HomeMy WebLinkAbout208401 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00351567 Page 1 of 1
ONE CIVIC SQUARE NAVAL SURFACE WARFARE CENTER
CARMEL, INDIANA 46032 ELECTRO -OPTIC TECH DIVISION CHECK AMOUNT: $900.00
BLDG 2044 CHECK NUMBER: 208401
CRANE IN 47522
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4353099 900.00 OTHER RENTAL LEASES
i
SHIPPING CONTAINER TALLY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 6 37 38 39 40 41 42 43 44 45 46 47 48 49 50
I N V OICE
Form Approved
OMB No. 0704-0246
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collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Washington Headquarters Services, Directorate for Information Operations and Reports, 1215
Jefferson Davis Highway, Suite 1204, Arlington, VA 22202 -4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704 -.0246 Washington, DC 20503.
1. FROM: (Include ZIP Code) SHEET NO. OF °.i. REQUISITION DATE 6. REQUISITION NUMBER
COMMANDING OFFICER NO. SHEETS
NAVAL SURFACE WARFARE CENTER 1 411012012
300 HWY 361 7. DATE MATERIAL REQUIRED! (YYMMDD) 8. PRIORITY
ELECTRO -OPTIC TECHNOLOGY DIVISION, BLDG. 2044 ATTN: (S. SUTTON D. OWENS)
CRANE, IN 47522
2. TO: (Include ZIP Code)
CARMEL POLICE DEPARTMENT 10. SIGNATURE 11 a. VOUCHER NUMBER DATE (YYMMDD) r
3 CIVIC SQUARE
CARMEL, IN 46032
POC: LT. JEFF HORNER PH: 317 571 -2721
3. SHIP TO MARK FOR 12. DATE SHIPPED (YYMMDD) I b.
SAME
13. MODE OF SHIPMENT 14. BILL OF LADING NUMBER
15. AIR MOVEMENT DESIGNATOR OR PORT REFERENCE NO.
4. APPROPRIATIONS SYMBOL AND SUBHEAD OBJ. CL. BUR. CONT. NO. SUBAL- AUTHORIZATION TRANS. PROPERTY ACCT'G COUN- COST CODE AMOUNT
LOT. ACCT'G ACTIVITY TYPE ACTIVITY TRY
ITEM FEDERAL STOCK NUMBER, DESCRIPTION, AND CODING OF MATERIAL AND /OR UNIT QUANTITY SUPPLY TYPE CON- UNIT TOTAL
NO. SERVICES OF REQUESTED ACTION CON- TAINER PRICE COST
ISSUE TAINER NOS.
(a) (c) (d) (e) M (g) (h) 0)
(1) NI HT VISIO EQUIPMENT 3 $300.00 $900.00
DATE: L7 Z
]LOAD AGREEMENT FROM 6/21/2012 TO 6/21/2013
AGREEMENT N00164 LIE ®2®7 -12
Supply Labor Charge
16. TRANSPORTATION VIA MATS OR MSTS CHARGEABLE TO 17. SPECIAL HANIDLING SENSITIVE NIGHT VISION EQUIPMENT
18. ISSUED BY TOTAL TYPE 19. CONTAINERS DATE BY SHEET TOTAL
0 CON- CON- DESCRIPTION TOTAL TOTAL RECEIVED' (YYMMDD)
R F TAINERS TAINER WEIGHT CUBE R EXCEPT AS
E E NOTED
C S CHECKED BY E QUANTITIES DATE BY GRAND TOTAL
A H RECEIVED (YYMMDD)
P I I EXCEPT AS
P P NOTED
T
DATE BY 20. RECEIVER'S
PACKED BY POSTI D (YYMMDD) VOUCHER NO.
TOTAL
_T
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/10/12 night vision goggles $900.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Commanding Officer Naval rface Warfare C
3
IN SUM OF
00 Hwy 361
Electro -Optic Technology Division, Bldg 2044
Crane, IN 47522
$900.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 530.99 $900.00
I hereby certify that the attached invoice(s), or
I
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
Wednesday, April 18, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund