217319 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 252700 Page 1 of 1
ONE CIVIC SQUARE PRO-SHOT PRODUCTS, INC
CARMEL, INDIANA 46032 PO BOX 763 CHECK AMOUNT: $730.80
s•. •. TAYLORVILLE IL 62568
CHECK NUMBER: 217319
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 25623 40342 730 . 80 CLEANING SUPPLIES
Q Invoice
Bill Date I He'h P.O. Box 763 1/29/2013 IN10340342
Taylorville, IL 62568
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..'._ .�. ..� .;. BiII To � .� Ship To� �.. f. r, r ISM_ ...�
CITY OF CARMEL POLICE DEPT.
A'["I-N: SGT JELLISON
CITY OI CARMEL POLICE DEPT. 3 CIVIC SQ.
AT"I'N:"I"ERESA ANDERSON CARMEL, IN 46032
3 CIVIC SQ. USA
CARMEL IN 46032
P O 4Number Terms P e Gr`ou ;Shi Date
�, K e R_P p � P . ,
012813 Net 30 Days NA 1/29/2013 UPS GROUND IAYLORVILLEIL
Item# Quantity ' Desenption PnceEach Backorder Amount
u
11/8-1000 10 .22-.270 CAL. 11/8 SQ. IOOOCT Patches 9.99 99.90
3-500 10 12-16-Gauge 3" SQ. 500CT. 11.26 112.60
IOP-D 20 l Omm Dozen Pack 12.72 254.40
22CF-D 20 .22 Cal.Centerfire. Dozens Pack 12.72 254.40
Item Subtotal 721.30
UPS Shipped On: 01/31/2013 Tracking#: 19.00 19.00
IZ7689670367297324
UPS DISCOUNT UPS OVER$700 1/2 FREIGHT DISCOUNT -50.00% -9.50
Sales Tax (7.0%) $0.00
E mall
(217)824-9133 (217)824-8861 service a proshotproducts.com www.proshotproducts.com Total $730.80
Al
City Carmel INDIANA RETAIL TAX EXEMPT PAGE
®f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT y
35-60000972 �,�f 6� 3
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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
J12812013
Pro Shot Products Carmel Police Dapartmont
VENDOR TOHIP 3 CIVIC Square
P.O. Box 763 Carmel, IN 4I
T'aylorvillo, IL SM (W)571-25%
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-MA0
1 Each cleaning supplies $207.00 $207.00
Sub Total: $207.00
.. 4�a
q
Send Invoice To:
Carniol Poiico Dopartment
Attu: Taresa Anderson
3 Civic Square
Carmel, IN 40032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. f — PAYMENT $207.00
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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIAT ONA UFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ,1
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �rirtA�f!�PArrz�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
3 CLERK-TREASURER
DOCUMENT CONTROL NO. A. .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
received except
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/29/13 40342 weapon cleaning supplies $730.80
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
Pro Shot Products
IN SUM OF $
P.O. Box 763
Taylorville, IL 62568
$730.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
25623 I 40342 42-390.10 I $730.80 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, February 07, 2013
1
hief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund