165681 11/12/2008 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1
ONE CIVIC SQUARE BROWNELLS INC
i CHECK AMOUNT: $647.50
CARMEL, INDIANA 46032 200 S FRONT STREET
ti o� Vi a:? MONTEZUMA IA 50171 -1000 CHECK NUMBER: 165681
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTIO
1110 4239010 5034945 58.00 AMMUNITIONS ACCESSO
1110 4239010 18968 5045948 589.50 SLINGS
I
I
-INVO 0 5 0 4 7 5 0 0 BROWNELLS INC.
(46032- FROS)945.00
10/23/2008 09:48:09
200 SOUTH FRONT STREET beverlyd -C
DATE SHIPPED: 10/23/2008 MONTEZUMA, IOWA 50171 -1000 DLR IAR GVN
ACCOUNT 01111675 800 741 -0015 M61T
24 HR. FAX (641) 623 -3896 U4 P4
SOLD TO:
LT. DWIGHT FROST Federal I.D. #42 0838235
3 CIVIC SQUARE I N V O I C E
CARMEL, IN 46032
i�
SHIP VIA: UPS GROUND
PAYMENT METHOD: OPEN ACCOUNT
TERMS: NET 30
FINAL
FAX 317 571 -2694 PO NUMBER: DWIGHT FROST INVOICE
PICKER: 206 PRICER: 125
STOCK PRODUCT QTY QTY B /0, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
080 -518 -000 J13E02A ROLL PIN KIT 1 1 59.95 47.50 47.50
This is your
INV OI CE
PLEASE REMIT GRAND TOTAL
ORDER ON THE WEB AT www.brownells.com
ORDER TOTAL: 47.50
UPS GROUND: 10.50
GRAND TOTAL: 58.00
CASH: 0.00 CC: 0.00 OA: 58.00 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
INV 1 0 /3 0 5 0 4 5 0 8. 0 0 BROWNELLS INC.
(46032- CITY)948.00
10/31/2008 06:59:05
200 SOUTH FRONT STREET elisa -C
DATE SHIPPED: 10/31/2008 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
r CARMEL, IN 46032
SHIP VIA: UPS GROUND
PAYMENT METHOD: OPEN ACCOUNT
SHIP TO:
CITY OF CARMEL POLICE DEPT. TERMS: NET 30
ATTN: LT. DWIGHT FROST
3 CIVIC SQUARE
CARMEL, IN 46032 FINAL
FAX 317 571 -2507 PO NUMBER: 18968 INVOICE
PICKER: 212 PRICER: 161
STOCK PRODUCT QTY QTY B /0, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
OCC- 000 -017 G39H02B CATALOG STUFFER POSTCARD 1 1 0.00 0.00 0.00
100 003 -411 F13A05C #VS -2 -BK VICTORY SERIES 2 -POINT SLING 20 20 35.95 28.95 579.00
This is your
INVOICE
PLEASE REMIT GRAND TOTAL
ORDER ON THE WEB AT www.brownells.com
ORDER TOTAL: 579.00
THE FOLLOWING COMMENTS FIELD FOR BROWNELLS USE ONLY
DUPLICATE INVOICE UPS GROUND: 10.50
GRAND TOTAL: 589.50
CASH: 0.00 CC: 0.00 OA: 589.50 COD: 0.00 DUE: 0.00 MB: 0.00 FIC
INDIANA RETAIL TAX EXEMPT PAGE
City C rmel CERTIFICATE NO. 003120155 002 0 o 1i lS.�s 1i PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 o
3 QNak CIVIC SQUARE FTHIS MBER MUST APP EAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 R, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 G LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9. 2008 slings
VENDOR Brownells SHIP City of Carmel Police Department
200 S. Front Street TO 3 Civic Square
Montezuma, IA 50171 Carmel, IN 46032
ATTN: Lt. Dwight Frost
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
20 100- 003 -411 #VS -2 -BK victory series 2 -point slings 38.95 579.00
Onn
Send Invoice To:
City of Carmel Poll
ATTN: Teresa Anderson
3 Civic Oquare
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accessori 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 APP OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /J rr f:
A 1 l71� l� it
J.
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Policed
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
l u 9 6 8 CLERK TREASURER
DOCUMENT- CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
WOUCHER NO. WAP RANT 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 classification if
claim paid motor vehicle highway fund
Prescled 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
Brownells, Inc. Purchase Order No. 18968F
200 South Front Street Terms
Montezuma, IA 50171 -1000 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/23/08 5034945 pavment for roll pin kit 58.00
10/30/H 5045948 pqyLnentjor slips 589.50
Total 647.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
B rownells, Inc. IN SUM OF
200 South Front Street
Montezuma, IA 50171 =1000
647.50
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 5034945 390 -100 58.00 bill(s) is (are) true and correct and that the
18968F 5045948 390 -10 589.50 materials or services itemized thereon for
which charge is made were ordered and
received except
November 6 20 08
&M�14W�
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund