196271 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1
ONE CIVIC SQUARE BROWNELLS INC CHECK AMOUNT: $1,843.40
CARMEL, INDIANA 46032 200 S FRONT STREET
MONTEZUMA IA 50171 -1000
CHECK NUMBER: 196271
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 27762 6570946 388.93 PARTS AND ACCESSORIES
1110 4239010 27763 6579794 1,233.52 TOOLS /SLINGS
1110 4467003 27769 6589123 220.95 SUREFIRE M85
INVOICE 06570946.00 c
03/24/2011 13:42:24 B ROWNE L L S INC (46032- FROS)946.00
03/24/2011 13:49:13
200 SOUTH FRONT STREET jennl -R
DATE SHIPPED: 03/24/2011 MONTEZUMA, IOWA 50171 -1000 DLR IAR GVN
ACCOUNT 01111675 800 -741 -0015 CF5T
24 HR. FAX (641) 623 -3896 U4 P4
SOLD TO:
LT. DWIGHT FROST Federal I.D. #42 0838235
3 CIVIC SQ I N V O I C E
CARMEL, IN 46032 -7570
SHIP VIA: FEDEX GROUND
PAYMENT METHOD: OPEN ACCOUNT
TERMS: NET 30
FINAL
FAX 317- 571 -2694 PO NUMBER: 1653 INVOICE
PICKER: 750 PRICER: 734
STOCK PRODUCT QTY QTY B /O, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
100- 002 -868 70600613 V -TAC WIDE PADDED SLING, BLACK 10 10 39.99 32.87 328.70
100 005 -841 D17C07C AR15 /AR10 AMBI SFTY SELECTOR SHORT /STA 1 1 53.99 48.28 48.28
T�i Is Fe yofir
RRM
ORDER ON THE WEB AT www_brownells.com
INVOICE 06570946.00 ORDER TOTAL: 376.98
FEDEX GROUND: 11.95
GRAND TOTAL: 388.93
CASH:. 0.00 CC: 0.00 OA: 388.93 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
City Carmel INDIANA RETAIL TAX EXEMPT PAGE
o,yr, CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT Zn62
35- 60000972
ONE 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3rar2o99
Bromolla Inc. CarmQ1 Pollco Dopartmsn4
VENDOR
SHIP 3 CIVIC squMm
Booth Front S tmot TO Carmel, IN 4
Moog wuma, IA 60979 6712
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-90.10
9 Each parts and a=sscries $388.93 $388.93
Sub Total: $388.93
�o
W
Send Invoice To:
Carl'l al Police Department
Attn: TGrusa Anderson
3 Civic Squam
Camel, IN 4i PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Ua -rm0I F 0 0 p SMS.M�
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
THIS
SHIP REPAID. APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY rt e ti,
SHIPPING LABELS. (1 hl8T of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 7 7 6 2 A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO._ WARRANT NO.
ALLOWED 20
IN THE SUM OF
S
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.
Brownells Inc. ALLOWED 20
IN SUM OF
1
200 South Front Street
Montezuma, IA 50171
$388.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
27762 6570946 42- 390.10 $388.93 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
Wednesday, March 30, 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 invoices) or bill(s))
03/24/11 6570946 payment for parts and accessories $388.93
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
INVOICE 06579794.00
03/2972011 14:47:07 BROWNE L L S INC. (46032- FROS)794,00
03/28/2011 14:55:07
200 SOUTH FRONT STREET jennj -C
DATE SHIPPED: 03/29/2011 MONTEZUMA, IOWA 50171 -1000 DLR TAR GVN
ACCOUNT 01111675 800 741 -0015 CF5T
24 HR. FAX (641) 623 -3896 U4 P4
SOLD TO:
LT. DWIGHT FROST Federal I.D. #42 0838235
3 CIVIC SQ I N V O I C E
CARMEL, IN 46032 -7570
SHIP VIA: UPS GROUND
PAYMENT METHOD: OPEN ACCOUNT
TERMS: NET 30
FINAL
FAX 317 -571 -2694
PO NUMBER: 27763 INVOICE
PICKER: 743 PRICER: 672
STOCK PRODUCT QTY QTY B /0, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
100- 000 -774 J01J06D GLOCK ULTIMATE ARMORER'S TOOL 1 1 23.99 19.24 19.24
078 -015 -001 J04C09C Al AR15 /M 16 SIGHT WRENCH 1 1 9.99 7.67 7.67
133- 100 -015 J0300313 MARK BROWN AR15 /M16 GAS TUBE WRENCH 1 1 22.99 22.99 22.99
123 125 -910 J03KOBA 12591 INCH FOLD UP HEX TOOL 1 1 5.55 5.55 5.55
123 -125 -920 J03MO7B 12592 METRIC FOLD UP HEX TOOLS 1 1 5.80 5.80 5.80
123 -125 -890 J06A10C 12589 INCH FOLD UP HEX TOOLS 1 1 7.15 7.15 7.15
123- 126 -320 J06GO2C 12632 TORX FOLD UP HEX TOOLS 1 1 13.90 13.90 13.90
100- 000 -594 J05LO3A .223 RIFLE SAF- T- ROUND, EACH 2 2 11.20 7.67 15.34
100 -002 -868 J06006B V -TAC WIDE PADDED SLING, BLACK 20 20 39.99 32.87 657.40
827- 525 -860 J06006A 52586 565 PIN PUNCH SET 1 1 52.99 52.99 52.99
078- 015 -002 J06S06B A -2 AR 15/M 16 SIGHT WRENCH 2 2 6.99 7.55 15.10
367- 223 -020 JlSH06A 223 REM (5.56MM NATO) DUMMIES PAK 20 3 3 34.99 26.68 80.04
367 040 -050 J15I04B .40 S &W DUMMIES, PKG 50 1 1 76.99 59.10 59.10
DNP 080 454 -000 NONE SUPER MASTER FIXED BLADE S'DRIVER SET SET /PACK 195.99 172.39 172.39
(CONSISTS OF)
080- 451 -000 JISK03A FIXED BLADE SCREWDRIVER MASTER SET 1 1
080 -452 -000 J06108A BROWNELLS PHILLIPS ANTI -CAM SET 1 1
080 -453 -000 JISM05A ALLEN HEAD FIXED BLADE SCREWDRIVER SET 1 1
ORDER ON THE WEB AT www.brownells.com
ORDER CONTINUED ON PAGE 2
INVOICE_ PAGE 02 06579794.00 c
03/28/2011 14 :47:07 B ROWNE L L S INC. (46032- FROS094.00
03/28/2011 14:55:07
200 SOUTH FRONT STREET jennj -C
DATE SHIPPED: 03/29/2011 MONTEZUMA, IOWA 50171 -1000 DLR IAR GVN
ACCOUNT 01111675 800 -741 -0015 CF5T
24 HR. FAX (641) 623 -3896 U4 P4
SOLD TO:
LT. DWIGHT FROST Federal I.D. #42 0838235
3 CIVIC SQ I N V O I C E
CARMEL, IN 46032 -7570
SHIP VIA: UPS GROUND
PAYMENT METHOD: OPEN ACCOUNT
TERMS: NET 30
FINAL
FAX 317- 571 -2694
INVOICE
PO NUMBER: 27763
PICKER: 743 PRICER: 672
STOCK PRODUCT QTY QTY B /O, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
084- 305 -100 J19002A OAK SCREWDRIVER BENCH BLOCK 1 1 76.99 62.92 62.92
100 -000 -597 R20GO7B 12 GA PUMP SHOTGUN SAF- T- ROUND, EACH 1 1 13.75 9.33 9.33
100- 000 -592 R13C08C 40 CAL. HANDGUN SAF -T- ROUND, EACH 2 2 10.70 7.33 14.66
U 00
o
ORDER ON THE WEB AT www.brownells.com
INVOICE 06579794.00 ORDER TOTAL: 1,221.57
UPS GROUND: 11.95
GRAND TOTAL: 1,233.52
CASH: 0.00 CC: 0.00 OA: 1,233.52 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
INVOICE 0 6 5 8 9 1 2 3. 0 0 (upst03)
04/01/2011 07:05:12 B ROWNE L L S INC. (46032- CITY)123.00
200 SOUTH FRONT STREET elisa -C
MONTEZUMA, IOWA 50171 -1000 DLR GVN IAR
ACCOUNT 00296101 800 741 -0015 GOVF
24 HR. FAX (641) 623 -3896 U4 P4
SOLD TO:
CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235
ATTN: TERESA ANDERSON I N V O I C E
3 CIVIC SQUARE
CARMEL, IN 46032
SHIP VIA: UPS GROUND
PAYMENT METHOD: OPEN ACCOUNT
SHIP TO:
CARMEL POLICE DEPT. TERMS: NET 30
ATTN: SGT. JELLISON
3 CIVIC SQUARE
CARMEL, IN 46032
FAX 317 571 -2507
PO NUMBER: 27769
STOCK PRODUCT QTY QTY B /O, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
DNP 100- 100 -312 DROPSHIP SLIDE RAIL ADAPTER ASSY,MID, TRIANGLE 1 209.00 209.00 209.00
Item will be sent directly to you from the factory
Shipping should take place on or before 04/12/2011
ORDER ON THE WEB AT www.brownells.com
INVOICE 06589123.00 ORDER TOTAL: 209.00
UPS GROUND: 11.95
GRAND TOTAL: 220.95
MAIL INVOICE FROM FRONT
INDIANA RETAIL TAX EXEMPT PAGE
C ity ®f C armel CERTIFICATE NO. 003120155 002.0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27769
35- 60000972
ONE 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.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9i
gromolla Inc. Comol Polico Dopmt ont
VENDOR SHIP 3 Chic Squ=
I=o6uth Front S4root TO Camel, IN 46
Manta2umay IA 60171 (397) 571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44470.03
4' Each Picatisnng Rail Forend Surefire X185 $209.00 =9.00
Stab Total: $209.00
-4
AA
i
e
r a
Send invoice To:
r
Camel Pollco Copairtmonf
Attn: Tomaz Andiamon
3 Civic Squ
Camel, IN m PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept UV.
PAYMENT UU
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.
THI APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT 6EACCEPTED- ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL �g
SHIPPING LABELS. ChIGf OF Pollen
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO.27769 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. NO.—�
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 classlfication if
claim paid motor vehicle highway fund
INDIANA RETAIL TAX EXEMPT PAGE
C ity of C armel CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT M
35- 60000972
ONE 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO, t VENDOR NO. DESCRIPTION
31i2�a�fl99
Brownolla Inc. Camel Police DopmM
VENDOR
SHIP 3 CIVIC squam
200 South Fm nt Stmet TO Carmel, IN 4
momozu iz, IA SOM (317) 571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.10
1 Each tools/ slings 9,233.52 51,233.52
Sub Total: $1,233.52
t j'
a
Send Invoice To: fir
Cwmel Police Deparl:mont
A, fin: Tamsat Anderson
31 CIVIC squ@a
Camel, IN 2a PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT_ Z4 AMOUNT
C armel P oli ce D ept s 'zm
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
f t
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. v
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY T
SHIPPING LABELS. C6�Ir t"Q
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No.27763 A .P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF
ff1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
1'O# or INVOICE NO. ACCT #ITITLE AMOUNT
DEPT !hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brownells inc.
IN SUM OF$
200 South Front Street
Montezuma, IA 50171
$1,454.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# I Dept INVOICE NO. ACCT #ITITLE AMOUNT
Board Members
27763 6579794 42- 390.10 $1,23152 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
27769 6589123 44- 670.03 $220.95
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 11, 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))
03/28/11 6579794 payment for range accessories $1,233.52
04/01/11 6589123 payment for surefire rail $220.95
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