216771 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00350185 Page 1 of 1
ONE CIVIC SQUARE BILL KEHL
CHECK AMOUNT: $675.00
CARMEL, INDIANA 46032 8645 SOUTH STREET
FISHERS IN 46038 CHECK NUMBER: 216771
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 25615 1152013 675 . 00 CASES
William D Kehl INVOICE
William D Kehl
8645 South Street Date Invoice#
Fishers IN 46038 1/15/2013 1152013
Bill To: Carmel Police Department
3 Civic Square
Carmel, IN 46032
Comments or Special Instructions:
Rs� N sx I = re, ���f
P:O t�N1BE � = , SHM DATE 'SfiP�Vliq= F O$t3 POINTTERiviS'
SALESPERSON
� -
x
6 N/A Pick Up Due on receipt
,QUANTITY _ DESCRIPTION UN PRICE AMOUNT
3 Gun Walnut Presentation Cases $ 225.00 $ 67500
SUBTOTAL
TAX RATE 0.00%
SALES TAX
SHIPPING & HANDLING
TOTAL $ 3##67
r�X'
Please submit copy of invoice with payment.
Phone# Fax# Web Site
317-727-5579
City ®f � INDIANA RETAIL TAX EXEMPT PAGE rnie n CERTIFICATE NO.
003120155 002 0
ONE CIVIC SQUARE
FEDERAL EXCISE TAX EXEMPT PURCHASE ORDER NUMBER
,
CARMEL, INDIANA 46032-2b84:
35-60000972
IFORM APPROVED BY9�
STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL THIS NUMBER MUST APPEAR ON INVOICES, Vp
PURCHASE ORDER DATE 1997 VOUCHER, DELIVERY MEMO, PACKING SLIPS
DATE REQUIRED SHIPPING EASELS AND ANY CORRESPONDENCE.,
REQUISITION NO.
VENDOR NO.
IDESCRIPTION
llllanq D. Kalil
VENDOR
5 South Street SHIP
C&meal POIICG Dap.,Amant
TO 3 Civic gqu@m
IalsHtNK tt CO • CU M01, IN
CONFIRMATION BLANKET CONTRACT t� y
PAYMENT TERMS �•�$�� ( a° �
QUANTITY UNIT OF MEASURE FREIGHT
kccOtJnt 42
DESCRIPTION
.E
UNIT PRICE
Eod) nla�gun presIpntallon EXTENSION
s s�
Sub Total: ----
.1..1%�
4fyQ
9 Invoice TO: °• °'° °°( 4
Carmoi Rallc@
Attn:TGmsa Anderoon
3 Civic Squall
Carmol, IN 46M.
.
DEPARTDEPART MENT PLEASE INVOICE IN DUPLICATE
Nice IC� Dep$ ;, . PROJEC I PROJECT,gCCOUNT
AMOUNT
PAYMENT o�,
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
SHIPPING INSTRUCTioNS VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
• I HEREBY CERTIFY TH,4T THERE IS AN UNOBLIGATED BALANCE IN
THIS APPST TO PAY FOR THE ABOVE ORDER.
ORDERED BY
SNIP A\ �A����8E PCCEP�EO•R�N P�� /
S�\QMENTS �RM�St PPPEP s`�t� i07 of oattea
gg P��S
CLERK-TREASURER
`�`�AoPV-SIGN AND RETURN TO CLERK'S OFFfCE
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))
01/15/13 1152013 gun presentation cases $675.00
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
William D. Kehl
IN SUM OF $
8645 South Street
//j qI ()39 —
$675.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
25615 I 1152013 I 42-390.99 I $675.00 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
Friday, January 25, 2013
4Z, Chief of Police
Cost distribution ledger classification if
claim paid motor vehicle highway fund