222515 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 367290 Page 1 of 1
ONE CIVIC SQUARE NORTH AMERICAN RESCUE
CARMEL, INDIANA 46032 35 TEDWELL COURT
CHECK AMOUNT: $2,703.20
GREER SC 39650
CHECK NUMBER: 222515
CHECK DATE: 7/30/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 25363 IN130649 2 , 703 . 20 TOURNIQUET COMBAT
Remit To: Invoice#f .� IN130649
North American Rescue LLC
35 Tedwall Court Inv�oice Date °`` 711912013
Greer SC 29650 Date Stip`petl,�,•�.;a 7/18/2013
Toll Free: (888)689-6277
Pages
NORTH AMERICAN RESCUE'Phone: (864)675-9800 q���/ P
vw .NARa=ummm•888.689.6277 Fax: (864)675-9880 I/ i/®��5�
Bill To: 19671 Ship To: BILL TO PO# 35363
CARMEL POLICE DEPARTMENT
CARMEL POLICE DEPARTMENT ATTN: SGT. BRADY MYERS
ATTN: TERESA ANDERSON 3 CIVIC SQ
3 CIVIC SQ CARMEL IN 46032-2584
CARMEL IN 46032-2584
(317) 57.1-2559
iCOnt Ct NBme• a,,`.=` r". .. �* ,, n g �� E �. r°' r : a v <
,Contact,i?fione Received_Via , "Shl� in "Method, ,FOB T" a �i.�_ -Pa mentTerms =Order,No. rtv.,. Masterii
TERESA ANDERSON 317-57.1-2559 1 FAX 420-.UPS GRND– DESTINATION NET 30 __OR93.491_ —_125,310
5=°Y° "':i d.3 rt=-gr - C^`"•,:. s r-- r. ,iy � f+ 4 5ro,mt ^,>-e € �k -t ors. S ;'.. '"i ,.= S ,.-, ":
Orderedi,".Shi ed "IteW 76Fnl er=, .iDescri tion, ,�s u: - a ... � - �� . -� Discount. m`Umt.P ice �Ezt Price?.
120 120 30-0001 TOURNIQUET,COMBAT APPLICATION-BLK $0.00 $22.11 $2,653.20
1 1 SHIPPING CHARGE """SHIPPING CHARGES $0.00 $50.00 $50.00
Tracking: UPS GROUND
1ZV8F0720358709340
rr ,.
INVOICE IN DUPLICATE NAR Tax ID#:27-1024029 Sulitotalt $2,703,20
NAR Duns#:832426782 7
D �t,,, $0.00
THANK YOU FOR YOUR ORDER! Frel ht�� f�'-_� $0.00
SINCERELY,SUSAN HORTONTax $0.00
'Invoice:Total .` $2,703.20
;Pa merit Recd° $0.00
Balancebuer:,'. $2,703.201
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,
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
7B1S12013
Noith American Rescue, LLC Carmel Police Department
VENDOR SHIP 3 Civic Square
TO
Tedwall Court Calm lN i
Glees, SC ,� T i
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
Account :JUUNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42`47811.
120 Each 'Tourniquet, Combat Application 30-0001 $22.11 $2,653.20
1 Each shipping charges $50.00 $50.00
Sub Total: $2,763.20
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011nto 00 147
Send Invoice To:
Camel Police Depadment
Attn- Teresa Andemon
3 Civic Squam
Carne!, IN 46=•• PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT 77777P60JECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $2,703.20
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
.. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
r
SHIPPING INSTRUCTIONS I HEREBY CERTIF j THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT-'TO PAY FOR THE ABOVE ORDER.
• / I C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /!/
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL Alef SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. - V
J 55 3 G 3 CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
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
North American Rescue, LLC
IN SUM OF $
35 Tedwall Court
Greer, SC 39650
$2,703.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25363 I 1N130649 I 42-390.99 I $2,703.20 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
Friday, J y 26, 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))
07/19/13 IN130649 tourniquets $2,703.20
I 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