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Home My WebLink About208447 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 357260 Page 1 of 1 ONE CIVIC SQUARE ROCK RIVER ARMS INC CARMEL, INDIANA 46032 1042 CLEVELAND ROAD CHECK AMOUNT: $4,155.00 COLONA IL 61241 CHECK NUMBER: 208447 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4239010 25959 441541 3,195.00 AMMO /ACCESSORIES 1110 R4239010 25959 441545 960.00 AMMO /ACCESSORIES Rock River Arms, Inc. 1042 Cleveland Rd Colona, IL 61241 Oc 866.980.ROCK (7625) Fax 309.792.5781 RMSjNC. www.RockR!verArms.com MADE IN U.S.A. CUSTOMER SHIP TO ID 46032 -CARM CUSTOMER BILL TO ID 46032 -CARM CARMEL METRO POLICE DEPARTMENT CARMEL METRO POLICE DEPARTMENT #3 CIVIC SQUARE 43 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 INVOICE PAGE NO. 1 CUSTOMER PO TERMS ORDER DATE DATE WANTED INVOICE DATE INVOICE 25959 NET 30+ 02/10/2012 02/10/2012 04/09/2012 441541 PART NUMBER DESCRIPTION QTY QTY QTY UNIT TOTAL ORD SHIP BACK PRICE PRICE LE2020 LE .223 CAR A4 14.5" SBR W /A2 CH 4 4 0 765.00 3060.00 CM238259 CM238260 CM238261 CM238262 SUB SUB DOMINATOR 2 SIGHT MOUNT 4 4 0 0.00 0.00 NFAFEE NFA FEE 1 1 0 35.00 35.00 SBRNFA SBR -ALL NFA RULES APPLY 1 1 0 0.00 0.00 ENGRAVE LE MARKED LOWER 4 4 0 0.00 0.00 SUB SUB 10.5" CL (AR0225CL) 1 1 0 0.00 0.00 SUB SUB H3 BUFFER 1 1 0 0.00 0.00 Rock River Arms, Inc. intends the products shipped on this invoice /packing list for domestic distribution, resale, and use only. Export by any party is expressly restricted by ITAR and the U.S. State Department and Department of Commerce. THANK YOU FOR YOUR ORDER SUBTOTAL: 3095.00 LAW ENFORCEMENT DISCOUNT: 0.00 AGENCY PURCHASE PO# 25959 FET OUT POSTAGE 100.00 ATTN: TERESA ANDERSON LE SRM RH SHIPPABLE TOTAL: 3195.00 ORDER TOTAL: 3195.00 0.00 BUS. LIC. TOTAL AMOUNT DUE: 3195.00 LIC. EXP. DATE Rock River Arms, Inc. 1042 Cleveland Rd Colona, IL 6124 1 O C 866.980.ROCK (7625) Fax 309.792.5781 Rr4sjNc. www.RockR!verArms.com MADE IN U.S.A. CUSTOMER SHIP TO ID 46032 -CARM CUSTOMER BILL TO ID 46032 -CARM CARMEL METRO POLICE DEPARTMENT CARMEL METRO POLICE DEPARTMENT #3 CIVIC SQUARE #3 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 INVOICE PAGE NO. 1 CUSTOMER PO TERMS ORDER DATE DATE WANTED INVOICE DATE INVOICE 25959 NET 30+ 02/10/2012 02/10/2012 04/09/2012 441545 PART NUMBER DESCRIPTION QTY QTY QTY UNIT TOTAL ORD SHIP BACK 1111111111111111 PRICE PRICE LE2020 LE .223 CAR A4 14.5" SBR W /A2 CH 1 1 0 935.00 935.00 CM238258 SUB SUB SUREFIRE M -73 QUAD RAIL 1 1 0 0.00 0.00 SUB SUB DOMINATOR 2 SIGHT MOUNT 1 1 0 0.00 0.00 SBRNFA SBR -ALL NFA RULES APPLY 1 1 0 0.00 0.00 ENGRAVE LE MARKED LOWER 1 1 0 0.00 0.00 MISC NFA FEE ON ORDER 441541 1 1 0 0.00 0.00 SUB SUB 10.5" CL BBL (AR0225CL) 1 1 0 0.00 0.00 SUB SUB H3 BUFFER 1 1 0 0.00 0.00 Rock River Arms, Inc. intends the products shipped on this invoice /packing list for domestic distribution, resale, and use only. Export by any party is expressly restricted by ITAR and the U.S. State Department and Department of Commerce. THANK YOU FOR YOUR ORDER SUBTOTAL: 935.00 LAW ENFORCEMENT DISCOUNT: 0.00 AGENCY PURCHASE PO 25959 FET OUT POSTAGE 25.00 ATTN: TERESA ANDERSON LE SRM RH SHIPPABLE TOTAL: 960.00 ORDER TOTAL: 960.00 0.00 BUS. LIC. TOTAL AMOUNT DUE: 960.00 LIC. EXP. DATE INDIANA RETAIL TAX EXEMPT PAGE Ci iC rme l CERTIFICATE NO. 003120155 002 0 lvs 1� PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25M 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL•, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 92A M99 Rock I1IbarArms, Inc. Cmmol Police Draparlmant i VENDOR SHIP 3 Civic Squm 9042 ClovGland Board TO Ca mai, IN 4 C ®Iona, IL 69241 (W) 579.25 CONFIRMATION =UNIT .PAYMENTTERMS FREIGHT Accou DESCRIPTION UNIT PRICE EXTENSION Account Q L q -pe, "aI 10 1 Each NFA processing W $33.00 $35.00 1 Each SureFi M73 g $17e00 $970.00 5. replace w/Dom 5 Ea R saml- y $705.00 $3,825.00 alfioma4lc only o a> ,c� t l� e Sub Total: o� a fir° t c Send Invoice To: Camol Pollce Dop@dmont Attn: Tema Andomon 3 Civic Ogum Carmel, IN 4M- PLEASE INVOICE IN DUPLICATE f 00 w DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Caffnel Police Dept. 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. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS SHIP REPAID. THIS APPROPRIA SU�FFICIENTTO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL /a ,,�q SHIPPING LABELS. bl�llpll o F PQllao THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 9 5� A P.V. LERK 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 4 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/09/12 441545 weapons $960.00 04/09/12 441541 weapons $3,195.00 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 Rock River Arms, Inc. IN SUM OF 1042 Cleveland Road Colona, IL 61241 $4,155.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Enewnh`r`d I hereby certify that the attached invoice(s), or 25959 441545 42- 390.10 $960.00 Encumbered bill(s) is (are) true and correct and that the 25959 441541 42- 390.10 $3,195.00 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