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Home My WebLink About225759 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1 0 ONE CIVIC SQUARE BROWNELLS INC CHECK AMOUNT: $384.05 CARMEL, INDIANA 46032 200 S FRONT STREET MONTEZUMAIA 50171-1000 CHECK NUMBER: 225759 CHECK DATE: 11/512013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239010 25448 9435955 384 . 05 SNAP RING SLING HOOP I INVOICE #: 09435955 . 00 c ) 10/23/2013 13 :57:38 B ROWNE L L S , INC . (46032-CITY) 955.00 10/23/2013 14:05:15 200 SOUTH FRONT STREET mandir-R DATE SHIPPED: 10/23/2013 MONTEZUMA, IOWA 50171-1000 DLR GVN IAR ACCOUNT #: 00296101 800-741-0015 GOVF 24 HR. FAX # (641) 623-3896 U4 P4 SOLD TO: CITY OF CARMEL POLICE DEPT. Federal I.D. #42 0838235 ATTN: TERESA ANDERSON * * * I N V O I C E 3 CIVIC SQUARE CARMEL IN 46032 SHIP VIA: UPS - GROUND PAYMENT METHOD: OPEN ACCOUNT SHIP TO: CARMEL POLICE DEPT. TERMS: NET 30 ATTN: SGT JELLISON 3 CIVIC SQUARE CARMEL IN 46032 FINAL FAX #: 317-571-2507 PO NUMBER: 25448 I NVO I C E ------------------ PICKER: 671 ------------------------------------- PRICER: 914 ---------------------------------- STOCK PRODUCT QTY QTY B/0, RETAIL UNIT TOTAL NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE 160-302-011AK J02G04G SP90402 COVER HINGE PIN SNAP RING 6 6 3.99 2.86 17.16 100-002-868AJ J06006B V-TAC WIDE PADDED SLING, BLACK 6 6 40.95 37.49 224.94 100-005-192AK D27B05B RAIL MOUNT SLING LOOP 6 6 23.00 21.00 126.00 p% r�s.s 0 y " 0,P� J. ER I Please Note: TRANSFER OF THESE PRODUCTS TO ANY INDIVIDUAL OR ENTITY OR LOCATION (WHETHER IN YOUR CITY, STATE, OR OUTSIDE THE UNITED STATES) MAY BE SUBJECT TO RESTRICTIONS AND/OR LICENSING REQUIREMENTS. ---- ---------------------------------------- *** ORDER ON THE WEB AT www.brownells.com *** ------------ INVOICE #: 09435955.00 ORDER TOTAL: 368.10 UPS - GROUND: 15.95 GRAND TOTAL: 384.05 CASH: 0.00 CC: 0.00 OA: 384.05 COD: 0.00 DUE: 0.00 MB: 0.00 FIC INDIANA RETAIL TAX EXEMPT PAGE City o � CERTIFICATE NO.003120155 002 0 11 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 25440 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 REOUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Brownolls Inc. +Cannal Polito Dap2ttment VENDOR SHIP 3 Civic Square 20D South Front Street TO Carrel, IN 4 Montezuma, IA 50179 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS - FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 .40 5 Each Blue fora Gear Rail Mount Sling Loop 900-005-192AK $20.39 $122.34 6 Each VTAC Padded Slings -black 100-002•86OC $37. 9 $224.24 6 Each Ejection Port Cover Binge Pin Snap Ring ?0 $2.86 . Sub Total: $3".44 t a K Send Invoice To: A Carmel Police Department Attn: Teresa Anderson 3 Civic Square Carmel, IN 4m PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. �� "; PAYMENT $364.44 r" - A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT/,THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION-SUFFICIENT TO PAY-FOR THE ABOVE ORDER. •SHIP REPAID. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. X9/6 •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ± !clef of Pollco AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V 2' 544� ¢ CLERK TREASURER DOCUMENT CONTROL NO. A•P. • COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO...__._ -. WARRANT NO.._.._--......._.__. ALLOWED 20 IN THE SUM.OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members M 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..-_--------_---- i d t 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)) 10/23/13 9435955 range supplies $384.05 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. Brownells Inc. ALLOWED 20 IN SUM OF $ 200 South Front Street Montezuma, IA 50171 $384.05 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25448 I 9435955 I 42-390.10 I $384.05 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 31, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund