217793 02/26/2013 ----------
='"�*, CITY OF CARMEL, INDIANA VENDOR:
ONE CIVIC SQUARE 366725
CARMEL, INDIANA 46032 RANGE
SYSTEMS Page 1 of
°M`0 5121 WINNET KA AVE N 1
NEW HOPE MN 55428 CHECK AMOUNT:
$1,680.00
CHECK NUMBER:
217793
DEPARTMENT C PO
II ACCO HECK DATE,.
y
UNT NUMBER INVOICE NUMBER 26/2013
I 1110 4239010 AMOUNT 12135 DESCRIPTION
1, 680 . 00
AMMUNITIONS & ACCESSO
SYSTEMS Invoice
5121 Winnetka Ave N
New Hope, MN 55428
2/18/2013 12135
Carmel Police Dept. Carmel Police Department
3 CIVIC SQUARE Sgt. Ryan Jellison
CARMEL, IN 46032 3 Civic Square
Carmel, In 46032
317-571-2599, 317-727-9862
Net 30 BB 2/18/2013 Lift Gat. . .
-
2 TP5014 GUARDIAN ASSEMBLY ea 840.00 1,680.00T
Thank you for the opportunity, Brandon Bernstein 612-747-7999.
Total $1,680.00
Phone # 763-533-9200 Fax # 763-537-6657 www.range-systems.com
I
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 25M 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
WW `13
Range Systems Carrel Police Department
VENDOR SHIP 3 Civic Squaro
TO
5121 Wnnetha Avonuo North Camel, IN 46M21
Now Hope, MN 5U28 (317)571
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 A0
2 Each guts clear boxes TP5014 $840.00 $1,880.00
Sub Total: $1,680.00
Au
`• 4k
•off
Send Invoice To:
Canvei Police Department
Attu:Teresa Anderson
3 Civic Square
Camel, IN 48132- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. ,,---� � a PAYMENT $1,680.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION,SUFFICI ENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL r
SHIPPING LABELS. E` p
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Cd e9 of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
2'5 V 4 6 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
_ IN THE SUM OF$
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
received except-__
i
20 f
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))
02/18/13 12135 gun clear boxes $1,680.00
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
Range Systems
IN SUM OF $
5121 Winnetka Avenue North
New Hope, MN 55428
$1,680.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25646 I 12135 I 42-390.10 I $1,680.00 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
Thursday, February 21, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund