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165664 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 362145 Page 1 of 1 ONE CIVIC SQUARE BLACKHAWK PRODUCTS GROUP 0 CARMEL, INDIANA 46032 PO BOX 79090 CHECK AMOUNT: $30.00 BALTIMORE MD 21279 CHECK NUMBER: 165664 CHECK DATE: 11/12/2008 DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION 1110 4239010 IN- 0313296 30.00 AMMUNITIONS ACCESSO T 1 INVOICE COPY Y INVOICE IN- 0313296 INVOICE DATE: 7/31/2008 REMIT TO R iACKHANK I BLACKHAWK PRODUCTS GROUP ORDER SO- 00748003 6160 Commander Pkwy P.O. BOX 79080 ORDER DATE: 7/30/2008 Norfolk, VA 23502 USA BALTIMORE, MD 21279 P. 800.694.5263 SALES ORIGIN: F. 888.830.2013 PAGE: 1 of 1 INVOICE ACCT GOV000001 BILL TO: r`�,� I4 ve- SHIP TO: BPG Government T &E s CARMEL POLICE DEPT 6160 Commander Parkway (t s ATTN: DWIGHT FROST NORFOLK, VA 23502 3 CIVIC SQUARE US CARMEL, IN 46032 US CUSTOMER PO or REF NUMBER PAYMENT TERMS INSIDE SALES REP OUTSIDE SALES REP DWIGHT FROST Net 45 days Teresa Coyne HEADQUARTERS SHIP METHOD FREIGHT BILLING TERMS INSIDE REP E —MAIL OUTSIDE REP E —MAIL UPS GROUND Prepaid NC tcoyne @blackhawk.com ITEM NUMBER ITEM DESCRIPTION QTY QTY I PRIOR QTY UNIT EXT ORD SHIP SHIP B/O PRICE PRICE 44HO15PL -R TASER SERPA Duty Holster Plain RH 1 1 0 0 $30.000 $30.00 Plain Black RH Carton Number: Tracking Number: 1Z4926EA0320415505 00006480180003234955 Subtotal: $30.00 Freight: $0.00 This invoice is bitled on account and payable by 9/14/2008 Sales Tax: $0.00 Misc Charges: $0.00 Invoice Total: $30.00 NOTE: This invoice only contains items and quantities that were invoiced for this particular shipment. Thanks for choosing BLACKHAWK! PERFORMANCE RULES! Late Payment Policy: Dealers are required to pay invoices according to terms and will not deduct discounts on invoices not paid according to terms. When invoices are not paid according to terms, all other unpaid invoices become immediately due and payable. Dealers are required to pay a late fee of 1.5 per month (18% annually) or the highest amount allowed under applicable state law for any balances that remain past due for 30 days or more. Dealers are required to pay BLACKHAWK! any attorney fees, collection expense, or court cost required to collect past due balances. Returns: All returns require a RMA number. Return instructions will be provided to you by BLACKHAWK! Products Group. Please call to get proper returns information. Refused shipments, returns due to bad addresses, or unattainable delivery signatures will incur a 25% restocking fee. Returns policy varies by product and some products are not returnable. Contact BLACKHAWK! Products Group Customer Service via email at cs@blackhawk.com or phone at 1.800.694.5263 x3450 for all retums information. 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 Blackhawk Products Group Purchase Order No. t P.O. Box 79080 Terms Baltimore, MD 21279 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 7/31/08 INO313296 Pavment for taser holster 30.00 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Bl�ackhawk Products Group R4-Irl ke-- �cr Nnrr;s IN SUM OF P.O. Box 79080 Baltimore, MD 21279 30.00 ON ACCOUNT OF APPROPRIATION FOR polic general fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 INO313296 390 10 30.00 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 November 7 20 08 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund