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Home My WebLink About216360 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1 ONE CIVIC SQUARE BROWNELLS INC CARMEL, INDIANA 46032 200 S FRONT STREET CHECK AMOUNT: $342.65 MONTEZUMA IA 50171-1000 CHECK NUMBER: 216360 CHECK DATE: 1/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 8329736 342 . 65 AMMUNITIONS & ACCESSO INVOICE #: 0 8 3 2 9 7 3 6 . 0 0 6seco06 01/02/2013 08:55:48 B ROWNE L L S , INC . (46032-CITY) 736.00 200 SOUTH FRONT STREET heatherm-C MONTEZUMA, IOWA 50171-1000 DLR GVN IAR ACCOUNT #: 00296101 800-741-0015 INVT 24 HR. FAX # (641) 623-3896 U4 P4 SOLD TO: CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235 ATTN: TERESA ANDERSON * * * I N V O I C E 3 CIVIC SQUARE CARMEL IN 46032 SHIP VIA: UPS - GROUND PAYMENT METHOD: OPEN ACCOUNT SHIP TO: CARMEL POLICE DEPT. TERMS: NET 30 ATTN: SGT JELLISON 3 CIVIC SQUARE CARMEL IN 46032 FAX #: 317-571-2507 STOCK PRODUCT QTY QTY B/O, RETAIL UNIT TOTAL NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE 100-002-868WP J06006B V-TAC WIDE PADDED SLING, BLACK 10 39.99 32.87 328.70 1 ---- 11 ------------------------------------- *** ORDER ON THE WEB AT www.brownells.com *** ------ ----- INVOICE #: 08329736.00 ORDER TOTAL: 328.70 UPS - GROUND: 13 .95 n' ---------- + GRAND TOTAL: 342.65 *** MAIL INVOICE FROM FRONT *** CiINDIANA RETAIL TAX EXEMPT PAGE ty ,.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, 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 '1110M13 Brownolls Inc. Carmal police Depaftment VENDOR TOIP 3 CIVIC squam South Front Street Carmel, IN 46032 Mont(Dai Ia, IA SOM (31?)571 2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-M.10 9 Each shipping charges $13.95 $13.95 10 Each tools/slings $32.87 $328.70 Seib Total: $342.05 rj A4, ,- a Send Invoice To: Camel Police Department Attn: Tomsa Andemon 3 Civic Square Camel, IN 460V-- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. \ U5� PAYMENT $342.66 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 THIS APPROPRIATION SUFFICIENT SHIP REPAID. ICIENT TO PAY FOR THE ABOVE ORDER. • � •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY •PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE !R`{v[F+, �$93sa13ae•,n, �....�s ... ......� AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 0602 CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.......:....- . __WARRANT NO...... ........_......._ ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members 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 receivedexcept_..---.-.-...-----...................------._....------- ------------------------------- ,-. --.-...............--..................-................._........-.........................-......................-................--.......--...--.......-.....----....... .. 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. I Payee Purchase Order No. i Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) j 01/02/13 8329736 slings $342.65 i I 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Brownells Inc. IN SUM OF $ i 200 South Front Street i Montezuma, IA 50171 $342.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25602 I 8329736 I 42-390.10 I $342.65 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 Monday, January 14, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund