178762 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 181960 Page 1 of 1
ONE CIVIC SQUARE LAW ENF TARGETS, INC
CHECK AMOUNT: $86.68
CARMEL, INDIANA 46032 2316 TERRITORIAL ROAD
ST PAUL MN 55114 CHECK NUMBER: 178762
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 130817IN 86.68 AMMUNITIONS ACCESSO
9
Page: 1
Invoice
Law Enforcement Talr Inc Invoice Number: 0130817 -IN
Invoice Due Date: 11/13/2009
8802 West 35W Service Drive NE Invoice Date: 10/14/2009
Blaine, MN 55449 6740 Order Number: 0128397
(763) 746 -5390 Fax (651- 645 -5360 Order Date: 10/13/2009
(800) 779 -0182 Customer Number: 0023064
Sold To: Ship To:
Carmel Police Dept Carmel Police Dept
Dwight Frost Dwight Frost
3 Civic Square 3 Civic Square
CARMEL, IN 46032 -2584 CARMEL, IN 46032 -2584
Confirm To:
dfrost @carmel.in.gov
Customer P.O. Ship VIA F.O.B. Terms
Dwight 10/13/09 UPSGRND NET 30 DAYS
Item Number Unit Ordered Shipped Back Ord Price Amount
TQ -15 EACH 250 250 0 0.2900 72.50
TQ -15 GRAY TARGETS
Ship 10/14/09
Thank You For Your Order! Net invoice. 72.50
Less Discount: 0.00
Freight: 14.18
A SERVICE CHARGE of 1.5% per month (18% Annual) will be charged on all past due amounts. Sales Tax: 0.00
Invoice Total: 86.68
PreL 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
Law Enforcement Targets Purchase Order No.
8802 West 35W Service Drive NE Terms
1 Blaine, MN 55449 -6740 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/14/0 130817IN payment for targets 86.68
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
VgL -ICHER NO. WARRANT NO.
ALLOWED 20
Law Enforcement Targets IN SUM OF
8802 West 35W Service Drive NE
Blaine, MN 55449 -6740
86.68
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 130817IN 390 -10 86.68 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
October 20 20 09
Signature
Assistant Chief of Poli
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund