226931 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 00352583 Page 1 of 1
ONE CIVIC SQUARE BROWNELLS INC
CARMEL, INDIANA 46032 200 S FRONT STREET CHECK AMOUNT: $1,110.70
MONTEZUMA IA 50171-1000
CHECK NUMBER: 226931
CHECK DATE: 12/1112013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 31377 9544021 431 .43 EQUIPMENT
1110 4239010 31377 9545416 679 . 27 EQUIPMENT
INVOICE #: 0 9 5 4 5 416 . 0 0 ( >
11/26/2013 12:15:37 B ROWNE L L S , INC . (46032-CITY)416.00
11/26/2013 12:23 :10
200 SOUTH FRONT STREET jackiea-C
DATE SHIPPED: 11/26/2013 MONTEZUMA, IOWA 50171-1000 DLR GVN IAR
ACCOUNT #: 00296101 800-741-0015 BU6T
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 INVOICE
PO NUMBER: 31377
------------------ PICKER: 090 ------------------------------------- PRICER: 917 ----------------------------------
STOCK PRODUCT QTY QTY B/0, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
739-000-011AK J02Q07B AR0093NMK .154" 2-STAGE NM TRIGGER 4 4 119.99 108.33 433.32
100-006-357AK E17I04B SUPER SEMI-AUTOMATIC ENHANCED TRIGGER 1 1 230.00 230.00 230.00
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 #: 09545416.00 ORDER TOTAL: 663 .32
THE FOLLOWING COMMENTS FIELD FOR BROWNELLS USE ONLY
********************************************************
* ORDERED BY SGT JELLISON * UPS - GROUND: 15.95
* *
* THIS IS YOUR
* IN VOICE
* PLEASE REMIT GRAND TOTAL
********************************************************
GRAND TOTAL: 679.27
CASH: 0.00 CC: 0.00 OA: 679.27 COD: 0.00 DUE: 0.00 . MB: 0.00 FIC
INVOICE #: 0 9 5 4 4 0 21 . 0 0 c >
11/26/2013 07:57:22 B ROWNE L L S , INC . (46032-CITY) 021.00
11/26/2013 08:05:06
200 SOUTH FRONT STREET cynthiaa-C
DATE SHIPPED: 11/26/2013 MONTEZUMA, IOWA 50171-1000 DLR GVN IAR
ACCOUNT #: 00296101 800-741-0015 E66T
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 INVOICE
------------------ PICKER: 100 ----------------------------------- PRICER: 118 ----------------------------------
STOCK PRODUCT QTY QTY B/0, RETAIL UNIT TOTAL
NUMBER LOCATION NAME AND DESCRIPTION ORDERED SHIPPED N OR C PRICE PRICE PRICE
-- -- - --------------------------------------------------------------------------------------- -----------------
664-100-022AC J02U05A 24011 .22 RIFLE BORE SNAKE 5 5 16.99 15.51 77.55
319-418-033AC J04G03C COLT 5.56MM H'SPACE GAUGE FIELD (.223) 1 1 22.99 19.99 19.99
668-000-024AC J06G08B OTIS ALL PURPOSE BRUSH - BLUE NYLON 10 10 3.99 2.50 25.00
565-017-223AC J06K07D W.H. MERCHANT .223 THROAT EROSION GA. 1 1 44.19 35.36 35.36
699-902-016AC J05Q05A HOPPE'S #9 NITRO SOLVENT, PINT 3 3 12.99 9.99 29.97
*** ORM-D ITEM ***
071-000-043AC J05SO4E AR-15 EXTRACTOR UPGRADE 10 10 12.99 9.06 90.60
664-200-400AC J11J04A 24003 40 PISTOL BORE SNAKE 5 5 16.99 16.46 82.30
231-015-023AC J14005B FF-W1 AR-15 FREE FLOAT TUBE WRENCH 1 1 29.99 24.76 24.76
100-003-714AC G27CO2B #SM-E SCOUT MT. FOR .810-.826"LIGHT MT 1 1 33.20 29.95 29.95
---------------------------------------------------------------------------------------------
THE BELOW ITEMS) MARKED 'FD' HAVE BEEN DISCONTINUED BY THE FACTORY.
------------------------------------------------------------------------------------------------
100-003-219AC NONE AR15-M16 BOLT UPGRADE KIT 1 0 1 FD
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 #: 09544021.00 ORDER TOTAL: 415.48
UPS - GROUND: 15.95
THIS IS YOUR
Nvol GRAND TOTAL
PLEASE REMIT G
GRAND TOTAL: 431.43
INDIANA RETAIL TAX EXEMPT PAGE
City of'.,I °,�rmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
lVS1�
FEDERAL EXCISE TAX EXEMPT
35-60000972 SI M
ONE CIVIC SQUARE- THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032=258A VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Brownelis Inc. Carmel Police Department
VENDOR SHIP 3 Civic Square
TO
2120 South Front Bharat Carmol, IN 4
Montezuma, IA 50171 (W)571-2574
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .10
10 Each Blue NVon gush 808-000-024AC $2.50 $25.W
1 Each DFMS Free-Float Tube V*ench 231-015-023AC $19.33 $19.33✓
5 Each Holt Upgrade Kit 100-003 210AC $29.95 $149.75
1 Each 5.58 Headspace Gauge � 13'�:� $18.21 $18.21✓
10 Each Extractor Upgrade FCit o� fit-00 �0t $8.95 $89.50✓
1 Each .223 Throat Gauge �5-017-223 $35.38 $35.38✓
1 Each SM-E Scout Mount �` 100-003-79C - . $29.95 $29.95+✓
5 Each Hopper Bore Snake 223
664 100 ell $18.41 $82.05✓
Each >�®ppes ®re snake 40 j, -200c $15.55 $77.15✓
RW 1K 3 Each Hoppes No. 9 pt �� F -902 1`8 � ` � $9.49 $28.23✓
i a Sub Total: $553 13
w
4
b '
I
Send Invoice To: d
C2 m @I Police Department
Attn: Pat Young
3 Civic Squala
Carmel, IN 462 PLEASE INVOICE IN DUPLICATE ` ,��.
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAA NN/SU� T TO PAY FOR THE ABOVE ORDER.
• JJ
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. I
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL - ORDERED BY _� f
SHIPPING LABELS. ra
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE d1af of Pollen
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL No- 31377 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NOWARRANT
NO`_____
ALLOWED 20___
|N THE SUM OF$
�
^
.~ �
ON ACCOUNT OF APPROPRIATION FOR
'
`
`
.
Board Members
PO#pr
ospr | hereby certify that the attached invoice(s), or
`
biU(s) ia (ane) true and correct and that the
materials or services itemized thereon for
which charge ia made were ordered and
received except
.
`
Signature
Title
.
' . .
�Cost distribution ledger classification if
claim paid moto,vehicle highway fund '
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brownells Inc.
IN SUM OF $
200 South Front Street
Montezuma, IA 50171
$1,110.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31377 9544021 42-390.10 $431.43 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
31377 9545416 42-390.10 $679.27
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, December 04, 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))
11/26/13 9544021 weapon cleaning/accessories $431.43
11/26/13 9545416 weapon cleaning/accessories $679.27
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