223057 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367289 Page 1 of 1
ONE CIVIC SQUARE LESS LETHAL CHECK AMOUNT: $5,311.46
s' o CARMEL, INDIANA 46032 5463 PALISADES DRIVE
CINCINNATI OH 45238 CHECK NUMBER: 223057
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4467003 25362 CPD52813 5, 311 . 46 CUSTOM CARBINE
Less Lethal, LLC Invoice No. CPD52813
5463 Palisades Drive
' Cincinnati,OH 45238-5617
513-550-7425 fax 513-451-6929
Website:www.LessLethalProducts.com
,lYpp�Va,O10E
Agency Ship To
Name Carmel Police Department Name Carmel Police Department Attn:Sgt.John McAllister
Address 3 Civic Square Address 3 Civic Square
City Carmel St IN ZIP 46032 City Carmel St IN ZIP 46032
Phone 317-571-2560 Phone 317-571-2560
Qty Item# Description Unit Price TOTAL
4 NPBC New PepperBall customer savings bundle which includes $999.99 $3,999.96
two Custom Carbine-SX Semi-automatic carbines.
PepperBall training for 2. 180 inert training rounds&
90 1 OX hot pepper rounds. 1 SCUBA tank&1 air fill adapter.
Includes Shipping
8 PC-SCR200 PepperBall Soft Case For All Launcher Types $117.00 $936.00
8 PA-SLING Single Point Sling $43.50 $348.00
Payment Details SubTotal $5,283.96
Shipping $27.50
O Check
® Taxes
O
O TOTAL $5,311.46
TERMS NET 30 DAYS
Email-jmcallister@carmel.in.gov
Date 7/25/2013
Quote No CPD52813
Requested By John McAllister
Ship Via
Notes/Remarks
PO # 35382
INDIANA RETAIL TAX EXEMPT PAGE
City ®f• • f armel CERTIFICATE NO.003120155 002 0 JJJLLL 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
Les@ Lathal, LLC Carmel Police Department
VENDOR SHIP 3 Civic Square
TO
5463 Palisades Drive Carmel, IN 46032
Cincinnati, Oft 45238-6617 (W)51 im2M
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account "-670a03
8 Each Pepper Ba)l Soft Case PC-SCR200 $117.00 $9313.00/
8 Each Single Point Sling MSRP PA-SLING $43.50 $348.00
4 Each Custom Carbide-SX(2 Included In $990.90 $3,090.00
package) !;
1 Each shipping pharges C $27.5
Sub Total, $5,311.48
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'.
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Sendt np>o'l c'e PD53d113
Cannel Police Depadment
Attn: Temsa Anderson
3 Civic Square
Carmel, IN 46M2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ,ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept, PAYMENT $5,311.46
/1 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OVTHE VOUCHER AND EVERY INVOICE AND
VOUCHfRHAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBAERTIFY THATITHERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION1SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. _
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE hllbf of Polito
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2'r5j"3 6"2- CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
J
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 s
received except._
20
Signature
.............................................................................. ...............................................................................................................................
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Less Lethal, LLC
IN SUM OF $
5463 Palisades Drive
Cincinnati, OH 45238-5617
$5,311.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25362 I CPD52813 I 44-670.03 I $5,311.46 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
Friday, August 09, 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))
07/25/13 CPD52813 weapons $5,311.46
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