205550 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 353788 Page 1 of 1
0 ONE CIVIC SQUARE NATIONAL LAW ENFORCEMENT SUPPYy
CARMEL, INDIANA 46032 4019 EXECUTIVE PARK BLVD SE CHECK AMOUNT: $429.61
SOUTHPORT NC 28461
CHECK NUMBER: 205550
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4238900 25922 73526 249.15 SUPPLIES
1110 R4238900 25922 73628 180.46 SUPPLIES
INVOICE
Invoice 73628
Date 12/29/2011
National Law Enforcement Supply c st onier ID 201434
518.724.6464 fax 518.439.8799
www.nlescorp.com
Bill To: Ship To:
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SQ 3 CIVIC SQ
TERESA ADNERSON JOHN ELLIOT
CARMEL IN 46032 CARMEL IN 46032
Purcha Order No Ord ered B ^Sales I D Shprnng Me F ca PavmentTerm Ship Date Order Da
w 5922 5549c'7 ICS__ I I EREX GROUND I l .__MPt i�� ��1�1 ?�i20_'1 _I
Ordered ,;Shi ed; e ,.r .:6 /O C., ,n' Item'Nuirnber? s vDescn tion'`? s. Y: Unit Price Ext: Price
1.000 1.000 0.000 B11000 PK/10 5.2 "X7.2" (13X18CM) BLACK BVDA GEL LIF $18.95000 $18.95
1.000 1.000 0.000 B14000 PK /10 5.2 X 7.2" (13X18 CM) WHITE BVDA GELL LI $18.95000 $18.95
3.000 3.000 0.000 TTF LFTZP8X8 8X8 ZAR -PRO BLOOD LIFTING STRIPS $41.71000 $125.13
1.000 1.000 0.000 TTF LC -AS -8 8 OZ ZAR -PRO ACTIVATOR SOLUTION $9.32000 $9.32
;M,
rSubtotal :1 $172.35
PAST DUE BALANCES SUBJECT TO 1 1/2% SERVICE CHARGE PER MONTH
..Trade Discount $0.00
REMIT PAYMENT TO: 4019 Executive Park Blvd, SE Misc,?> $0.00
Southport, NC 28461
Freight $8.11
910.457.6600 fax 910.457.0094 Tax $0.00
TotaI.US$;"' $180.46
INVOICE
In) o0 c6' 73526
y" Da
<s,., te 12/29/2011
National Law Enforcement Supply
Customer D 201434
ceme
518.724.6464 fax 518.438.8799
www.nlescorp.com
Bill To: Ship To:
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SQ 3 CIVIC SQ
TERESA ADNERSON JOHN ELLIOT
CARMEL IN 46032 CARMEL IN 46032
O Pu`rcha a Order No t M F,Ord`ered 'Sale' 6 :�.SI?i `m te
U592 'a Cy�553988� ^s�.CS. ��r�oQ�.H;t?.• i 1`let_t' "�1 i128�2011., __Ice 2i13j ?.fi:1,
Ordered oShi'' ed't. ry "BLOB Item Descri tion N t e 4 is 2,.Unit�Price k Ez'tPnce
10.000 10.000 0.000 8006075 BOX /10 NIK TEST E MARIJUANA POUCH LIGHTNI $23.58000 $235.80
�Sulitotal�� �.�F
PAST DUE BALANCES SUBJECT TO 1 112% SERVICE CHARGE PER MONTH $235.80
Trade piscount
$0.00
r ti, r
EMIT PAYMENT TO: 4019 Executive Park Blvd, SE �Misc a;`�.�,T���.t��` $0.00
Southport, NC 28461 4
Fre19ht
OM VI t" '4`' $13.35
910.457.6600 fax 910.457.0094 Tax $0.00
T US$ i $249.15
INDIANA RETAIL TAX EXEMPT PAGE
f CERTIFICATE NO. 003120155 002 0 C <:/Jl,\\i� PURCHASE ORDER NUMBER
e
FEDERAL EXCISE TAX EXEMPT 26M
35- 60000972
ONE 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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
12AMil
Wilonal Lac &WorcomGnt Supply Camel Police Dopartment
1
VENDOR SHIP 3 Civic Squm
220 North Allen Sire @t TO Camel, IN 46M
Albs, NY i2M X397) 579
CONFIRMATION BLANKET CONTRACT t PAYMENT TERMS FREIGHT
d
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42•.120
1 Each 5 .2° n 7.2° Black BVDA Gel Lifters B11000 $18.95 $18.
1 Each 5.2 x 7.2 White BVCA Gel Liners 814000 $18.95 $18.95'✓
1 Each Tri Teak Zaar -Pro Adivator Solution LC-AS-8 $0.32 $9.32✓/
3 Each Tri Tech Zar Pro Blood Liming Strips $3C8 $41.71 $125.13
9 Each N IK Test C Barbiturates Pouch 80Q607L^ $23.17 $23.17✓
1 Each Test E Confirming Test Cpi alotos 0006072-. f $14.39 $14.39
1 Each Test A FR44 8008071 $14.38 $14.38✓
1 Each EA Gray- for NIK Master 1004854 a $15.99 $15.99/
10 Each NIK Test E Marijuana Ppc� 8006075 $23.58 $235.80•
j e Sub Total: $476.08
r 0
Send Invoice To:
Camel Police Dopartmen4
Attn: Tarasa Andersen
3 Civic Squam
Carrel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT X476 °03
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 APPROPRIA O SU FICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY y�
SHIPPING LABELS. py_ QQ of Police
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 5 9 2 2 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO.__.__...___. WARRANT NO..__..._�_.._
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�9
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))
12/29/11 73526 lab supplies $249.15
12/29/11 73628 lab supplies $180.46
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 N
ALLOWED 20
National Law Enforcement Supply
IN SUM OF
226 North Allen Street
Albany, NY 12206
$429.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
25922 73526 42- 389.00 $249.15
Prior Year Encumbered bill(s) is (are) true and correct and that the
25922 73628 42- 389.00 $180.46
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, January 12, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund