158047 04/01/2008 �4q. CITY OF CARMEL, INDIANA VENDOR: 361035 Page 1 of 1
ONE CIVIC SQUARE MULLINS AMMUNITION
ro CARMEL. INDIANA 46032 ROUTE 2 Box 304 -N CHECK AMOUNT: $696.25
CLINIWOOD 24228 CHECK NUMBER: '158047
CHECK DATE: 4/1/2008
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DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT D
1110 4239010 1`7401 2116 696.25 AMMO
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Mullins Ammuntion Inc.
Invoice
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PO Box 1037
Clintwood, Virginia 24228 ,USA Date Invoice
Tel. 276-926-6772 3/20/2008 2116
Fax. 276 926 -6092
Bill To Ship To
City of Carmel Police Department City of Cannel Police Department
ATTN: Teresa Anderson ATTN: Lt. Dwight Frost
3 Civic Square 3 Civic Square
Cannel, IN 46032 Carmel, IN 46032
P.O. No. Terms Rep Ship Date Ship Via US Dollars
17401 Net 30 3/20/2008 UPS
Item Description City Rate Amount
223 100 SRT 20* 223 100 gar. Short range Tactical 25 27.85 696.25T
S H Shipping Handling 0.00 0.00
Subtotal $696.25
Sales Tax (0.0 $0.00
Total $696.25
Phone Fax
(276)926 -6772 (276)926 -6092
INDIANA RETAIL TAX EXEMPT PAGE
C o Carmel CERTIFICATE NO.003120155 002 0 1 of 1
J111 PURCHASE ORDER NUMBER
Police DepA.rtment FEDERAL EXCISE TAX EXEMPT
35- 60000972 17401
3 .ON9 CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A1P
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS,
SHIPPING 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
March 19 2008 ammo
VENDOR Extreme Shock SHIP City of Carmel Police DepartmBelat
182 Camp Jacob Road TO 3 Civic Square
Clintwood, VA 24228 Card, IN 46032
ATTN: Lt. Dwight Frost
CONFIRMATION B=UNIT PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
25 boxes 223 100SRT ammo 27.85 696.25
G x ova �o!
City of Caryl PO
Send Invoice To: r
ATTN: Teresa Andereo 7
3 Civic 6quare
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accessori 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
1. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERE IS AN UNOBLIGATED 13ALANCE IN
THIS >APPRO SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAIp, C.O.D. SHIPMENTS CANNOT SE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL O DERED BY
SHIPPING LABELS. Ass tent• Chief 13itifireeri
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOFAND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO.1 7 4 0 JA•P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VdUCHER 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
Y.W Title
Cost distributidn ledger classification if
claim paid motor vehicle highway fund
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
Mullins Ammunition, Inc. Purchase Order No. =1740171
P.O. Box 1037 Terms
Clintwood, VA 24225 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/20/08 2116 payment for ammo 696.25
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
VOU(:,HER NO. WARRANT NO.
ALLOWED 20
Mullins Ammunition, Inc. IN SUM OF
P.O. Box 1037
Clintwood, VA 24228
696.25
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
17401 2116 390-10 696.25 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
March 25 20 08
Signature
Chief of POlice
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund