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167693 01/07/2009 CITY OF CARMEL, INDIANA VENDOR: 354541 Page 1 of 1 ONE CIVIC SQUARE S P A TACTICAL CHECK AMOUNT: $406.94 ti �o CARMEL, INDIANA 46032 3409 NW 9TH AVE SUITE 1104 FT LAUDERDALE FL 33309 CHECK NUMBER: 167693 CHECK DATE: 1/7/2009 DEPARTME ACCOUNT PO N UMBE R INVOICE NUMBER AMO DESCRI 1110 4342100 2008250 6.94 POSTAGE 1110 R4239010 19000 2008250 400.00 MALE DOVETAIL SOUTHERN PRECISION ARMORY V INVOICE DATE INVOICE NO. 3409 N.W. 9th. Ave., Suite 1104 _��E�E Ft. Lauderdale, FL. 33309 12/19/2008 2008250 (954) 568 -7690 Ph. 630 -4159 Fx. F. E.I.N. 65- 0483045 CAGE 1 G6Y3 INVOICE TO: SHIP TO: I CARMEL POLICE DEPT. CARMEL POLICE DEPT. 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN. 46032 CARMEL, IN. 46032 ATTN: T— RERSA MAJOR JIM BARLOW 1 P.O. NO. TERMS DUE DATE REP SHIP DATE SHIP VIA FOB 19000 Net 30 1/18/2009 ATG 12/19/2008 UPS ORIGIN MODEL DESCRIPTION SERIAL NO. QTY B/O RATE AMOUNT t SPA DEFENSE (B622) MALE DOVETAIL 2 0 200.00 400.00 SHIPPING INSR 6.94 6.94 I We appreciate your business, Thank You. Total $406.94 Remit to SOUTHERN PRECISION ARMORY. All invoices past due net 30 days, are subject to and will be charged 1.5% per month interest charge, 18% (Annual). All returns must have prior approval and are subject to a 20% restocking fee. INDIANA RETAIL TAX EXEMPT PAGE C.iq C rmel CERTIFICATE NO. 003120155 002 0 nf 1 yl li PURCHASE ORDER NUMBER i Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 Q()()n 30 PRCIVIC SQUARE EHISN BER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 DELIVERY MEMO, PACKING SLIPS, 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 T)Pep-T b ar 7 200 accessories VENDOR Spa Defense SHIP City of Carmel Police Departitent 3409 NW 9th Avenue Suite 1104 TO 3 Civic Square Ft. Lauderdale, FL 33309 Carmel, IN 46032 14TTN: Rajor Jim Barlow CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2 B622 male dovetail 200.00 400.00 Q� mg a le Send Invoice To: Cit y off Carmel Po ATTN: Teresa Anderso 3 Civic Square Car>m1il, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1110 390 -10 ammo and 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 4 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. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. j THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i J 0 0 CLERK- TREASURER DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._ 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 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 Southern Precision Armory Purchase Order No. 19000RF 3409 NW 9th Avenue, Suite 1104 Terms Ft. Lauderdale, FL 33309 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12119109 9009950 for ammo 406.94 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. ALLOWED 20 So uthern Precision Armory l IN SUM OF 3409 NW 9th Avenue, Suite 1104 Ft. Lauderdale, FL 33309 406.94 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 1110 2008250 421 6.94 bill(s) is (are) true and correct and that the 19000RF 2008250 390 10 400.00 materials or services itemized thereon for which charge is made were ordered and received except January 2 20 09 J Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund