214412 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 261500 Page 1 of 1
0 ONE CIVIC SQUARE RAY O'HERRON CO INC CHECK AMOUNT: $3,949.02
CARMEL, INDIANA 46032 PO BOX 1070
DANVILLE IL 61834 CHECK NUMBER: 214412
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 1226457-IN 3 , 949 . 02 AMMUNITIONS & ACCESSO
RAY Page: 1
0 O'HERRON Invoic e, .
Invoice Number: 1226457-IN
3549 North Vermilion Street 1-800-223-2097 Invoice Date: 10/31/2012
PO Box 1070 www.oherron.com
Danville, IL 61834-1070 rayoherron @oherron.com Order Number: 1215963
Suppliers of public safety equipment since 1964 Order Date 10/30/2012
Salesperson: GC
Sold To: Customer Number: 46032PD
CARMEL POLICE DEPT Ship To:
3 CIVIC SQUARE CARMEL POLICE DEPT
CARMEL,IN 46032 3 CIVIC SQUARE
CARMEL, IN 46032
Confirm To:LT DWIGHT FROST
Customer P.O. Ship VIA Terms
25507 UPS NET 30 DAYS
Item Number Ordered Shipped Back Ordered Price Amount
SLW
22002 3.00 3.00 0.00 950.00 2,850.00
TASER®X2,BLACK
22012 3.00 3.00 0.00 49.95 149.85
X20 TACTICAL PERF.POWER MAG.
22501 3.00 3.00 0.00 59.95 179.85
X2®HOLSTER,BLACKHAWK®,RH
22150 12.00 12.00 0.00 26.95 323.40
X2®15'LIVE SMART CARTRIDGE
22014 3.00 3.00 0.00 299.99 899.97
X2®4-YEAR EXTENDED WARRANTY
/TASER TRADE 3.00 3.00 0.00 160.00- 480.00-
TASER TRADE-IN
TASER X2 TRADE-IN PACKAGE.PLEASE
SHIP COMPLETE.
PLEASE SEND TRADE-IN TO RAY
O'HERRON CO.WITHIN 30 DAYS OF
RECEIPT OF ORDER TO INSURE PROPER
CREDIT.
----------------------------
----------------------------
ADD ACTUAL FREIGHT CHARGES
----------------------------
----------------------------
Net Invoice: 3,923.07
Less Discount: 0.00
Freight: 25.95
Sales Tax: 0.00
Invoice Total: 3,949.02
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER
4
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,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. _[_L__VENDOR NO. DESCRIPTION
�0209�
Ray O'Herron Co., Inc. Camel Police Department
VENDOR SHIP 3 Civic Squaw
E.O. Box 10'70 TO Camel, IN 46032
Danville, l6 61M4070 (3 17)571 2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42a0A0
3 Each X2 Tasers W.black 22002 $950.00 $2,850.00
3 Each TPIPM Battery 22092 $49.05 $149.85
3 Each X2 Serpa Moister $59.95 $170.85
12 Each X2 Cartridges p 4 r $26.95 $323.40
3 Each 4-Yer Extended Warrant ` "2d014� Y �' '�' $299.99 $899.97
3 Each'Trade-in ($160•00) ($480.00
z °' • Saab Total: $3,023.07
Send Invoice To:
Carmol Police Department Lj
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 46M2. PLEASE INVOICE IN DUPLICATE
DEPARTMENT a ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Garret Police Dept. �� PAYMENT $3,923.07
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ,��ti
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. of police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Cuef
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
r° CLERK-TREASURER
DOCUMENT CONTROL NO.
�°' `�AAAAA .�. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
i ALLOWED 20
IN THE SUM OF$
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
Ray O'Herron Co., Inc.
IN SUM OF $
P.O. Box 1070
Danville, IL 61834-1070
$3,949.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25507 I 1226457-IN I 42-390.10 I $3,949.02 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, November 01, 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))
10/31/12 1226457-IN tasers/accessories $3,949.02
I 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