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Home My WebLink About218641 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 366761 Page 1 of 1 ONE CIVIC SQUARE TACTICAL NIGHT VISION COMPANY CHECK AMOUNT: $443.34 o, tro CARMEL, INDIANA 46032 25612 BARTON ROAD#328 ti.rod i� LOMA LINDA CA 92354-3110 CHECK NUMBER: 218641 CHECK DATE: 3125/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4239010 25553 17854-G 443 . 34 CHEMLIGHT TNVC INC. Invoice 1050 Nevada St. Suite 405 Date Invoice# Redlands, Ca. 92374 12/14/2012 17854-G Bill To Ship To Carmel Police Department Carmel Police Department Attn: Teresa Anderson Attn. SGTBrady Myers 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 P.O. No. Terms Due Date Ship Via FOB 25553 Net 15 12/29/2012 Q... Item Description Rate Amount 15 CYA-CHEMLT-GR-4-10 Cyalume Chemlight-Green(Foil Package),4"(6 Hour), 10-Pack 9.72 145.80 2 CYA-CHEMLT-IR-4-10 Cyalume Chemlight-IR,4" (8 Hour), 10-Pack 18.33 36.66 5 CYA-CHEMLT-BL-6-10 Cyalume Chemlight-Blue(Foil Package),6"(8 Hour), 10-Pack 13.09 65.45 10 CYA-CHEMLT-RD-6-10... Cyalume Chemlight-Red(Foil Package),6"(12 Hour), 10-Pack 15.85 15850 Shipping UPS Ground *****Bundle ship with Invoice 917851-G***** 36.93 36.93 Shipping All Gear Except 5 CYA-CHEMLT-GR-4-10 Shipped On: 0.00 0.00 01/31/2013 Tracking#: IZ558Y704246561220 Shipping 5 CYA-CHEMLT-GR-4-10 Shipped On: 02/13/2013 Tracking 0.00 0.00 #: IZ558Y704246590243 Phone# E-mail Web Site Sales Tax (0.0%) $0.00 (909)796-7000 sales @tnvc.com http:/hvww.tnvc.com Total $443.34 Export of U.S.manufactured night vision equipment is strictly prohibited without a valid export license issued by the U.S. Department of State Office of Defense Trade Controls, in accordance with International Traffic in Arms(ITAR),Title 22,Code of Federal Regulations Payments/Credits $0.00 Part 120-130,and/or the U.S. Department of Commerce. For further information contact the Office of Defense Trade Control a (202)663-1282 and/or the U.S. Department of Balance Due Commerce. $443.34 CArtnel INDIANA RETAIL TAX EXEMPT PAGE Cily ®f CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER s' 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 12113012 Tactical Night Vision Comparry Carmel Police Department VENDOR SHIP 3 Civic Squam 25592 Marten Road TO Carmel, IN 48032 Lima Lirlcla; CA 110 T ' ") 'ft • " r CONFIRMATION BLANKET CONTRACT PAYMENTTERMS , FREIGHT I l \j QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-390A0 15 Each Cyalume MILSPEC Cherrrligh9 (4") Green 0 hour $9.72 $145.80 2 Each Cyalume MILSPEC Chemligh4 (4") IR 8 hour $18.33 $36.66 5 Each Cyalume MILSPEC Chemlighl (60) SBIr "h $13.09 $65.45 ht (6' 10 Each Cyalume MILSPEC Che€nli g ).., •; ; r. � . .� _ $15.85 $158.50 1 Each ahtpp � • a $393 a' Sub Total* $"3.34 \YV 1v Send Invoice To: Carmel Police Department Attu:Tomsa Anderson 3 Civic Square Carrel, IN 41m PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $443.34 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. sPlVj NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE,IS'AN UNOBLIGATED BALANCE IN THIS APPR,OPIIII�jATIIOONN SUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. /�'!°"' •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. if( •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I /// k, ,,,,##cc g SHIPPING LABELS. !�Chime o Polls`@ •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - TITLE 1g// t'" AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Y DOCUMENT CONTROL NO. '" 0134 COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.' WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR S Board Members 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Tactical Night Vision Company IN SUM OF $ 25612 Barton Road #328 Loma Linda, CA 92354-3110 $443.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year Encumbered I hereby certify that the attached invoice(s), or 25553 17854-G 42-390.10 I $443.34 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 Wednesday, March 20, 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)) 12/14/12 17854-G chemlights $443.34 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