192444 12/07/2010 f CITY OF CARMEL, INDIANA VENDOR: 364855 Page 1 of 1
ONE CIVIC SQUARE GENERAL DYNAMICSIITRONIX
CARMEL, INDIANA 46032 12825 E MIRABEAU PARKWAY CHECK AMOUNT: $665.00
SPOKANE VALLEY WA 99216
CHECK NUMBER: 192444
CHECK DATE: 12/712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUN T DESCRIPTI
1110 4350000 27067 50004052 665.00 VEHICLE ADAPTERS
GEN Invoice,° ;tip S0004052
I ro n y Date x W11/19/2010
1000 Sawgrass Corporate Parkway Mail payments only to:
Suite 300 GENERAL DYNAMICS ITRONIX
Sunrise FL 33323 P.O. BOX 201451
DALLAS, TX 75320 -1451
Bill To: Ship To:
CARMEL POLICE DEPT, CITY OF CITY.OF CARMEL POLICE DEPT
ATTN: TERESA ANDERSON 3 CIVIC SQUARE
THREE CIVIC SQUARE PO# 27067
CARMEL IN 46032 CARMEL IN 46032 -2584
4 dI y ✓I� :,,r xC ��a.S�{'§ "i chase Order No:� L� rGu §tomerlD .Sales erson I�D g =Shf i' Mefh �Z s. =Pa men i vrms gRe Shi �Date�R� ;Sales= Orc 22808 HCFFMAN SURFACE Net 30 days 1212/2010 1 SS0002395
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50- 0141 -005R VEH ADP,10- 32V/18.5V,90W 101 101 66.50 665.00
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INDIANA RETAIL TAX EXEMPT PAGE
City Of Carmel CERTIFICATE NO.003120155 002 0 of
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 97067
3 CIVIC, SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
November 2 2010 T vehicle adapters
VENDOR General" Dynamics Itronix Corporation SHIP City of Carmel Police Department
P.O, Box 201451 T O 3 Civic Square
Dallas, TX 75320 -1451 Carmel, IN 46032
ATTN: Todd Luckoski
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
10 50- 0141 -005R Vehicle Power Supply 90 watt 66.50 665000
2
A r
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Send Invoice To: City of Carmel Police -.D'ep r;t> ent
ATTN: Teresa Anderson
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT I PROJECT ACCOUNT AMOUNT
1110 500 equipment repaatrs and aint F TMg NT
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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. f
SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Po' ice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK TREASURER
DOCUMENT CONTROL No-27067 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
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 classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
General Dynamics Itronix
IN SUM OF
P.O. Box 201451
Dallas, TX 75320 -1451
$665.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# I Dept. INVOICE NO, ACCT #FrITLE AMOUNT Board Members
27067 S0004052 43- 500.00 $665.00 1 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
Thursday, December 02, 2010
Chief of Police
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/19/10 S0004052 vehicle adapters $665.00
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