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Home My WebLink About158615 04/15/2008 i CITY OF CARMEL, INDIANA VENDOR: 357260 Page 1 of 1 ONE CIVIC SQUARE ROCK RIVER ARMS INC q 1042 CLEVELAND RD CHECK AMOUNT: $239.25 CARMEL, INDIANA 46032 COLONA IL 61241 CHECK NUMBER: 158615 ox CHECK DATE: 4/15/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4239010 17276 164525 239.25 RIFLE ACCESSORIES l i I 4� W ms, IN 10 42 Cleveland Road 1 DATE% Colona, IL 61241 PICIC"OUI.-IT Ph: (309)792-5780 Fax: (309)792-5781 www.rockriverarms.com :I! o o email: info@rockriverarms.com I TC 11) t TO DO a: {:(:1...1... 4:1 4 6 0 C F C. UST01VIFT'." F .1. CAF."INFA FIC)LA C I I y 1 1 POL.'r DE HF 1 I' C. VIC C'QUAF1 T DWIC- F'R( I-A 1MIC"JI. Th• 460, C.AF�111FI., IN 4 6 0 2 C.) R D ":)I--1TF' 1-3 A C' K F F."T C., E 0 0...0...-...0..0.0 0 0 a 0 0- L 4 1.:} 1::• ("J10J':':'. A "'D 1 :3 A U L.T RIF1 1: 41 11A., 0 -.1 N K Y 0 I. (.)I'''1) :):1. 1. 0 Cj LIJ 1::". N F 0 1: IVI I I "f" 0 FT 11-'.10670 A SERVICE CHARGE OF 11A% PER MONTH (18% ANNUAL RATE) WILL BE CHARGED ON ALL ACCOUNTS OVER 60 DAYS F." F t.',1:: V [D T(DOTAI ANCILRAT DUE:. 0 INDIANA RETAIL TAX EXEMPT PAGE f T (r�1�f lCERTIFICATE N0. 003120155 002 0 \1y 11 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 7 7 7 A t ;ONE CIVIC SQUARE FMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 2584 R, DELIVERY MEMO, PACKING SLIPS, G LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION T)ArpmINwr G 9n17 r f a cAQ�nri p, VEND6R Rock River Arms SHIP City of Carmel Police Department 4042 Cleveland TO 3 Civic_ Square Colona, IL 61241 Carnel, IN 46032 ATTN: Major Jim Barlow CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 3 Eotech 511 355.00 1,065.00 5 Surefire M600 kit light .system w/ mount 432.00 2,160.00✓ 5 M 73 Surefire rail system 165.00 $25.00✓ 3 Rifle case 80.00 240.00 5 City l P tm C�rrt�eoli Send Invoice To: A ATTN: Teresa Anderson 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE 4,290.00 DEPARTMENT ACCOUNT I PROJECT X I PROJECT ACCOUNT AMOUNT 1110 390 -10 ammo and acdessori es 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �/1.� 1!Y SHIPPING LABELS. l THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 ,JITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. prp CLERK TREASURER DOCUMENT CONTROL NO. 17 2 7P .V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members i 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 PrescrAed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Rock River Arms, Inc. Purchase Order No. 17276RF 1042 Cleveland Road Terms Colona, IL 61241 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 3/13/08 164525 payment for rifle cases 239.25 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 Rock River Arms, Inc. IN SUM OF 1042 Cleveland Road Colona, IL 61241 239.25 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 17276RF 164525 390 -10 239.25 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 April 2 20 08 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund