224834 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 367288 Page 1 of 1
ONE CIVIC SQUARE COPS PLUS
� CARMEL, INDIANA 46032 3801 23RD AVENUE,SUITE 407 CHECK AMOUNT: $1,577.24
ASTORIA NY 11105 CHECK NUMBER: 224834
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4356001 25365 545713 1, 577 . 24 PISTOL HOLSTERS
$1,577.24 Due By 11/15/13
Order Number: 545713
Enclose Check Payable to CopsPlus Inc.
- OR-
Credit Card:
Card Type: Exp:
Teresa Anderson - OR-
Carmel Police Dept
3 Civic Square EFT Payment(USD): CopsPlus Inc.
Carmel, IN 46032 SWIFT Code: NRTHUS33XXX(TD Bank NA)
Account Number: 7916131340
Routing Number: 026013673
-------------------------------------- ----------- - -- - -----PLEASE DETACH THIS PORTION AND:RETURN-WITH-YOUR PAYMENT -- -- ------- --- ------------- - -
Purchase Order: 25365
Gear Up! Order Number: 545713
CQ�w Plus.c Invoice Date: 09/16/13
Teresa Anderson
Important Information Carmel Police Dept
LV 3 Civic Square
Payments are to be made Carmel, IN 46032
2 in full and remitted to:
OCopsPlus Inc.
3801 23rd Avenue#407 Summary of Charges
Astoria, NY 11105 Items: $1,577.24
Z Make Check Payable to CopsPlus Inc. Shipping: $0.00
Payments: ($0.00)
Questions About This Invoice? Balance Due: $1,577.24
(800) 330-6422 x30 OR (718) 267-7026 x30
Order Details
QTY SKU ITEM EA TOTAL
5 GG-K381-G17W Gould&Goodrich K-Force Double Retention Duty Holster Model K381 $112.66 $563.30
2 GG-K381-G17WLH Gould&Goodrich K-Force Double Retention Duty Holster Model K381 $112.66 $225.32
5 GG-K381-G19W Gould&Goodrich K-Force Double Retention Duty Holster Model K381 $112.66 $563.30
2 GG-K381-G19WLH Gould&Goodrich K-Force Double Retention Duty Holster Model K381 $112.66 $225.32
INDIANA RETAIL TAX EXEMPT PAGE
City o C CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 253M
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
711512013
Cops Plus Caf lol Police Depattmont
VENDOR TOIP 3 CIVIC Squam
M 23rd Avenuo, Sulto 407 Camel, IN
Astorla, NY 94105
�T_TY�
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS '"" FREIGHT
17 -~'7a?-
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-660.01
14 Each pistol holsters $112.66 $1,577.24
Sub Total: $1,577.24
Gould and Goodrich Double Rete t °> Du ster
Model K381 (all models ar �1� k tc�,tera,
(0
5 Right hand models f r 116ck.l°7•Zasde,
5 Right hand models f�rr<a k 19 basketweav
2 Left hand models fo a lock .17 bask eLl eavd•
2 Left hand model or •6 ck 19 bask ea3 ,s°•
G° °°... d
Send Invoice To:
Carmel Pollce Department
Attn: Tomsa Anderson
3 Civic 6quaro
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $1,577.24
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
�\ VOUCHER HASaTHE PROPER',SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY�ItIfR�I IFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY I
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE I lileiT kD l�olicr�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
5
CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# • 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the y
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))
09/16/13 545713 holsters $1,577.24
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
Cops Plus
IN SUM OF $
3801 23rd Avenue, Suite 407
Astoria, NY 11105
$1,577.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25365 I 545713 I 43-560.01 I $1,577.24 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
Thursday, October 03, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund