HomeMy WebLinkAbout199672 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 364859 Page 1 of 1
ONE CIVIC SQUARE SALTZMAN GUN WORKS
s{ ra CARMEL, INDIANA 46032 3896 S 400 WEST CHECK AMOUNT: $345.00
TIPTON IN 46072 CHECK NUMBER: 199672
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 27804 382 345.00 DRILL /TAP SCORE /RECRO
Saltzman Gun Works, Inc.
3896 South 400 West Invoice
Tipton, IN 46072
765- 675 -2040 Invoice 382
Date 6/24/2011
Bill To Ship To
Carmel Police Dept.
Teresa Anderson Carmel Police Dept.
3 Civic Square Teresa Anderson
3 Civic Square
Carmel,IN 46032
Carmel, IN 46032
Manufacturer/ Model/ Serial Number /Finish Magazine Case
Remington 700 .308 Win. No
Description Qty Rate Amount
Drill and tap receiver scope mount holes to 8 -40 3 45.00 135.00
Cut and recrown barrel to 20 inches long 3 70.00 210.00
Your P.O.4 27804
Subtotal $345.00
Sales Tax (7.4 $0.00
Payments /Credits $0.00
Please remit to above address.
Total $345.00
INDIANA RETAIL TAX EXEMPT of
CitCa
CERTIFICATE NO 0031 0155 Opt 0 PAGE
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2
35- 60000972
ONE 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.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NQ. DESCRIPTION
v9 9
I Moron Gun Worho, Inc. Comol Police Depadment
VENDOR SHIP 3 CIVIC squmm
SM 8 400 !#hest TO C&MG1, IN 4l
1ptan, IN 46072 (317) 579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS u FREIGHT
QUANTITY UNIT OF MEASURE OESCRIPTION UNIT PRICE EXTENSION
Account 43.6= D
3 Each drill and tap scope mount holes in $45.00 $935.00
receiver
3 Each cid and recrawn barrel $70.00 $290.00
Soto Total: $345.00
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Send Invoice To:
C;@rmol Pollce Department
Attn: wos@ AndGraon
3 CIVIC llwquam
Orel, IN 42° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT .00
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 CERTIF t�T THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROP I TIO, UFFICIENT TO A4 FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. hIGf of Pollco
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 7 8 0 4 A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
r
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
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))
cut and recrown barrel
06/24/11 382 payment for drill and tap receiver scope mount holes $345.00
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.
Saltzman Gun Works, Inc. ALLOWED 20
IN SUM OF
3896 S 400 West
Tipton, IN 46072
$345.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
Prior )"ear I hereby certify that the attached invoice(s), or
1110 43- 500.00
bill(s) is (are) true and correct and that the
27804 382 43- 500.00 $345.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, July 14, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund