162060 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 294500 Page 1 of 1
ONE CIVIC SQUARE STEVEN R JENKINS CO INC
CARMEL, INDIANA 46032 6680 E. 21ST. STREET CHECK AMOUNT: $928.95
INDIANAPOLIS IN 46219 CHECK NUMBER: 162060
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1110 4239010 18909 146353 344.00 AMMO
1120 4356003 146549 584.95 SAFETY ACCESSORIES
r
Steven R Jenkins Co Inc. Invoice
6680 E 21st Street www.srjco.com Date Invoice
Indianapolis IN 46219
1- 317 352 -0184 7/14/2008 146353
Bill To Ship To
CARMEL POLICE DEPT
3 CIVIC SQUARE
ATTN: TERESA ANDERSON
CARMEL IN 46032
P.O. Number TERMS Rep Ship VIA
18909 DLP 7/14/2008
Quantity Description Price Each Amount
50 DEF TEC 3105 BREACHING ROUNDS 6.88 344.00
Sales Tax 0.00 0.00
Total $344.00
INDIANA RETAIL TAX EXEMPT PAGE
11 Car CERTIFICATE NO. 003120155 002 0 1 f 1
Ci o PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 i Q
3 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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. LVENDOR NO. DESCRIPTION
July 8. 2008 ammo
VENDOR Steven R. Jenkins Co., Inc SHIP City of Carmel Police Department
6680 East 21st Street TO 3 Civic Squarew
Indianapolis, IN 46219 Carmel, IN 46032
ATTN: Lt. Ddtght Frost
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
50 3105 TKO 126A Breaching Rounds 6.88 344.00
Send Invoice To: CityoofCCarmel,PB a r 0l s
ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accessories 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.
-y)-
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
s
i A•V. COPY SIGN AND RETURN TO CLERK'S OFFICE
DOCUMENT CONTROL NO.
VOUCHER NO. WARRANT 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
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
r 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
Steven R. Jenkins Co.- Inc. Purchase Order No. 18909F
=6680 East 21st Street Terms
Indianapolis, IN 46219 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/14/08 146353 payMent for breaching rounds 3441:00
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.
f ALLOWED 20
S taven R. Jenkins Co., Inc. IN SUM OF
6680 E. 21st Street
Indianapolis, IN 46219
344.00
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18909F 146353 390 -10 344.00 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
July 17 20 08
Signature
r 1 4 ef of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Steven R Jenkins Co Inc. Invoice
6680 E 21st Street www.srjco.com Date Invoice
Indianapolis IN 46219
1- 317- 352 -0184 7/7/2008 146549
Bill To Ship To
CARMEL FIRE DEPT
2 CIVIC SQUARE
ATTN: DENISE BRISTOL
CARMEL, IN 46032
P.O. Number TERMS Rep Ship VIA
DLP 7/7/2008
Quantity Description Price Each Amount
5 MATTERHORN 975 BOOTS 104.99 524.95
1 2ND DAY AIR 60.00 60.00
Sales Tax 0.00% 0.00
Total $584.95
Jn,., Tom/ rw. <.arl y+. r*r...uya. .4 •v
STEVEN R. J ENK-I NS CO., I NC ggLES ORDER
UNIFORMS AND EQUIPMENT FOR, PUBLIC SAFETY
24 Hour Toll -Free Fax 1- 800 261 -2580 INVOICE
6680. East 21st Street 1- 317- 352 =0184 Indianapolis,, IN 46219 PACKING SLIP
Mon -Fri 10:00 -5:00 Sat 10:00 -2:00
1533 Goshen Avenue, Fort Wayne, IN 46808 -2037 260 -483 77997 REPAIR ORDER
'�Aon. Fri. 10:00 am 5:00 pm 1st Saturday of the month 10:00 am 5:00 pm
NATIONWIDE TOLL -FREE PHONE NUMBER 1- 800 652 -8244 N
www.srjco.com
r- Y?J C 1� Date oz
Ship To: l t Customer's
A J 0 3Z Order is �J
snip Via PX V 4 l t<
➢Rao°.
L J When
Sold To: /�V c- �-s0A Terms
At: �ro' 7 77
QUANTITY QUANTITY QUANTITY DESCRIPTION
ORDERED SHIPPED BACK ORDERED
5 w r r445"OX l
4
Received By: S/H
TOTAL
Signature Print
i
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))
07/07/08 146549 Boots for Honor Guard $584.95
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
VOUC NO. WARRA NO.
ALLOWED 20
Steven R. Jenkins
IN SUM OF
6680 East 21 st Street
Indianapolis, IN 46219
$584.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 146549 43- 560.03 $584.95 1 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
u
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund