172046 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362794 Page 1 of 1
ONE CIVIC SQUARE SOUTHERN PRECISION ARMORY CHECK AMOUNT: $658.40
CARMEL, INDIANA 46032 3409 NW 9TH AVE SUITE 1104
FT LAUDERDALE FL 33309 CHECK NUMBER: 172046
CHECK DATE: 4/2912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 20101 2009152 658.40 SCOPE MOUNT ACCESSORI
SOUTHERN PRECISION ARMORY INVOICE
3409 N.W. 9th. Ave., Suite 1104 ®EFE/\/EE DATE INVOICE NO.
Ft. Lauderdale, FL. 33309 4/15/2009 2009152
(954) 568 -7690 Ph. 630 -4159 Fx.
F.E.I.N. 65- 0483045 CAGE 1G6Y3
INVOICE TO: SHIP TO:
CARMEL POLICE DEPT. CARMEL POLICE DEPT.
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
ACCOUNTS PAYABLE SGT. ADAM MILLER
P.O. NO. TERMS DUE DATE REP SHIP DATE SHIP VIA FOB
20101 Net 30 5/15/2009 ATG 4/15/2009 UPS ORIGIN
MODEL DESCRIPTION J SERIAL NO. QTY B/O RATE AMOUNT
SPA DEFENSE (B -621) 30mm MALE DOVETAIL 2 200.00 400.00
SPA DEFENSE 1 -30mm SPACER KIT 2 95.00 190.00
LEUPOLD MK -4 STEEL RING SET 2 130.00 260.00
PRI SHORT ACTION PICATINNY RAIL 2 98.00 196.00
CREDIT RETURN OF (6622) MOUNTS 2 200.00 400.00
SHIPPING INSR 12.40 12.40
We appreciate your business, Thank You.
Total $658.40
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
Qi d C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7
3 O E:CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 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
April 15. 2009 scone mount accessoriew
VENDOR Southern Precision Armo SHIP City of Carmel Police Department
3409 NW 9th Avenue, Suite 1104 TO 3 Civic Square
Ft. Lauderdale, FL 33309 Carmel, IN 46032
ATTN: Sgt. Adam Miller
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Quote #209103
2 SPA Defense 30mm male dovetail 200.00 400.00
2 SPA Defense 1 -30mm spacer kit 95.00 190.00
2 Leupold MK -4 steel ring set 130.00 260.00
2 Pri Short action picatinny rail 98.00 196.00
2 credit taturn of B62 200.00 400.00
shipping 12.40 12.40
°•C
Icy
e °r
Send Invoice To: Cityo6fCCarmel PO p "ar
ATTN: Teresa Anders`
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE 658.40
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -10 ammo and accassories 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 ,�N /.r�f'._! Ij fi'.y�.i�
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of P ®lice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
n' _i l CLERK- TREASURER
DOCUMENT CONTROL NO 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribe4by Stale 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. 20101F
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))
2009152 payment for scope mount accessories 658.40
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
S outhern Precision Armory IN SUM OF
3409 NW 9th Avenue, Suite 1104
Ft. Lauderdale, FL 33309
658.40
ON ACCOUNT OF APPROPRIATION FOR
police generafl and
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20101E Z009152 390 -10 658.40 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 20 2009
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund