180073 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 363584 Page 1 of 1
ONE CIVIC SQUARE G R TACTICAL CHECK AMOUNT: $3,344.00
CARMEL, INDIANA 46032 5002 NEW CUMBERLAND ROAD NE
MINERAL CITY OH 44656 CHECK NUMBER: 180073
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NU INVOICE N UMBE R A MOUNT DESCRIPTION
1110 4239010 21259 1206 3,344.00 TALL MOUNTS /CARBINE R
G&R Tactical, LLC, Invoice
5002 New Cumberland Rd NE
Mineral City. Of 144656 Date Invoice
I 1 17/2009 1206
Bill To Ship To
City of Carmel Police Dept City of Carmel Police Dept
ATTN: Teresa Anderson ATTN: Major Jim Barlow
3 Civic Square 3 Civic Square
Carmel. IN 46032 Carmel, IN 4603
P.O. Number :Terms Ship Via
21259 Net 15 11/1'.7/2009
Quantity Description Price Each Amount
4 T- I 4MOA Dot NV Compa(ible Picatinny Mount 526,00 2,104.00
4 LaRue Aimpoiflt Micro M4 kioutit Tall L'17660 98,00 392.00
4 SureFire M73 212.00 848.00
9 PMAGY Black (2 free with each rail) 0.00
Please tOrward, m Y e.resa Anderson for inent,
Thank NIOU for your bUSitleSS, Total $3
15°% Restocking Fee for Returns
Phone Fax E-mail Web Site
330- 343 -2800 330-343-2800 Salc&' Glaactical.com wNtvw.GRTacticaI.com
A INDIANA RETAIL TAX EXEMPT PAGE
I C a o anal CERTIFICATE NO. 003120155 002 0 1 of 1
la. PURCHASE ORDER NUMBER
P Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 21259
3QINFCIVIC 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
November 11 2 09 tall mounts carbine rails
VENDOR G R Tactiaal SHIP City of Carml Police Department
5002 New Cumberland Road NE TO 3 Civic Square
Mineral City, OR 44656 Carmel, IN 46032
ATTN: MAjor Jim Barlow
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
4 Aimp &int T1 in larue mount LT660 624.00 2,496.00
4 Surefire M73 Carbine Rails 212.00 848.00
Al.
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City of Carmel Po
Send Invoice To:
e`er D
ATTN: Teresa Anders.'
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3 Civ&& Square .w
PLEASE INVOICE IN DUPLICATE 3,344.00
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accewsories PAYMENT
1 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. -L' ORDERED BY 1
f� G d.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. I V
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 k'
DOCUMENT CONTROL NO.
t° 1 A° COPY- SIGN AND RETURN TO CLERK'S OFFICE
;/OUCHERNO V�ARRANTN{}`____
7
ALLOWED 20
|N THE SUM OF$
(]N ACCOUNT OFAPPROPRIATION FOR
Board Members
PO# or INVOICE NO, ACCT#/TITLE AMOUNT
hereby certify that the attached invoice(s), or
biUkdka(aro) true and correct and that the
materials or services itemized thereon for
which charge ia 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
G R Tactical, LLC Purchase Order No. 21259F
5002 New Cumberland Rd NE Terms
Mineral City, OH 44656 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/17/09 1206 payMent for tail mounts and carbine rails 3.344Q00
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
G R Tactical LLC IN SUM OF
5002 New Cumberland Road NE
Mineral City, OH 44656
3,344.00
ON ACCOUNT OF APPROPRIATION FOR
p olice genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby
DEPT. c ertify that the attached invoice(s), or
21259F 1206 390 -10 3,344.o 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
December 2 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund