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