206823 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 365945 Page 1 of 1
0 r ONE CIVIC SQUARE SUPER QUICK CLEAN GUNS CHECK AMOUNT: $206.40
ro CARMEL, INDIANA 46032 12178 N BETH ANN DRIVE
CAMBY IN 46113 CHECK NUMBER: 206823
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 25964 411408H 206.40 CLEANER /LUBE
0
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SCHILLINGER ASSOCIATES INC I nvo i ce
�1 Super Quick. Clean Guns
1.415 Fourth St. NW
2/8/2012 0411408H
Grand Rapids, M149504 -4807
CITY OF CARMEL CITY OF CARMEL
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
TERESA ANDERSON TERESA ANDERSON
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032 USA
Pd C�
25964 Net 30 DN 2/11/2012 1/11/2012 Delivered GRAND RAPIDS
LAdylUl v p o o U'UIl. -.L° '1 (1AA1.a4ULL5
24 4 oz SQCG A 4 oz Super Quick Clean Guns 8.60 206.40
ALL ITEMS DELIVERED BY DICK NEVILL
Thank you for your business.
Total $206.40
I
888 -381 -6162 616- 453 -3826 1 Iarald @Supergcg.com www.Superquickcicanguns.com
INDIANA RETAIL TAX EXEMPT PAGE
C of 'C rme CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 24
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FOAM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
181012
Sup®r QuIch Cloan Gans Carmel Police Dopmrtmont
VENDOR SHIP 3 Civic squam
12178 N. Both Ann Delve TO C&mGl, I N 46M
Corby IN X113 (W) 537i
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M9.10
24 Each meaner f lobe for waimpons $8.25 $108.00
Sub Total: $108.00
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All
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Send Invoice To: 00
C ICI P®Ilco Dop@f tmont
Attn: 'Tomes Anderson
3 Civic Squm
Camel, IN 46=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PR_OJECTACCOUNT AMOUNT
C@renel Police Dept. PAYMEN 095.0
CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROP fA•I I
SHIP REPAID. SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL f l�l�p ®r 8�� Police SHIPPING LABELS. {j�C pI
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ib 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT T HERETO.
CLERK- TREASURER
DOCUMENT CONTROL. NO. 25964
A.P.V. COPY -SIGN AND RETURN TO CLIaF$pC'S OFFICE
VOUCHER NO. WARRANT NO..
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
r.'
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
VOUCHER NO. WARRANT NO.
Super Quick Clean Guns ALLOWED 20
IN SUM OF
12178 N. Beth Ann Drive
Camby, IN 46113
$206.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
25964 I 411408H I 42- 390.10 I $206.40 1 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
Thursday, February 23, 2012
Chief of Police
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))
02/08/12 411408H cleaners lube for weapons $206.40
1 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