180758 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 355525 Page 1 of 1
ONE CIVIC SQUARE CABELA CHECK AMOUNT: $92.94
CARMEL, INDIANA 46032 PO BOX 39
ATTN: A/R DEPT CHECK NUMBER: 180758
°N SIDNEY NB 69162
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1110 R4239010 19003 725870 92.94 RIFLE SHOOTING REST
MAY -13 -2009 13:00 From: To:9,13175712512,11139 Paee:2 /2
FEDERAL ID: 47- 0826305
DATE: 12/17/09
INVOICE 0725870
INVO TERMS: NET 30
PAGE: 1 OF 1
SHIP TO:
CARMEL POLICE DEPT CARMEL POLICE DEPT
ACCOUNTS PAYABLE DWIGHT FROST
3 CIVIC SQ 3 CIVIC SQ
CARMEL IN 46032 2584 PO ft19003
CARMEL IN 46032 5840
Order Date: 12/11/09 Customer 27501642
Order 113 -038 -575 Batch: 711
Purchase Order 19003
Qty R or Total
Item SKU Price Each Ordered Cancel Shipped Shipped
91S -22 -9424 02685 -119 79.99 1 :1. 79.99
CALDWELL I,F,AD SLED
ORDER 1S CO MPLETE
Totals for Ordcr to Datc
Merchandise 7
Shipping handling 12.95
Order Total 92.94
PLEASE MAKE PAYMENTS TO: CABELA'S MKTG BRAND MOT INC.
SEND PAYMENT TO: C:ASELA'S MKTG ..1 3RAND MOT INC.
ATTN: ACCOUN'T'S RECEIVABLE DEPT.
P.O. BOX 39
SIDNEY, NE 69162
If you have any questions, feel free to call: (800) 242 -1596
INDIANA RETAIL TAX EXEMPT PAGE C i t y o; ,,1 armel CERTIFICATE NO.0031201550020 1 1
PURCHASE ORD R NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 19003
3 EjCIVIC 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
December 17, 2008 rifle shooting rest
U SHIP
VENDOR City of Carmel Mice Department
TO 3 Civic Square
Carmel, IN 46032
ATTN: Major Jim Barlow
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 152664 Caldwell Lead Sled Rifle Shooting Rest 99.99
e
City of Carmel Po aa
Send Invoice To: ATTN: Teresa Anders
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo accessories f PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i 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
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. 14
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY 11 ✓CL.�L Ll''k'a' -LJ /°'4`��...�I:'7�
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
y :J 0 0 3 CLERK TREASURER
DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescrib r ACCOUNTS PAYABLE VOUCHER ed by State Board of Accounts City Form No. 201 (Rev. 1995)
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
Cabela's Mktg Brand Mgt Inc. Purchase Order No. 19003RF
ATTN: Accounts REceivable Department Terms
P.O. Bdx 39
Sidney, NE 69162 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/17/09 725870 a ment for lead sled 92.94
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
C abela's Mktg Brand Mgt, Inc. IN SUM OF
ATTN: Accounts Receivable Department
P.O. Box 39
�idnev, NE 69162
92.94
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
19003RF 725870 390 -10 92.94 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 18 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund