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Home My WebLink About210529 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 357260 Page 1 of 1 0 ONE CIVIC SQUARE ROCK RIVER ARMS INC CARMEL, INDIANA 46032 1042 CLEVELAND ROAD CHECK AMOUNT: $420.00 COLONA IL 61241 CHECK NUMBER: 210529 CHECK DATE: 7/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 26180 473090 420.00 TRIGGER KITS V E� IFZ am ;CUSTOMER SHIP TO'ID# 46032 CARM k CUSTOMER BILL TOi'ID# 46032 CARM CARMEL 0"' POLICE DEPARTMENT CARMEL METRO POLICE DEPARTMENT #3 CIUIC SQUARE #3 CIUIC� SQUARE f CUSTOMER PO TERMS ORDER DATE INVOICE DATE INVOICE PAGE NO. SGT JELLISON NET 30+ 05/24/2012 05/24/2012 473090 1 PART NUMBER DESCRIPTION QTY QTY QTY LIST DISC UNIT TOTAL ORD SHIP BACK PRICE PRICE PRICE AR0093NMK NM 2 -STAGE TRIGGER KIT 5 5 0 75.00 375.00 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 3175712559 FET CERT ON FILE PO 26180 *NEXT DAY DELIVERY SUBTOTAL: 375.00 ATTN: SGT. R JELLISON NET 30 DAYS DISCOUNT: 0.00 LE SRM RH POSTAGE 45.00 SHIPPABLE TOTAL: 420.00 ORDER TOTAL: 375.00 0.00 TOTAL AMOUNT DUE: 420.00 INDIANA RETAIL TAX EXEMPT PAGE C of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 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. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 92 Rack MwAms, Inc. Camel Police Dapaitmant VENDOR SHIP 3 Clerk Rqumm 9042 CIGVGIand Road TO Cmmol, IN Colon, IL SiM (w 67i -M CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 -0.90 5 Each RRA HM 2 stage trigger Kits AR0093IdMK $75.00 $375,00 Sub Total: $375.00 Ah B a AR d Send Invoice To: Carmel Police Department Attn: Tomoa Anderson 3 CIVIC squam Camel, IN 2= PLEASE INVOICE IN DUPLICATE DEPARTMENT "s� ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Came Police Dept. PAYMENT $N5•00 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTI Y rAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROP TI NTHIS APPROP N SUFF�PAY FOR THE ABOVE ORDER. THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. ,�a THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chlof o$ Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 6 1 8 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 POD' 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Rock River Arms, Inc. IN SUM OF 1042 Cleveland Road Colona, IL 61241 $420.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 26180 I 473090 I 42- 390.10 I $420.00 1 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 Thursday, June 28, 2012 Chief of Police 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)) 05/24/12 473090 trigger kits $420.00 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