HomeMy WebLinkAbout226452 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 366725 Page 1 of 1
ONE CIVIC SQUARE RANGE SYSTEMS CHECK AMOUNT: $2,395.20
CARMEL, INDIANA 46032 5121 WINNETKA AVE N
NEW HOPE MN 55428 CHECK NUMBER: 226452
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 13291 53 . 97 AMMUNITIONS & ACCESSO
1110 4342100 13291 219 . 00 POSTAGE
900 R4359023 25573 13291 2 , 122 . 23 RANGE IMPROVEMENTS
RANGE MO Invoice
SYSTEMS
ce
5121 Winnetka Ave N
New Hope, MN 55428 11/7/2013 13291
Carmel Police Dept. Carmel Police Fireing Range
Attn: Teresa Anderson Sgt. Ryan Jellison
3 CIVIC SQUARE 9609 Hazeldell Pkwy
CARMEL, IN 46032 Indianapolis, In 46280
317-727-9862
a*
4'
31351 Net 15 gB 11/7/2013 Lift Gat. . .
36 RB1000 DURA-BLOC, 24" X 12" X 9" ea 60.45 2,176.20T
NSN: 9320-01-565-6471
1 001 Shipping & Handling Charges VIA R&L 219.00 219.00T
CARRIERS ETA 11/11/13
Total $2,395.20
[—Balance Due $2,395.20
Phone # 763-533-9200 Fax # 763-537-6657 www.range-systems.com
INDIANA RETAIL TAX EXEMPT PAGE
City o C CERTIFICATE NO.003120155 002 0 Jl PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35 60000972 25573
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
1211 012
Range ftvteme Carmel Police Department
VENDOR SHIP 3 Civic Square
5121 Wnnotka Avenue North _ TO Carmel, IN 40032
New€fop @, MN X20 (317)571.2%0
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Aeoou
00-570M-
9 Each range improvements �i 0&, $25,000.00 $25,000.00
Sub Total: $25,000.00
1 • (,� .
�1, 00/ID, ='a
- � . 3 l 33 c
.`r"���^ j I0
r : f�{ '(tly(�_y (ro }.i ®• fit *.5 � 11
Send Invoice To: ! �' \/ �✓
Carmel Police Department
Attar: Tel vea Anderson D�%U�✓
3 Civic Square '
Carmel, IN 460rz@ PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT ,.FONT
Cannel Police Dept. PAYMENT ;��1000•00
} A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
Ni- NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH'A�THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID. -
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL _
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE i& of IQi @ ►
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. l
d:: CLERK-TREASURER
DOCUMENT CONTROL NO. A•P. . COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO,
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
_ Board Members
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
20
�_.�.�. ... ._._.......................... -....._..........................:..........-...-..�_...........__._._._..__.....---------..__....--------
. 7
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))
11/07/13 13291 Jura blocks $2,122.23
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
ON ACCOUNT OF APPROPRIATION FOR
CPD Continuing Ed Fund
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
25573FI 13291 1 -570.00 I $2,122.23 1 hereby certify that the attached invoice(s), or
f I q f bill(s) is (are) true and correct and that the
[ l 1D `S '" t R-)- materials or services itemized thereon for
W L q7 which charge i made w
c g s ad were ordered and
L 130
`►-C���� � received except
Tuesday, November 12, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund