219952 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 366993 Page 1 of 1
ONE CIVIC SQUARE WITMER PUBLIC SAFETY GROUP INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,065.90
` 104 INDEPENDENCE WAY
COATSVILLE PA 19320 CHECK NUMBER: 219952
CHECK DATE: 517/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 25662 1470962 1, 065 . 90 HAT BADGE
Witmer Public Safety Group 1
�l `0CE
104 Independence Way 1
Coatesville, PA 19320 ,
lefireStare.tam
`• Invoice Number,. 'r`"Date ` `Page
Phone: (800) 852-6088
Fax: (888) 335-9800 1470962 April 19, 2013 1 of 1
ShipTo: .....,._._ ._
Carmel Police Dept. Carmel Police Dept.
3 Civic Square 3 Civic Square
Attn: Teresa Anderson Attn: Teresa Anderson
Carmel, IN 46032 Cannel, IN 46032
C-ustorner-113 - -Sales-Person- -_-P.O.-Number=. -Ship"-Date -_Ship Via--- Payment-T.erm� —_
CARMPO DIANE H 25662 4/19/2013 GROUND Net 30 days
Line I product Code Description Quantity Unit Extended `
Item Ordered Shipped Back Order Price 'Price
1 TFSM426HGNAS SPO Smith&Warren Custom Built Badge 15 15 0 68.99 1,034.85
Nickel Finish
Badge Color:TFSM4261-IG,NICKEL
Font Type: NONE
Enamel Color: NONE
Seal: INE(INDIANA)
Attachment: SCREW&CLUTCH
Badge Shape: CURVED
Subtotal 1,034.85
Please Direct All Payment Inquiries To: Freight 31.05
Accounts Receivable sales Tax -
800-852-6088 Total 1,065.90
invoices&thefirestore.com Amount Paid 0.00
invoices a,officerstore.com Customer Signature:
Balance $1,065.90
--———————————————————— —— L————
INDIANA RETAIL TAX EXEMPT PAGE
City o Carmel CERTIFICATE NO.003120155 002 0 Jl 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,
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
C4 is r l�s .car� Carmel Police Department
VENDOR SHIP 3 CIVIC qu
TO
103 lndvpande ice way Carmel, IN 482
Ceateavllle; PA i (317)579 l9
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account • O.0i
15 Each Smith &Wesson flat Badge M426HG $67.50 $1,012.50
Sub Total., $1,012.50
' 3' `alt d' `�jy�0a�,• �''d....-^..
I
Send Invoice To: '
Carmel Police Department
Attn. Temsa Anderson
3 Civic Square
Camel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. �'ti�k�°�
� �-, PAYMENT ' 9,012.
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
it VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SU FICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 0 l g of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
2 5 6 2 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P. . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
20
............................................................................................................................................................................................................
Signature
......................................................................
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Witmer Public Safety Group, Inc.
(Officerstore.com) 3 IN SUM OF $
104 Independence Way
Coatesville, PA 19320
$1,065.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I
I hereby certify that the attached invoice(s), or
25662 1470962 43-560.01 $1,065.90
bill(s) is (are) true and correct and that the
t materials or services itemized thereon for
which charge is made were ordered and
{
received except
Wednesday, May 01, 2013
41Z 1
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))
04/19/13 1470962 Honor Guard hat badges $1,065.90
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