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Home My WebLink About222555 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 366725 Page 1 of 1 f ONE CIVIC SQUARE RANGE SYSTEMS CARMEL, INDIANA 46032 5121 WINNETKA AVE N CHECK AMOUNT: $1,448.00 NEW HOPE MN 55428 CHECK NUMBER: 222555 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 25372 12722 1, 448 . 00 DURA BLOC I RANGE` SYSTEMS Invoice 5121 Wimietka Ave N New Hope, MN 55428 7/19/2013 12722 Carmel Police Dept. Carmel Police Department Attn: Teresa Anderson Sgt. Ryan Jellison 3 CIVIC SQUARE 3 Civic Square CARMEL, IN 46032 Carmel, In 46032 317-571-2599, 317-727-9862 MINOR 25372 Net 15 BB 7/19/2013 Lift Gat. . . 20 RB1000 DURA-BLOC, 24" X 12" X 9" ea 63.00 1,260.00T NSN: 9320-01-565-6471 1 001 Shipping & Handling Charges via R&L carriers 188.00 188.00T ETA 7/23/13 Thank you for your business. Total $1,448.00 Phone # 763-533-9200 Fax # 763-537-6657 www.range-systems.com C4 INDIANA RETAIL TAX EXEMPT PAGE RY o Carmel CERTIFICATE NO.003120155 002 0 JL PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25372 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. tVENDOR NO. DESCRIPTION 7116r20i3 Range Systamr, Carmel Police Department VENDOR SHIP 3 CIVIC Squam TO M21 Nnnetka Avenue North Carmel, IN 4&W. Now Hop@, MN W28 (317)671 CONFIRMATION B=UNIT PAYMENT TERMS FREIGHT QUANTITY DESCRIPTION UNIT PRICE EXTENSION Account 42-390.10 20 Each Dora-Bloc 13E1000 $183.00 $1,260.00 1 Each shipping charges $188.00 $188.00 Sub Total: � $1,448.00 Send Invoice To: 1 Cannel police Department Attn: Teresa Anderson 3 Civic Square Gabriel, IN 4602= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT arrrmel Police Dept. - PAYMENT $1,446.00 .� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN,AFFIDAVITATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE I�.AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICI NT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED- // � •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY !jj /// (((/I Uof SH IPPING LABELS. �a THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C f Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 25 �)7 2 CLERK-TREASURER )OCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 _- IN THE SUM OF$ 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..---------------------------------- --- ---- 20 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)) 07/19/13 12722 dura blocs $1,448.00 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Range Systems IN SUM OF $ 5121 Winnetka Avenue North New Hope, MN 55428 $1,448.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25372 I 12722 I 42-390.10 I $1,448.00 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 Wednesday, July 24, 2013 '/'/41 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund