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167669 01/07/2009 u, CITY OF CARMEL, INDIANA VENDOR: 358651 Page 1 of 1 ONE CIVIC SQUARE OPTICS PLANET t, CHECK AMOUNT: $424.95 CARMEL, INDIANA 46032 3150 COMMERCIAL AVE NORTHBROOK IL 60062 CHECK NUMBER: 167669 CHECK DATE: 1/7/2009 DEPARTMENT ACCOUNT PO NUMBER IN VOICE NU MBER AMOUNT DESCRIPTION 1110 R4239010 19004 790061 424.95 SPOTTING SCOPE KIT rr�; A TM OpticsPlanet.com urTIC 3150 Commercial Ave 5% OFF Your Next Order Northbrook, IL 60062 Phone: (800) 504 -5897 Use Coupon Code Q IVCJQf t I Fax: (847) 919 -3003 p Email: Sales@ OpticsPlanet.com r Invoice Page 1 of 1 ORDER# DATE CUSTOMER ID PO REFERENCE „790061 p 12/1912008 184415 19004 City of Carmel Police Department City of Carmel Police Department Attn: Teresa Anderson Attn: Major Jim Barlow 3 Civic Square 3 Civic Square PO# 19004 PO# 19004 Carmel IN 46032 Carmel IN 46032 United States United States UPS Ground PaymentMethpd PO Last 4 digits: Shipping,Methbd r Freight Terms T r y I Payment Terms Net 30 NOT UNIT SKU DESCRIPTION ORDERED SHIPPED SHIPPED PRICE TOTAL LU- SS- SEQ -20- Leupold Green Ring Sequoia 20- 1 1 0 $424.95 $424.95 60x80 -61135 60x8Omm Spotting Scope Kit INVOICE TOTAL $424.95 BALANCE DUE $424.95 If you have any questions concerning this order, contact our Customer Service Team via e -mail to Sales @OpticsPlanet.com or via phone (800) 504 -5897, 7AM -10PM CST Mon -Fri, 8AM -8PM CST Sat -Sun. Please see http: /www.opticsplanet .net/our- policy.htmI for our Return Exchange Policy. Important Export Restrictions: Commodities, products, technologies, and services listed herein are subject to one or more of the U.S. export control laws and regulations enforced by the U.S. Department of State, the U.S. Department of Commerce, or the U.S. Department of the Treasury. It is unlawful and strictly prohibited to engage in conduct requiring a license or other approval from the proper U.S. Department without such license or approval. Such conduct includes, but is not limited to, the export, or attempt to export or otherwise transfer or sell any commodity, product or technical data, or furnishing any service to any foreign party, whether abroad or in the United States. Furthermore, U.S. law prohibits the sale, transfer, or export of items to Embargoed Countries and entities on the Department of State's List of Debarred Parties, the Department of Commerce's Denied Persons List, and the Department of the Treasury's Specially Designated Nationals and Blocked Persons List. It is the Buyer's responsibility to be aware of the Lists of Embargoed Countries, Debarred Parties, Denied Persons, and Specially Designated Nationals and Blocked Persons. These Lists can be found at the applicable U.S. Government agency website. Having lawfully received the above commodities from OpticsPlanet, Inc., the Buyer and Entity and /or Person(s) listed in "Ship To” (1) assumes all responsibility to further comply with the requirements imposed by all applicable laws, regulations and administrative policies and (2) certifies that it will so comply. Diversion contrary to U.S. law is prohibited. The export control laws and regulations are complex; therefore any summary of such laws and regulations provided by OpticsPlanet, Inc. herein is not comprehensive and is not to be taken as legal advice or counseling. All Exports: These commodities, technology or software were exported from the United States in accordance with the Export Administration Regulations. Diversion contrary to United States law is prohibited. 4 INDIANA RETAIL TAX EXEMPT PAGE o }Carmel CERTIFICATE NO. 003120155 002 0 1 I Jl PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 Onl 4 3 ©)N&CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CAROEL,aINDIANk46032 -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 na a�, ar ataattiniz s a kis$ VENDOR Optics Planet SHIP City of Carmel Police Department 3150 Commercial'Avenue TO 3 Civic Square Northbrook, IL 60062 Carmel, IN 46032 ATTN: Major Jim Barlow CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 LU-- SS- SEQ_20 -6Ox80 Leupold Green Ring Bequoia 20 -60x80 mm 444.90 Straight Spotting Scope Kit w ..e WA a a R E Send Invoice To: City of Carmel Poke ATTN: Teresa Anders 3 Civft Square` Car>aml, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT F PROJECTACCOUNT AMOUNT 1110 390 -10 ammo A accessories PAYMENT 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. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL r 1 SHIPPING LABELS. 1 THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 191 Q 0 4 CLERK- TREASURER DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE l4!,7UCHER NO...------- WARRANT NO..,.,.,._- 1. 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 i i Cost distribution ledger classification if claim paid rnotor vehicle highway fund Prescr:4ed 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 Optics Planet, Inc. Purchase Order No. 19004RF 3150 Commercial Avenue Terms Northbrook, IL 60062 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/19/08 790061 pavment for scope kit 424.95 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 &VOCHER NO. WARRANT NO. ALLOWED 20 et Inc. IN SUM OF 3150 Commercial Avenue Northbrook, IL 60062 424.95 ON ACCOUNT OF APPROPRIATION FOR police general ufnd Board Members Po# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 19004RF 790061 390 -10 424.95 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 January 2 20 09 Signature Chief oof ?Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund