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173241 06/10/2009 a CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1 ONE CIVIC SQUARE BROWNELLS INC CHECK AMOUNT: $102.86 CARMEL, INDIANA 46032 200 S FRONT STREET MONTEZUMA IA 50171 -1000 CHECK NUMBER: 173241 CHECK DATE: 6/10/2009 DEPARTMENT AC COUNT PO NU MBER I NVOICE NUMBE AM OUNT DESCRIP -'1110 V 4239010 5337552.01 v 102.86 AMMUNITIONS ACCESSO INV O4 1720 0 5 0: 7 5 5 2 01 B ROWNE L L S, INC (46032-- CITY)552.01 05/26/2009 06:54:47 200 SOUTH FRONT STREET niesje -R DATE SHIPPED: 05/26/2009 MONTEZUMA, IOWA 50171 -1000 DLR GVN IAR ACCOUNT 00296101 800 741 -0015 M61T 24 HR. FAX (641) 623 -3896 U4 P4 SOLD TO: CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235 ATTN: TERESA ANDERSON I N V O I C E 3 CIVIC SQUARE CARMEL, IN 46032 SHIP VIA: UPS GROUND PAYMENT METHOD: OPEN ACCOUNT SHIP TO: CARMEL POLICE DEPT. TERMS: NET 30 ATTN: LT. FROST 3 CIVIC SQUARE CARMEL, IN 46032 SHIP COMPLETE IF OUT OF STOCK FINAL FAX 317 571 -2507 I N V O I CE PICKER: 242 PRICER: 104 STOCK PRODUCT QTY QTY B /O, RETAIL UNIT TOTAL NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE 989- 015 -007CC J01F03F AR- 15/M -16 BUFFER RETAINER SPRG, PKG 5 1 1 1.34 1.07 1107 989 015 -022CC J02KO5E AR- 15/M -16 MAG CATCH SPRING, PKG 5 1 1 1.34 1.07 1.07 989 015 -01OCC J'07BO2C AR- 15/M -16 CARRIER KEY SCREW, PKG 5 1 1 1.07 0.86 0.86 078- 060 -015 J13KO5B AR -15 FIELD REPAIR KIT 2 2 68.31 49.93 99.86 THE BELOW ITEM(S) MARKED 'C' ARE OUT OF STOCK AND HAVE BEEN CANCELLED. 989- 015 -013CC J07BO2A AR- 15.M -16 EJECT. RETAINER PIN, PKG 5 1 0 1 C 989 015 -023CC JOIG02B AR- 15/M -16 PIVOT PIN SPRING, PKG 5 1 0 1 C 989 015 -024CC J01G02C AR- 15/M -16 TAKEDOWN PIN SPRING, PKG 5 1 0 1 C 989 015 -028CC J07CO2E AR- 15/M16 PISTOL GRIP STAR WASHER, PK5 3 0 3 C 969- 015 -005CC 701F03D AR- 15/M -16 BOLT CATCH SPRING, PKG 5 1 0 1 C 989- 015 -004CC J07BO2B AR- 15/M -16 BOLT CATCH PIN, PKG 5 1 0 1 C 989 015 -011CC R25DO9A AR- 15/M -16 DISCONNECT SPRING, PKG 5 1 0 1 C 989 015 -012CC R25DO9B AR- 15/M -16 EJECT PORT COVER SPRG,PKG 5 1 0 1 C 989 015 -016CC J25E02C AR- 15/M -16 FORWARD ASSIST PIN PKG 5 1 0 1 C 989 015 -018CC R25DO9E AR -15 FRONT SLING SWIVEL RIVET BK,PKGS 1 0 1 C ORDER ON THE WEB AT www.brownells.com ORDER CONTINUED ON PAGE 2 INVOICE 05337552 01 PAGE 02 :04/17/2009 07 :53:34 B ROWNE L L S I NC. (46032- CITY)552.01 05/26/2009 06:54:47 200 SOUTH FRONT STREET niesje -R DATE SHIPPED: 05/26/2009 MONTEZUMA, IOWA 50171 -1000 DLR GVN IAR ACCOUNT 00296101 800 741 -0015 M61T 24 HR. FAX (641) 623 -3896 U4 P4 �f SOLD TO: CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235 ATTN: TERESA ANDERSON I N V O I C E 3 CIVIC SQUARE CARMEL, IN 46032 SHIP VIA: UPS GROUND PAYMENT METHOD: OPEN ACCOUNT SHIP TO: CARMEL POLICE DEPT. TERMS: NET 30 ATTN: LT. FROST 3 CIVIC SQUARE CARMEL, IN 46032 SHIP COMPLETE IF OUT OF STOCK FINAL FAX 317 571 -2507 INVOICE PICKER: 242 PRICER: 104 STOCK PRODUCT QTY QTY B /O, RETAIL UNIT TOTAL NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE 989 015 -017CC R25D09F AR- 15/M -16 FORWARD ASSIST SPRG, PKG 5 1 0 1 C 231 015 -012CC J01G06C LR -08B DPMS AR -15 AMBI SAFETY 4 0 4 C This Is your INVO PLEASE REMIT GRAND TOTAL ORDER ON THE WEB AT www.brownelf'.com ORDER TOTAL: 102.86 THE FOLLOWING COMMENTS FIELD FOR BROWNELLS USE ONLY ORDER PLACED BY LT. FROST 317 571 -2599 CANCELLED B/O ITEMS PER LT. FROST.4- 21- 09(NL) GRAND TOTAL: 102.86 CASH: 0.00 CC: 0.00 OA: 102.86 COD: 0.00 DUE: 0.00 MB: 0.00 FIC Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL J 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 B rownells, Inc. Purchase Order No. 200 South Fron Street Terms Montezuma, IA 50171 -1000 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/26/09 5337552.01 payment for range supplies 102.86 Total 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 B r.)wnells, Inc. IN SUM OF 200 South Front Street Montezuma, IA 50171 -1000 102.86 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 1110 5337552.01 390 -10 102.86 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 June 2 2009 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund