGNALS, INC, Customer Number 16673 Chanute, KS 66720 -0947 PO BOX 411882 Order Number 164923 SR (620) 431 -2700 Fax (620) 431 -2734 KANSAS CITY, MO 6.4141- 1882, Customer PO 27041 SOLD TO Page 1 of 1 CARMEL POLICE DEPT SHIP TO POLICE DEPT HDQTRS CARMEL CLAY COMMUNICATIONS CI 3 CIVIC SQUARE 31 1ST AVE NW CARMEL IN 46032 CARMEL IN 46032 Net Due Date 10/30/10 Terms net 30 Shipping UPS 42242 .r skd"`.. 4 s a SEX @nl�f}C! x.= Park Number DESCRIPTIONlSer�a! e �a 4 PHCire 1 200 2072 -OOR PRO -LITE REPAIR 42242 LP02221 OW 03/02/09 Recalibration Brian Smith 317 571 -2586 Fax 317 -571 -2588 bmsmith @carmel.in.gov 2 888- 8888 -33 CS FREIGHT GROUND 18.00 36.00 INBOUND AND OUTBOUND SHIPPING CHARGES 1 064 0075 -RC PL3 RECERTIFICATION 125.00 125.00 10 111 1111 -11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr I recertified the Pro -Lite LP02221 as requested by the customer. 7mm TOTAL Pulse Width Calibration 18.97 144.5 27.64 19.999807 REMIT TO: FEDERAL ID 43- 1757730 Subtotal 161.00 KUSTOM SIGNALS, INC. III I�III �IIII�IIIIIiEIIIII Tax 0.00 PO BOX 411882 J if KANSAS CITY, MO 64141 -1882 TOTAL 161.00 WWW.KUSTOMSIGNALS.COM INDIANA RETAIL TAX EXEMPT PAGE C C arme CERTIFICATE NO. 0031201 S5 002 0 PURCHASE ORDER NUMBER 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, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION qeptP.-mb 28 2010 repairs to radar VENDOR Kustom Signals, Inc SHIP City of Carcalel Police Department P.O. box 411882 TO 3 Civic Square Kansas City, MO 66141 Carmel, IN 46032 ATTN: Brian Smith CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to laser radar car 146 J Spd:llman 161.00 RMA# 164923 SR WEB 42242 Serial #LP02221 Y "fir e Azl LN ;l n m 7, j i b° 4� b �a Cityyof Carmel 3aparimeni Send Invoice To: c ,M ATTN: Teresa Anderson. -p 3 Civic Square Car 1, IN 46032 f PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 500 equipment repairs qx9d maint ENT 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 APPRO ATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY i PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 6f Po ice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. a CLERK- TREASURER DOCUMENT CONTROL NO. 2 `tl A .P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 2© IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT�#(TITLE AMOUNT C7EPT. 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 classification if claim paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE Ci o C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3MCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION September 29. 2000 radar repairs VENDOR Kustom Signals, Inc. SHIP City of Carmel Police Department P.O. Box 411882 TO 3 Civic Squarest Kansas City, NO 64141 Carmel, IN 46032 CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to laser radar for car 147 Stites 161.00 RMA# 164922 SR WEB 42241 Serial #LP03014 �I 1 s r� as` a City of Carmel Pol =der e arCraent Send Invoice To:� ATTN: Teresa Anderss�n r r 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 500 egdOpmItt repairs an ai P PlA PENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND 1 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. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. 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. 2 Y O 4 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR rrf Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bili(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 f. Cost distribution ledger classification if claim paid motor vehicle highway fund 6fkaINDIANA RET AIL TAX EXEMPT PAGE rmel CERTIFICATE NO. 003120155 002 0 Of 1 1i PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 27039 3 CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION September 28, 2010 radar repairs VENDOR Rustom Signals, Inc* SKIP Clty of Carmel Police Department P.O. Box 411882 TO 3 Civic Squarew Kansas City, MO 64141 Carmel, IN 46032 CONFJnMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION repairs to ratadar for car 142 Herron 245.75 RMA #164129 SR WEB 41707 Serial #E22092 r C VV �.Irt ffi �1 OP" City of Carmel Police Send Invoice To: y Aepari en 1 ATTN: Teresa Anderson e' 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT 1110 500 equipment repair and maintenance PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. t NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND 1 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPR PRIATION SUFFICIENTTO PAY FOR THE ABOVE ORDER, C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY 1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. 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-27039 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF i ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. l 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 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 Kustom Signals, Inc. Purchase Order No. 27041F 27039F 27042F P.O. Box 411882 Terms Kansas City, MO 64141 -1882 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9/30/10 427026 payment for repairs to radar for car 146 Spillman 161.00 10/1/10 427104 payment for repairsoto radar for car 147 Stites 161.00 9/30/10 426991 payment for repairs to radar for car 142 Herron 245.75 Total 567.75 1 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 Kustom Signals, Inc. IN SUM OF P.O. Box 411882 Kansas City, MO 64141 -1882 567.75 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Pop or INVOICE NO. ACCT /TITLE AMOUNT DEPT. 1 hereby certify that the attached invoice(s), or 27039F 426991 500 245.75 bill(s) is (are) true and correct and that the 27042F 427104 500 161.00, materials or services itemized thereon for 27041F 427026 500 161.00 which charge is made were ordered and received except October 7 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund