218308 03/14/2013 CITY OF CARMEL, INDIANA VENDOR: 366725 Page 1 of 1
ONE CIVIC SQUARE RANGE SYSTEMS
CARMEL, INDIANA 46032 5121 WINNETKA AVE N CHECK AMOUNT: $118,251.00
?� NEW HOPE MN 55428
CHECK NUMBER: 218308
CHECK DATE: 3/14/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
900 4359023 12153 3 , 360 . 00 RANGE IMPROVEMENTS-CP
900 R4359023 25526 12153 105, 819 . 00 ENCAPSULATOR BLOC BUL
900 4359023 25663 12176 9, 072 . 00 DURA BLOC
RANGEME
SYSTEMS Invoice
5121 W innetka Ave N
New Hope, MN 55428
2/27/2013 12176
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 2/27/2013 Lift Gat. . .
144 RB1000 DURA-BLOC, 24" X 12" X 9" ea 63.00 9,072.00T
NSN: 9320-01-565-6471
Thank you for the opportunity, Brandon Bernstein 612-747-7999.
Total $9,072.00
Phone # 763-533-9200 Fax # 763-537-6657 www.range-systems.com
In Range Supplies Invoice
By: Range Systems, Inc. -
5121 Winnetka Ave N 2/25/2013 12153
New Hope, MN 55428
12-49 City of Carmel 9601 Hazel Dell Pkwy
Carmel, IN 46032
USA
MIM
Net 30 3/27/2013 25526 Best Way 2/25/2013
1.00 SALES . . . City of Carmel complete ea 105819.00 105819.00T
draw
1.00 SALES . . . Change Order ea 3,360.00 3360.00T
Sales Tax (0.0%) $0.00
Total $109,179.00
Phone# 763-533-9200 Fax # 763-537-6657 www.range-systems.com
INDIANA RETAIL TAX EXEMPT PAGE
City ®f�II �',armel 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,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
I PM2013
In Range Supplies Camel Police Department
VENDOR SHIP 3 Civic Square
TO
5i2l Wnnetka Avenue North Camel, IN 46M
New dope, WIN X28 (W)571-2%9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY
�,k �y UNIT
s�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
nt 00�F
Accou .23
9 Each Encapsulator Bloc Ballet trap accessories $3,360.60 $3,360.00
Sub Total, $3,360.00
o t'
Send Invoice To:
Carmel Police Department
Attn: ToreszI Anderson
3 Civic Square
Carmel, IN 4 _@ PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cannel Police Dept. - , PAYMENT $3,360.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE let of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 v 5' ERK-TREASURER
DOCUMENT CONTROL NO. A.A.P. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._-_-___.
ALLOWED 20
IN THE SUM OF$
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
1 _
_ t .
20 j
.......................................................................................................................................................__.._...._
Signature
...................................................................................................................
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
INDIANA RETAIL TAX EXEMPT PAGE
Cit of ltis C°- rm' el CERTIFICATE NO.003120155 002 0
//// `V PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 25526
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,Al
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
I11 2012
RI g@ tetfir Camel Police Department
VENDOR SHIP 3 Civic S1 uam
5121 Wnnetka Avenue North TO Camel, IN 40032
Now Hop@, MN 66,428 '(317)571 2059
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 00 6.23
1 Each Encapsulator Bloc Bullet Trap $105,819.00 $105,819.00
Saab Total, $105,819.00
,S f. h� •v .tiA
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`Y._ 4 n ", ..„gam„•._ " • •v`'`., � I�,
a„ m s moo'•. : Y
d'Y. a. �.• m p e �t
^._/'••A a ammr mom��. f f: .
Send Invoice To: �.g+l ? �_, -;�� Vii, ,?• ;. � � ,
Camel Police Departmen .'Z
Attn. Tarosa Anderson
3-Civic Square
Camel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �` ��> PAYMENT $105,89g.00
i A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
�• NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
'�..� VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE-IN...,
THIS APPROPRIATION;SUF ICIENT TO PAY FOR THE ABOVE ORDER. '
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. °��
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
//Chlaf SHIPPING LABELS. g�y THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2.x•..5 2)6 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.__--.---__.------
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#MTLE 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
20
-............................
Signature
--.............................................................................................................................................................
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CiINDIANA RETAIL TAX EXEMPT PAGE
ty 0' CArmel CERTIFICATE NO.003120155 002 0 11 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,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
In Range Supplies Carmel Police Department
VENDOR TOIP 3 CIVIC Square
5121 1iinnotka Avenge North Camel, IN
Now Hope, MN 564 (317)671-2559
CONFIRMATION B=UNIT PAYMENT TERMS FREIGHT
QUANTITY DESCRIPTION UNIT PRICE EXTENSION
Accou nt 004M' .23
144 Each Dora-Bloc. RI31000 $03.00 $9,072.00
Saab Total: $9,072.00
B F ) F.`.°tit 4� •• w'� �,�. ' ` _
sl �1 fh / ,•.�
4
#.
� t
�. ems.• "• W r
Send Invoice To:
Carmel Police Department
Attn: 'Teresa Anderson
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. _ � 3 PAYMENT $9'072.00
C
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
`�'`�• NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
s
SHIPPING LABELS. ` hfe o6 d Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE r"
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 5 6>C�r CLERK-TREASURER
DOCUMENT CONTROL NO. A. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--___---.
ALLOWED 20
IN THE SUM OF$
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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---------------- --- -- - --
20
..................................................................................................................
Signature
........................ ......................................
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
In Range Supplies ALLOWED 20
IN SUM OF $
5121 Winnetka Avenue North
New Hope, MN 55428
$118,251.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Grant Fund`
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
L
I hereby certify that the attached invoice(s), or
12153 -590.23 $3,360.00_
bill(s) is (are) true and correct and that the
25526 12153 -590.23 $105,819.00
materials or services itemized thereon for
25663 12176 -590.23 $9,072.00 which charge is made were ordered and
received except
r
I
Wednesday, March 06, 2013
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))
02/25/13 12153 encapsulator bloc bullet trap $3,360.00
02/25/13 12153 encapsulator bloc bullet trap $105,819.00
02/27/13 12176 dura-bloc $9,072.00
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