170021 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 205250 Page 1 of 1
ONE CIVIC SQUARE MINE SAFETY APPLIANCES CO
CARMEL, INDIANA 46032 PO BOX 640348 CHECK AMOUNT: $14,774.66
PITTSBURGH PA 15264-0348
CHECK NUMBER: 170021
CHECK DATE: 3/1812009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 94083334" 7.00 POSTAGE
1110 R4356002.18982 94083334 457.11 .BALLISTIC HELMETS
1110 4342100 94102916 5.00 POSTAGE
1110 R4356002.18982 94102916 61.47 BALLISTIC HELMETS
1110 4342100 94.111218 69.90 POSTAGE
1110 R4356002 1.8982 94111218. 3,385 >..50 BALLISTIC HELMETS
1110 4342100,. 94136237 8'.'00 POSTAGE
11.10 R4356002'18982 94136237 795.60 BALLISTIC HELMETS
ero
1 °110 4342100 94149089. 71.00 POSTAGE
1110 R4356002`18982 94149089 9,914.08 BALLISTIC HELMETS
w.
MAR- 03 -200j3 15:47 P.02
Safety Appliances Company
tibPQ x 426
urgh',', PA 15230.0426 T h.
25- 0668780 S K;
Invoice
Sold X70: t
Invoice No.: 94083334
s' 14'l1 1111111111111 Invoice Date: 01 Dec 2008
CARKAEL POLICE DEPT Customer No.: 520000
ATTN MAJOR JIM BARLOW Order No,: 2982046
RAF PO 18962 Delivery No.: 86025158
a
3, CIVIC 'SQUARE P.O. Date: 19 Nov 2008
CARMEN- IN 46032 Customer P.O. No.: 18982
Ship .To:
CARNf•,tL POLICE DEPT
AfiTN:. MAJOR JIM BARLOW
RAF PO 18982
3 CIVI,C SQUARE
CARM1 IN 46032 I\\.
ffE Your Contact Person: Customer Service r
Telephone No,: 866 -672 -1001 Fax No.: 412 967 3165
PAGE 1 2 •:•s
r,;•, a' ppedf, S peed via 19i of lading No. Terms of Shipment Terms of Payment;.
Dec 2006 UPS Ground
I
FOB DEST /PW /A NET 30 DAYS •�S; 7
:Item Qty, UM Mal No. Description Unit Price Net Price
i kii'rA' Batch Qty
80 2 FA ASG019 -BK 33.49 66.98
POUCH, 12 GAUGE SHOTGUN SHELL, 19 RNDS i
With the following configuration:
POUCH
ASG019 �:h;
•COLOR BLACK
�s�` ,�0 5
EA MCR019 -BK 36.89 184.45
POUCH,CHEMICAL MASK, M115, BLACK
X� With tho following
o owing configuration:
POUCH M CR019
COLOR BLACK A
.I
N. r,;R
MAR -03 -200;3 15:47 P.03
Invoe �a:
k
Invoice No.: 94083334 Customer RO-
No.. 18982
K,• PAGE 2 2*
�1� �Y um Mat No. Oescriptlon f
'r A Unit Pr1aa
Batch Qty Net Pr1Ce
110 8 EA GPS019 -SM -BK
,t
POUCH, GENERAL PURPOSE SMALL 25.71 205.68
With (he following configuration. r;s'
POUCO
COLOR GPS SM
Y Shipping info: BLACK
UPS Ground
1 Z9T74T20342538686
1 Z 9 T74T20342538686 f,
I I•
7
!9�!fiK NRlgritAo:
WO U.61y Appliances Co.
Box 840348 SubTetai:
1ttsburgh, PA, •15264 -0348 457.11
ak: 412 -987 -3087 Shipping 8 Hdndling: 7.00
:7)Hf E'IS A SERVICE CHARGE OF Total USO: 464,11 d
<,1;2 96 ALL PAST DUE
is
THANK YOU F
OR YOUR ORDER
`.•i yW4,
MAR -03 -2009 15:47 P.04
Safety Appliances Company
426 v
h, PA 15230 0426
S ob -4'32 -1965 `,4 t
':25L08t387B0
Invoice
'Sc1dJ Invoice No.: 94102916
ii'�' a a I r l ba 10 9101111 111 Invoice Date: 17 Dec 2008
CARM�L POLICE DEPT Customer Na.: 520000 .h,ft'
A'rTN. '*MAJOR JIM BARLOW Order No.: 2982045
REF PO 18982 Delivery No,: 86048295 tai
3 CIVIG'SDUARE P.O. Date: 19 Nov 2008
CARMEL IN 46032 Customer P.O. No.. 16982
x, CARNlEL POLICE DEPT
A77N:'MAJOR JIM BARLOW
REP PO 18982
3 CIVIC SQUARE
CARMEL IN 46032
YOlar Contact Person: Customer Service >',r
Tefthorie No.: 866 -672 -1001 Fax No.: 412 -967 -3165 PAGE 1 1
ate -ShIpped .5hipped via 8111 of lading No. Terms of Shipment arms of Peymenl ;'�fl
17 2008• UPS Ground FOB DEST /PPD /A NET 30 DAYS
:r
�itom ay'• UM Mel No. Description 9'o Unit Brice Net Price
E TA Batch CKy Y
200 3 EA AFP019R -9 -BK 20.49 61.47
MAGAZINE POUCH, DOUBLE .9MM DBL STK
With th6 following configuration:
w`' POUCH AFP019R -9 1
COLOR BLACK
t. 'Shipping Info:
UPS Ground
1Z!;074T20341925358
1Z9T74T20341925358
r R4mk, Peymerft to: Ordered By: JIM BARLOW
SubTotal: 61.47
'{Vf1ne Safety ppllances Co. Telephone: 317.571.2527
Boz 640948 Shipping Handling: 5.00
tsbtir h, PA, 15294 -0346
g Total USD: 66.47
.!Fp; 412- 987:3087 s„
a 'THERE IS•A 4ERVICE CHARGE OF r:
1 ".�6 ON ALL ITEMS PAST DUE ,Gf
THANK YOU FOR YOUR ORDER
SJ
K, 1,
MAR -03 -200' 15:40 P.05
1. 1' i •IY L
Safety Appliances Company
laic 426 ,I i
,urgh, PA F6230 -0426
0.0. 432.1865
Invoice 4
Invoice No.. 941
BaB'l�I�lal'� @9111f
Involve Date: 29 Dec 2008
GARREL POLICE DEPT
AT TN; MAJOR JIM BAf�L Customer aW No.: 520000
REF'pO 16982 Order No.: 2982046 '•,s
Delivery No.: 86055289
SQUARE
3 CI VIC S P.O. bate: 19 Nov 2008 G
CAWk IN 46032 Customer P O.
No.. 18982'.;'
Ship ,to.
CARMEL POLICE DEPT
AfTN: ",MAJOR JIM &4RLOW uk t
R9F PO 18982
3 .CIVIL SQUARE
CARMEL IN 46032
Your C6�tact %rson: Customer Service
v, C
s, Telephorip No.. 866 -672 -1001 Fax No. 412 967 -3165 PA
a s ed GE 1 M
hipped via 3
Bi11 0 lading No. Brms o &hipmenl arms of Payment "�?'(•j•�
2dj DeC 2008 UPS Ground
FOB DESTJPPp1A NET 30 DAYS
Qty UM Mat Na Da
ecAPtlah unit Price Nat Price
Batch Qty
,x'80 5 •f''i��
EA 10079696
338.55 1,692.75
HELMET ASSY,COML ACH,MD,B!„K.PAD 1/2"
Shipping into:
UPS Ground
1ZE180820357598579
1 ZE180820357109589
1 ZE 1 00820356816105 r`e
1 ZE 1 80820365566357
1 ZE 1 80820366213146
Order 2982046 from 01 Dec 2008
MAR -03 -2009 15:48 P.06
j b- j
Invoice
F,-��Wofco No:. 94111218 Customer P.O. No.. 18982
PAGE 2 3 i•'i• 1,; 11.`
"M QtY um Mat No. r s,
jQ3fA.
Description Unit Price
Net Price h°
Batch Qty
Delivery note 86055289 from 12/29/2008
Shipping Info:
UPS Ground f'
1 ZE
1 ZE180820367109589 A
1 ZE180820356816165
;i 1ZE180820355566357 ti p¢
1 ZE180820356213146
Purch. Order No. 18982 from 19 Nov 2008
80 5 EA 10079900 338.55 1,692.75
HELMET ASSY,COML ACH,LRG,BLK,1 /2 "t
Order 2982046 from 01 Dec 2008 Y
Delivery note
ry 86055295 from 29 Dec 2008
Shipping Info:
UPS Ground
1 ZE180820356080530
1 ZE180820355852529
1 ZE180820355973112
1 ZE180820356046309
17 -ElBO820357236094
Purch. Order No. 18982 from 19 Nov 2008
fi' ;DglivWry: 0 686055289 t'
,floss Weight: 20.000 Net Wei
�slons: Weight: 20.000
men
s° Number of Cartons: 5.000
®ry: OQ86055295
"osS Weight: 20.000 Net Weight' 20.000
Dimensions: Number of Cartons: 5.000
iE•
4
All
MAR -03 -2009 15:48 P.07
Invoice
,JIaVolce No, 94111218 Customer RO, No.: 18982
PAGE 3 3
I m' 61tj1 UM Mat No. D&SCriptlon Unit Price Net Price
Batch Oty
;Invoice Total:
Owt Wei ht: '40.000
9 Net Weight; 40,000
NtlM6er cf Cartons: 10,000
.ti
5 'r .l
+fir; ;1•
1
f,.
Krrment� to:
l�l�e Safely A pliences Co. Subtotal: 3 ,385.50
Q.'9ox 40348
ittaburoh PA,! 15284.0348 Shipping Handli 89.94
.FBX: 412967 -3087 Total USP: 3 ,455.40
T{i$Z 18;,A SOWICE CHARGE OF s i'
ON ALL' ITEMS PAST CUE l� •r
THANK YOU FOR YOUR ORDER
MAR -03 -2009 15:48 P.00
iJ ,I -Waty 4ppilances, Company
�`42B
Y h, PA 15230-0426
00- 432.181 5
Invoice
5 To' I nvoice No.. 94136237 `t
U1011111111111 Invoice Date: 23 Jan 2009
CAiR1+I I POLICE DEPT Customer No.: 520000
ATTN. f0AJOR JIM BARLOW Order No.: 2982046 a,,
REF PO 18982 Delivery No.: 86087987
t .0. Date. 9 Nov 08
3 :CIVIC SQUARE R 1 v 2 s
CARMEL IN 46032 Customer P.B. No.: 18982
,i Ship To:
CARMEN POLICE DEPT
ATTN: MAJOR' JIM BARLOW
REF PO :18982 z
3 CIVIC SQUARE
CARMEN IN 46032
Your Contact Person: Customer Service
wTeiepttonf ND.: 866 672 -1001 Fax N 412 -967 -3165 PAGE 1 2
No.:
'Dsr& Ship ppe via 8111 Sf lading No. Terms of Shipment Terms of Payment Z.
i
X29, fan 2009 UPS Ground FOB DESTIPPDIA NET 30 DAYS J
v a,
Kaki tatty UM Mat No. Description Unit Price Not Price
tf}l Batch City
8 EA ADP019 -SK 18.71 149.68 r ,'r
Magazine Pouch, Double, M 161M4 1
i,; Country of Origin: U5 Commodity Code: 4202.92.9026 ?',F
With the following configuration:
A 41
w; .n ',COLPR BLACK "A
Y" „90 3 EA MGR019 -BK 36.89 110.67 l'I;
POUCH,CHEMICAL MASK, M-45, BLACK m;
With •the• following configuration:
;POUCH MCR019
'a
MAR -03 -2009 15:48 P.09
Invoice
i i. tl �r�
No,. 94136237 Customer P.O. No.. 18982
PAGE 2 2
Item qty UM Mat No. bescrlptlon
WTA Unit Price Net Price
Batch Qty
COLOR,
BLACK vi
l y 100 8 EA RUS019 -SM -SK 37.35
RADIO POUCH L SMALL
UNIVERSAL, 298.90
'With the following configuration:
POUCH;
COLOR 019 SM
BLACK
RUS
170 8 EA BSP019L -BK
16.75
Flash Bang Pouch, Single, Large 134.00
Country of Origin; US C
With the following configuration: g ommodity Code: 4202.92.9026
POUCH
y COLOR 8SP019L
BLACK
5
EA A FPO 19R -9 -BK i 1
MAGAZINE POUCH b 20.49 102.45 r
h'the, follow OUBLE
Wit following configuration: 9MM DBL S7K
i POUCH
COLOR AFP019R -9
Shipping Info: BLACK
PPS';Ground
1Z9F74T20341455277 T¢
1 Z
J`•,
a "'SafJ3tY Appliances Co.
Q.;Box 64034b SubTotal: 795.60
�uryh, PA. f52ti4 0348 Shipping Handling: 8.00
'412-8137 -3087
IS•A SEWICE CHARGE OF Total USD: 803,60
;239b ON 'ALL ITEMS PAST DUE
THANK YOU FOR YOUR ORDER 4
t
A. 'n
MAR -03 -2009 15 :49 P.10
.:.P, `i. ,.fi ''0+ 15' t.�'
;tip,. z: a I,,
Bitety Appliances carnwy
•42A
,tt'
h 1.523,0-0426
66e7$0 t
Invoice
$did Tl3: Invoice No.. 94149069
Invoice Date: 04 Feb 2009 h
'y g 19:8' 4'1 ��11111e111 4"
:t
Customer No.: 520000
CARMEL POLICE DEPT
ATTN: M Order No.: 2982046 �'�c'.,i•
r} AJOR JIM BARLOW
REF PO '189$2 Delivery No.: 86080893 ?;',.,'•I;,0.`:
P.O. Date: 19 Nov 2008,':`
a 3 'CIVIC SQUARE
CARMFI IN 48032 Customer P.O, No.: 18982
Shio Tn:
ICE DEFT 'r,
CAI MEN PUL
s gTTN: 'MAJOR JIM BARLOW
REF PO',
t? 3 CIVIC; SQUARE •s�t,,:,..,,W.;,,,
CARMEL- IN 45032
{Yvur; Contact Person: Customer Service 4
PAGE 1
�rl�a sTefephan'e Mo.: 866 -672 -1001 Fax No.: 412967 -3165
g Terms o Shl ment orms osy Y +i' y,
i t 9 1pp00 ShIPP f Amenl
I via Bill of 19 n No. P r rr'•'n':
FOB UESTIPPD/A NET $0 DAYS f
PS Ground
441 2009 U
NeA1 Y Not Price
''s• Unit Price
Batch Oty y
EFTA •�r(I e
'�'•,s,r.,' 1,476.78 k•:,;
a EA RMV024- 07 -LG-BK 492.26
IJ,; 10 3
RELEASABLE MOD VEST, 2 007, 10X12 PLT PK7
i
y x' Country of Origin: US Commodity Cade: 8211.43.0091
With owjollowing configuration:
'MODEL RMV024 -07 r;;�
SIZE
p? LARGE I F
s COLOR BLACK
'.ZO 3 EA K3K3A- PAE -LG 444.77 1,334.31
t'
IN9ERTS,SdFT ARMORIIIA,TWARON,LARGE
Country of Origin: US Commodity Code: 3921.90.5050
M1 w
1, 'F' }4y
rs p "G, i'•.
Ikt, M1`, FS 'r.. T i:'l l;J, i.�
��i „�'�1i' is tr ^:�1'a!;::�Ila�.
i'''S r'�r f b •1 r E ;a a JI•
MAR -03 -2009 15:49 P.11
i+
Invoice
fi ;u•
�.R�• 61m No.: 94149099 Customer P.O. No.: 18982
j, -•p PAGE 2 4
j`r stn aey UM Mat No. Oeac►LPelon Unit Nice t,
ce Not Price 'j
o
'rr Batch Qty c •if,f M'•,�
With the following configuration: r' '''z° i' f;',
is MODEL K3K3A -PAE F' t.,'•,.
SIZE LARGE
't•3l) 4' EA RMV024 07 MD BK 492.26 1,969.04
RELEASABLE MOD VEST, 2007, 10X12 PLT PKT ''`i
'•v ar Country of Origin: US Commodity Code: 6211.43.0091
s:
q,. the following configuration:
S, rn,
-t MODEL RMV024 -07 :?.�.a,.;;'., °'•'c
MEDIUM
Y BLACK i' 9':
4• EA K3K3A -PAE-MD 444,77 1,779.08
INSERTS,SOFT ARMOR,IIIA, TWARON,MEDIUM v "•'it.:';�;�
Country of Ori US Co mmodit y
;^fit;, i ommodit Code: 3921.90.5050 fv:'
With the following configuration:
h 1Y x'41': �v „F
;MODE. K3K3A -PAE
T, .SIZE MEDIUM
FA RMV024- 07- M1_ -BK 492.26 492.26 r' •s�`
RELEASABLE MOD VEST, 2007, 10X12 PLT PKT 1' 1
Country of Origin: US Commodity Code: 6211.43.0091
With'the following configuration: ;A•r,.;.
RMV024 -07 i3� i:it�r�,
SIZE MEDIUM LONG'
r:i' tLOLOR BLACK ,;t r Li,;; "s
EA K3K3A- PAE -ML 444.77 444,77 °•;3!;;,
INSERTS,SOFT ARMOR,IIIA, TWARON,MDLONG
Country of Origin: US Commodity Code: 3921.90.5050
"With the following configuration:
".1 ;r MOdQ K3K3A -PAE
SIZE MEDIUM LONG rt.: ••''nrv
,tip >�i' t:.`�,
MAR -03 -2009 15:49 P,12
yr.
Invoice
`,tom No„ .94149089 Customer P.O. No.: 18082 r
PAGE 3 4
UM Mat No. Description Unit Prica Not Prko j
Batch City
,i .120• t3 EA PGP019T -BK 80.35 642.80
GROIN PROTECTOR W /ARMOR, TWA RON@
With the following configuration:
't MODEL PGPO19T t ;r
s COLOF2 BLACK
v' �R
0 8 SET BPA019T -BK 139.50 1,116.00
Bicep Protector, w/ Armor, TWARONG
;With the following configuration:
<i y" ,MODEL BPA019T
COLOR BLACK
:r 40. 8 EA PFY019T -BK 40.37 322.96
Front Yoke, w/ Armor, TWARONG)
1 ith the following configuration:
CIMODEL PFY019T
COLOR BLACK
3, EA PCL019T -LG-BK 42.01 126.03 r'
Collar, wl Armor, TWARONO
,With the following configuration:
;MODEL PCLO 19 T r�
f;i '81Z'E LARGE
rvOLOR BLACK
i100 5 EA PCL019T -MA -BK 42.01 210,05
Collar, w! Armor, TWARONO
f With the following configuration:
IIODFl PCL019T
SIZE MEDIUM
COLOR BLACK ;t'9
Shipping Info: �u
UPS Ground
t
MAR -03 -2009 15:49 P.13
q i
Invo
;Ir P.O. rvakO N a l 94149089 Customer No.; 18982
r
PAGE 4
p ttm
City UM Mat No. Description i
A Unik Price Not Prfoe t S
Batch Qty
1 4 1 T74T20341156242
W74T20343118860
1 Z8�74T20343445195
1.ZQT
y,
1 ST74T20342290256
1 Z
:1 Z9T.74T20341661612 a
1 Z T74T20343108022
,1 •Z 9 T74T20341960837
1 Z 9 T 7 4T20341246207
i z i
1 Z9'T74T20341246207
1 Z9T74T20341561812
1 Z9T74T20343108022
IZ9T74T20341960837
4
r 1 f
I. r................... r. 1
;Box 6a 4t8t 914
ancaq Co. SubTotal:
03 e 9 .DB
aburgh, Pq, 1;8264 -0348 Shipping Handgng: 71 Y "1
�s12.9 7 -30' 7 Total usD: 8,985.08 ;�,Jj
CHARGe OF
I$, AiCE
;.i ON ALL ITp1q$ PAST DUE
u' THANK YOU FOR YOUR ORDER
„fir, f: .r
R'it i eft f�
Arr
t I fl9
TOTAL P.13
l
INDIANA RETAIL TAX EXEMPT
Cloty, P AGE
�CERTIFICATE NO. 003120155 002 0 o ER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
3 O,NECIVIC SOUARE rTHIUS 35- 600009 72 i NUMBER MUST APPEAR ON INVOICES, A/P
CARNIEL, INDIANA 46032 ;2584' HER, DELIVERY MEMO, PACKING SLIPS,
ING 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
N Ovpmbpr 1 9 7(08 ba e meta vests
&J. VE ine �th A li�s nc�s Company SHIP City of Carmel Police Department
P.O. Box 426 TO 3 Civic Square
Pittsburgh, PA 1523089427 Carmel, IN 46032
ATTN: Major Jim Barlow
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
3 QUOTE #20562855
3 RMV024- 07 -LG -BK Releasable Mod vest, 2007, 10x12 PLT PKT 492.26 1,476.88
RMV024 -07; Large; Black
3 K3K3A- PAE -IGG Inserts, soft armor, IIIA, TWARON, Large 444.77 1,334.31
K3K3A PAE; Large
4 RMV024 -07 MD -BK Releasable Mod 12 PLT PKT 492.26 1,969.04
RMV024 -07;
4 KMA -PAE MR Inserts, r l I A.e�i edium 444.77 1,779.08
K3K3A -P iium
1 RMV024- 07 -ML -BK Releas I od -Vest, 2007, T 49�.Z8
RMV02 e�ium Long; B k
1 K3K3A -PAE ML Inse�� soft armor, III Afl °.MDL 444.77
KdKr AE; e X LLong
8 ADPO19 -BK MagSz e P le M A Q19; ck 19.71 149.68
2 ASGO19 -BK Pou. I *G�uge "gun 1 Rnd`s �A G019, Blk 33.49 66.98
8 MCR019 -BK Pou h ,Ch4dfcal m k, M lacy *MC Rr�N Black 36.89 295.12
8 RUS019 -SM -BK Rad ouch, niV6r '1 RUS019- Black 37.35 298.80
8 GPS019 -SM -BK PBan k >;al urpose smallK PSP) I °Black 25.71 205.68
8 P6PO19T -BK Groin ctor, /armor, ARONncP O 'T; Black 80.35 642.80
8 BPA019T -BK Bicpp robv�, w /armor, TW fSi 9 -T; Black 139.50 1,116.00
8 PFY019T BK Front Ya w or- °.TWARON;� F'0 Black 40.37 322.96
3 PCLO19T -LG -BK Collar, w rge; Black 42.01 126.03
Send Invoice To:
PCLO19T�MD -BK Collar, warm f f1' L Medium; Black 42.01 2.10.05
8 BSP019L -BK Flash Bank Pouch, arge; BSP019L; Black 16.75 134.00
5 10079896 Helmet assy, coral ach, MD, Blk, Pad 1/2" 338.55 1,692.75
5 10079900 Helmet assy, Coml ach, Lrg, Blk, 1/2" 338.55 1,692.75
8 AFP019R -9 -BK Magazine Pouch, double .9mm Dbl Stk; AFP019R -9, Blk 20.49 163.92
PLEASE INVOICE IN DUPLICATE 4
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 560 -0A uniform accussorie PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 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. J
ORDERED BY /:F /,f' llf;�r_" 11 T7
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
0 2 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
i
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 Slate 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
Mine Safety Appliances Company Purchase Order No. 18982RF
P.O. Box 426 Terms
Pittsburgh, PA 15230 -0426 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/1/08 1 94083334 payment for accessories 464.11
12/17/08 94102916 payment for accessories 66.47
12/29/08 94111218 payment for helmets 1,455.40
1123/09 94136237 payment for vests 803.60
2 /4/09 94149089 payment for vests S,985.08
Total 14
1 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
hf ly ER NO. WARRANT NO.
ALLOWED 20
s M
Appliances Company IN SUM OF
P.O. Box 426
Pittsburgh, PA 15230—
14,774.66
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18982RF 94083334 560 -02 457.11 bill(s) is (are) true and correct and that the
18982RF 94102916 560 -02 61.47 materials or services itemized thereon for
18982RF 94111218 560'02 3,385.50 which charge is made were ordered and
18982RF 94136237 560 -02 795.60 received except
18982RF 94149089 560 -02 9,914.08
1110 94083334 421 7.00
1110 94102916 421 5.00
1110 4111218 421 69.90
1110 7 421 8.00
1110 94149089 421 71.00
20
1• �f
Signature
Polic
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund