212934 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 366514 Page 1 of 1
`° `•` ONE CIVIC SQUARE BRIGHTFLASHLIGHTS.COM
.� CARMEL,INDIANA 46032 1845 NE 63RD STREET CHECK AMOUNT: $582.00
OCALA FL 34479 CHECK NUMBER: 212934
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 25467 13410 582 . 00 EOTECH EXPS3-0 SITE
Brigh tFlashligh ts.com Invoice
1845 NE 63rd Street
Ocala, FL 34479ATE< »><: INUOICE'#'
Ph. #: (352) 732-2156
Mon.-Fri. 1 I am - 7pm EST 911212012 13410
BILL TO SHIP 7(l.
Carmel P.D.
Teresa Anderson
3 Civic Square
Carmel IN 46032-2584
25467
ITEM:: . - «:....:::.::. .. .
......
RIPTION :;;::.::.::.. QTY RATE::.....:.:.. . .::...AMOUNT::::...:..
EOTech EXPS 3.0 1 582.00 582.00
Please remit payment to our above address within 30 days. Subtotal 582.00
Thank you.
6% Tax
C0 INDIANA RETAIL TAX EXEMPT PAGE
1 of Carmel CERTIFICATE NO.003120155 002 0\��/// Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26w
35-60000972
ONE 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
014120`12
BrIghtl°lashlighta.com Caffnel Pollee Department
VENDOR SHIP 3 Civic Square
1845 NE 63rd Stmet TO Carmel, IN 46032
Ocala, FL 34479
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS t FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.10
4 Each EOTech EXITS 3-0 site $582.00 $382.00
Stab Total: $582.00
Send Invoice To:
Carmel pollee Det3artment �•,:
Attn: Temsa An demon
3 Civic Square
Cartel, IN 46M_
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $5R.00
J 4` A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF�Y�MAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL I•• I> !/
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 -TITLE �Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
"� A_ . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. __---___---WARRANT
ALLOWED 20
IN THE SUM OF$
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 except._-_-__,.,.--
20
.............-...._..................................._._... _------------------
Signature
....................................................................................--------..._.........- --......-.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brig htFlashlights.com
IN SUM OF $
1845 NE 63rd Street
Ocala, FL 34479
$582.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25467 I 13410 I 42-390.10 ( $582.00 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
Wednesday, September 19, 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))
09/12/12 13410 site $582.00
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