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Home My WebLink About193857 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 205250 Page 1 of 1 ONE CIVIC SQUARE MINE SAFETY APPLIANCES CO i, CARMEL, INDIANA 46032 PO BOX 640348 CHECK AMOUNT: $3,946.50 PITTSBURGH PA 15264 -0348 one CHECK NUMBER: 193857 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4467003 27020 94964711 3,946.50 BALLISTIC VESTS Q The Safety Company Mine Safety Appliances Company PO Box 426 Pittsburgh, PA 15230 -0426 D -U -N -S 00- 432 -1865 FEI 25- 0668780 Invoice Sold To: Invoice No.: 94964711 LLJ�II,�1L��JI��LIJ�1�1 Invoice Date: 06 Jan 2011 CARMEL POLICE DEPT Customer No.: 520000 3 CIVIC SQUARE Order No.: 3592657 CARMEL IN 46032 Delivery No.: 87111077 P.O. Date: 03 Sep 2010 Customer P.O. No.: 27020 Ship To: CARMEL POLICE DEPT ATTN MAJOR JIM BARLOW 3 CIVIC SQUARE CARMEL IN 46032 Your Contact Person: Customer Service Telephone No.: 866 -672 -1001 Fax No.: 800 967 -0398 PAGE 1 3 Date Shipped Shipped via Bill of lading No. Terms of Shipment Terms of Payment 06 Jan 2011 UPS Ground FOB DESTIFA NET 30 DAYS Item Qty UM Mat No. Description Unit Price Net Price EFTA Batch Qty 10 3 EA RMV024- 07 -MD -BK 522.06 1,566.18 RELEASABLE MOD VEST, 2007, 10X12 PLT PKT Country of Origin: US Commodity Code: 6211.43.0091 With the following configuration: MODEL RMV024 -07 SIZE MEDIUM COLOR BLACK 20 3 EA K3K3A- PAE -MD 472.90- 1,418.70 INSERTS,SOFT ARMOR,IIIA, TWARON,MEDIUM Country of Origin: US Commodity Code: 3921.90.5050 The Safety Company Invoice Invoice No.: 94964711 Customer P.O. No.: 27020 PAG E 2 3 Item Qty UM Mat No. Description Unit Price Net Price EFTA Batch Qty With the following configuration: MODEL K3K3A -PAE SIZE MEDIUM 30 3 EA PGP019T -BK 85.22 255.66 GROIN PROTECTOR, W /ARMOR, TWARON° With the following configuration: MODEL PGP019T COLOR BLACK 40 3 SET BPA019T -BK 147.95 443.85 Bicep Protector, w/ Armor, TWARON° Commodity Code: 6217.90.9085 With the following configuration: MODEL BPA019T COLOR BLACK 50 3 EA PFY019T -BK 42.81 128.43 Front Yoke, w/ Armor, TWARON® Commodity Code: 6217.90.9085 With the following configuration: MODEL PFY019T COLOR BLACK 60 3 EA PCL019T -MD -BK 44.56 133.68 Collar, w/ Armor, TWARON® Commodity Code: 6217.90.9085 With the following configuration: MODEL PCL019T SIZE MEDIUM COLOR BLACK Shipping Info: UPS Ground The Safety Company Invoice Invoice No.: 94964711 Customer P.O. No.: 27020 PAGE 3 3 Item Qty UM Mat No. Description Unit Price Net Price EFTA Batch Qty 1Z9T74T20345414974 Remit Payment to: Mine Safety Appliances Co. SubTotal: 3,946.50 P.O. Box 640348 Total USD: 3,946.50 Pittsburgh, PA. 15264 -0348 Fax: 412- 967 -3087 THERE IS A SERVICE CHARGE OF 1.25% ON ALL ITEMS PAST DUE THANK YOU FOR YOUR ORDER INDIANA RETAIL TAX EXEMPT PAGE it C ar m e l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 3� CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Sap tember Ia hPlimpa VENDOR Mine Safety Appliesues Company SHIP City of Carmel Police Department Pape Box 426 TO 3 Civic Square Pittsburgh, PA 15230 Carmel, IN 46032 ATTN: Mark Gustafson ATTN: Major Jim Barlow CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 3 MSA Paraclete Releasable Modular vest /IIIA 1,005 3,016.32 (Twaron)Armor 3 PGP019T Groin protector 86.07 258.21 3 BPA019T Bicep protectors 149.43 448.29_;x::: 3 PFY019T Yoke protector 43.24 129.72 3 PCLO19T Collar hallistic T 45.01 135.03 6 10060484 ACR helmet b ac w /sized%- 356.38 2,138.28✓ lc� r f Send Invoice To: City of Carmel Po l Dparttetm r ATTN: Teresa Anderson, /4 3 Civic Square y Carmel, IN 46032 r lJ PLEASE INVOICE IN DUPLICATE 6,125.85 DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT 1110 670 -03 firearms PAYMENT A" 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. 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 7 n p n A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #rrITLE 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. Mine Safety Appliances Company ALLOWED 20 IN SUM OF P.O. Box 426 Pittsburgh, PA 15230 -0426 $3,946.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members Prior Year Encumbered I hereby certify that the attached invoice(s), or 27020 94964711 44- 670.03 $3,946.50 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 Friday, January 14, 2011 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)) 12/31/10 94964711 payment for ballistic vests $3,946.50 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