172005 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 261500 Page 1 of 1
0 ONE CIVIC SQUARE RAY O'HERRON CO INC
CARMEL, INDIANA 46032 PO BOX 1070 CHECK AMOUNT: $1,635.20
o r DANVILLE IL 61834 CHECK NUMBER: 172005
r c
CHECK DATE: 4129/2009
DEPARTMENT ACCOUNT PO N INVOICE NUMBER AM OUNT DESCRIPTION
.1110 4239010 20095 1,635.20 TASERS /CARTRIDGES
i
page:
sar Invoice
D 0909750 IN
Co.. Inc. invoice N
3549 North Vermilion Street
1- 800 223 -2097 Invoice Date: 419/200
PO Box 1070 www.oherron.com
Danville, IL 61834 -1070 rayoherron @oherron.com Order Number: 0905569
Order Date 3/30/2009
Suppliers of public safety equipment since 1964 Salesperson: GC
Sold To: Customer Number: 46032PD
CARMEL POLICE DEPT Ship To:
3 CIVIC SQUARE CARMEL POLICE DEPT
CARMEL, IN 46032 3 CIVIC SQUARE
CARMEL, IN 46032
Confirm To:LT DWIGHT FROST
Customer P.O. Ship VIA Terms
UPS NET 30 DAYS
Item Numb Ordered Shipped Back Ordered Price Amount
CJJ
26014 2.00 2.00 0.00 809.95 1,619.90
TASER, X26 BLK/BLK/DPM /44952
Serial Number: X00 460588
Serial Number: X00460595
ADD ACTUAL FREIGHT CHARGES
I
INVOICES PAID WITH PERSONAL PAYMENT
ARE SUBJECT TO SALES TAX
®t ua el CERTIFICATE NO. 0031201550020 1 of 1
�s PURCHASE ORDER NUMBER
4 Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 20096
3K1X& CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, All
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIP
-ORhh►APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE
RCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
arch 31, 2009 tasers cartridges
IENDOR Ray O'Herron SHIP City of Carmel Police Department
3549 N. Vermilion Street TO 3 Civic Square
Danville, IL 61832 Carmel, IN 46032
ATTN: Lt. Dwight Frost
wFiRMATioN BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
12 tasers 809.54 9,714.481&
200 taxer cartridges 20.22 4,044.92✓
y t I
Send Invoice To:�'ti
PLEASE INVOICE IN DUPLICATE
13 759.40
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 390 -10 ammo and accessorie 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 15 AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APP OPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 00 96 CLERK- TREASURER
)OCUMENT CONTROL NO. VENDOR COPY
Prescrib by State Board of Accounts City Form No. 201 (Rev. 1995)
'Vol 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
Ray O'Herron Co.., Inc. Purchase Order No. 20096F
P.O. Box 1070 Terms
Danville, IL 61834 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4119109 909750 payment for tasers 1,635.20
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.
-Y ALLOWED 20
R ah;: O'Herron Co.,-Inc. IN SUM OF
P.O. Box 1070
Danville, IL 61834
1,635.20
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT"
DEPT. 1 hereby certify that the attached invoice(s), or
20096E 909750 390 -10 1,635 .20 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
April 22 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund