HomeMy WebLinkAbout196768 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY
CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK AMOUNT: $633.00
INDIANAPOLIS IN 46203
CHECK NUMBER: 196768
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356003 27306 30413 633.00 SAFETY SUPPLIES
INVOICE
Please visit Us on the web at www.donloysatety.com
DATE INVOICE
Phone 317 786 -2268
.5548 Elmwood CL Fax 317-7e6-2532
Indianapolis, IN 48203 4/14/2011 30413
BILL TO SHIP TO
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN
USA 46032
ATTN: TERESA ANDERSON AT N: SGT. BRADY MYERS
P.O. NO. TERMS SALES ORDER Rep SHIP VIA Order Date FOB
27306 NET30 9317 TE BEST WAY AV... DESTINATI...
Prev. Inv... Ordered Shipped B/O Item Description Unit Price UOM Amount
0 3 3 RLC019R -BK RADIO POUCH, BLACK 45.00 135.00
0 6 6 Al- PDP0024 -BK POLICE ID PATCH, BLACK 15.00 90.00
*WITH VELCRO
0 3 3 PDPBC24 -BK POLICE ID PATCH FOR BICEP, 12.00 36.00
BLACK
0 3 3 DHSHCI9 -BK BLACK HANDCUFF CASE 21.00 63.00
0 3 3 MCR019 -BK M -45 CHEMICAL MASK POUCH, 40.00 120.00
BLACK
0 3 3 BSP019L -BK SINGLE FLASH BANG POUCH, 21.00 63.00
LARGE, BLACK
0 3 3 AFP019R -9 -BK 9MM DOUBLE STACK MAGAZINE 22.00 66.00
POUCH,BLACK
0 3 3 ADPO19 -BK M16 /M4 DOUBLE MAGAZINE 20.00 60.00
POUCH,BLACK
PRICE DISCREPANCIES, RETURN REQUESTS OR SHIPMENT Subtotal $633.00
ERRORS MUST BE REPORTED WITHIN 30 DAYS TO RECEIVE
CREDIT.
Questions about this invoice? Please call 317 -786 -2268 Sales Tax (7.0 $0.00
Total $633.00
INDIANA RETAIL TAX EXEMPT PAGE
C ity of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27
s
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
36 09
Donloy 82MY Camel Police Dvpadmont
VENDOR SHIP 3 CIVIC sgUam
Wa Elmwood Court TO Camel, IN 4I
Indianapolis, IN 45203 (317) 579
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
A ccount g��U,NIITryOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1.y ccount 43• .03
3 Each Radio pouch RLC09i9R. -®If $43.00 $135.00
0 Each Police h®c loo patches for Wont A 9 -P -OK $15.00 $90.00
3 Each Police bicep patches 17 D P 9 04 $92.00 $30.00
3 Each Hand cuff paled D i ,99 1 $29.00 $03.00
Ea m ask pouch
$40.00 $920.00
3 E
3 Each Flash bang single pouch d 8SP099L43K P $29.00 $03.00
3 Each Double mag 40c al pain a ir"0 OF f� $22.00 $00.00
3 Each 2X Meg AR 15 pouch POt9 1 $20.00 $00.00
4 I $033.00
A Scab Total
N
1-
3
Send Invoice To:'w
Curno1 P ®iie� �pat$01
Aft: Tease@ Anderson
3 CIVIC ffiqu2m
Camel, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT, AMOUNT
Carmel Panics Dept. PAYMENT .Go
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
J 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 R1 TIONISUFFICIENTiTO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY l�d
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Ch l€F of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 4945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 27 06 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. NO.
ALLOWED 20
IN THE BUM 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
Donley Safety
IN SUM OF
5546 Elmwood Court
Indianapolis, IN 46203
$633.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
27306 30413 43- 560.03 $633.00 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, April 20, 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. 2 01 (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))
04/14/11 30413 payment for SWAT equipment $633.00
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