158087 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 252700 Page 1 of 1
ONE CIVIC SQUARE PRO -SHOT PRODUCTS, INC
CARMEL, INDIANA 46032 PO BOX 763 CHECK AMOUNT: $194.08
TAYLORVILLE IL 62568
CHECK NUMBER: 158087
1
CHECK DATE: 4/1/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DES
�i
1110. 4239010 17406 3967 194.08 CLEANING SUPPLIES
=PUO- SHQF.T PR�DU`:CT�
Invoice
ManufacturetofOunCleaninS .Suppliesfor'AccuracY
BiIIIDate Gustomer�# ,Invoice#
P.O. Box 763 3/24/2008 IN1030 3967
f;
Taylorville, IL 62568
Bill To
CITY OF CARMEL POLICE DEPT.
ATTN: DWIGHT FROST
CITY OF CARMEL POLICE DEPT. 3 CIVIC SQ.
ATTN: TERESA ANDERSON CARMEL, IN 46032
3 CIVIC SQ. USA
CARMEL IN 46032
PONu bm e M Terrns Rep Group ShipDate, �/ia FOBa
Net 30 Days PROSHOT 3/24/2008 UPS TAYLORVILLEIL
Item Quantity y Description.,, Back Order Price Each P,rnount
3 -500 20 12 -16- Gauge 3" SQ. 500CT. 9.25 185.00
UPS 1 Shipping Charge 9.08 9.08
*Thank You For Your Order! Sales Tax (6.25 $0.00
P hone Fax, x Email.., Web�Site Total
$194.08
(217)824 -9133 1 (217)824 -8861 pro shot @ctitech.com www.proshotproducts.com
INDIANA RETAIL TAX EXEMPT PAGE
C i ty ®f C a rm el CERTIFICATE NO.003120155 002 0 I f 1
111111 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 1 7An
3 ;ONCE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
4arr•h 7S ')fM nA8an1n nun plies
VENDOR Pro -Shot Products SHIP City +of Carmel Police Department
P.O. Box 763 TO 3 Civic Square
Taylorville, IL 62568 Carmel, IN 46032
ATTN: Diana Damaftn ATTN: Lt. Dwight Frost
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
cleaning supplies for weapons 194.08
A
All
3
ry
N' �a 3
gt}
Send Invoice To:
Q t j.
s r
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accessor 2$ PAYMENT
1 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE APART OF THE VOUCHER AND EVERY INVOICE AND
t 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 BEACCEPTED. ORDERED BY f t.'r A f 7
rrY7a r
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL 3
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief 66-Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL No. 1 7 4 .V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.- WARRANT
ALLOWED 20
IN THE SUM OF
—,4
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)
t 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
Pro —Shot Products Purchase Order No. 17406F
P.O. box 763 Terms
Taylorville, IL 62568 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
suppli 3124109 3967 payment for &1eaning 194.08
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
s
Pro -Shot Products IN SUM OF
P.O. Box 763
Taylorville, IL 62568
194.0'.8
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
17406F 3967 390 -10 194.08 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 27 20 08
&W'a' P"
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund