227082 12/11/2013 i
��q,F CITY OF CARMEL, INDIANA VENDOR: 252700 Page 1 of 1
ONE CIVIC SQUARE PRO-SHOT PRODUCTS, INC CHECK AMOUNT: $952.50
?o CARMEL, INDIANA 46032 PO BOX 763
y_oH�o TAYLORVILLE IL 62568 CHECK NUMBER: 227082
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 31378 49182 952 . 50 PATCHES
O Invoice
Bill Date<='' • Customer, invoioe:#
P.O. BOY 763 N ry 11/26/2013 IN 1030 49182
Taylorville, IL 62568
•z. .M`'h.= v[',a .:Sti' v6<'":,'fix. '. '»a•, - .;t> j,r.'r'_"y 3':"•'•' a;k+.:.w, .,1.
r • :• Bill`T0 `To ^;
CITY OF CARMEL POLICE DEPT.
ATTN: RYAN
CITY OF CARMEL POLICE DEPT. 3 CIVIC SQ.
ATTN:TERESA ANDERSON CARMEL. IN 46032
3 CIVIC SQ. USA
CARMEL IN 46032
I
P.O"-N' '15 ' -Terms' Re Grou' Slii' :Date;.: Via w.' FOB.";'•`' :"
Net 30 Days NA 11/26/2013 UPS GROUND TAYLORVILLEIL
:x ,.ti•
n i Descri 1 tion= Price Each: Back-.Order Amount�.
.Item#�`. Qua ,tY�. �:a. :.�;'.,a p .�::.>
11/8-1000 20 .22-.270 CAL. 11/8 SQ. IOOOCT Patches 9.99 199.80
3-500 40 12-16-Gauge 3"SQ. 500CT. 1 1.26 40.40
PHB 20 'Brass,Patch-Flo l der.22-.45 Cal. 1.66 33.20
CR8-22 10 8"Coated Pistol Rod.22 Cal.& Up 21.50 215.00
223BC 10 .223-.17-.222 Cal. Chamber Brush 1.24 12.40
GBN 10 Gun Brush-Nylon 2.19 21.90
M16 10 Gun Brush Double End-Nylon 1.98 19.80
Item Subtotal 952.50
UPS-FREE Ups no charge shipping 0.00 0.00
Sales Tax (7.0%) $0.00
•. .k :... Total
_E=
S
mail:: < •,4,._u' Web ite-.' $952.50
(217)824-9133` (2)17)824-8861 service a proshotproducts.com www.proshotproducts.corn
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INDIANA RETAIL TAX EXEMPT PAGE
City ® C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 313711
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
11�Si2013►
Pro Shot Products Camel Police Dopaftont
VENDOR TOIP 3 CIVIC Squm
P.C. Box 703 Carmol, IN 46
Taylomille, IL 625M (W)571-2674
I CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42 .10
40 Each 3-500 3° Patches 500 count $11.20 $450.40
10 Each M16 $1.98 $19.80
20 Each 1 118 Square Patches 1000 count $9.99 $199.80
20 Each PHl3 „ ” - '"/
1 ---- _ � '';�',� $1.00 $33.20
10 Each C118-22 ' ` <-} ,>?. r �} $21.50 $215.00
•n:.d .
10 Each CR36-22
10 Each 223bc c'„ .. . •°° °� 51.24 $12.40
10 Each GER1 $29.90
19.
$e ; '' 2
.
Sub Total•
V • rv� ��,
Send Invoice To: _ ✓` `,r
r
�.L
Carmol Police Drapadmonit
Attn: Pat Young
3 Civic Squoro
Carmel, IN 46032= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOU
Camel Police Dept. `- PAYMENT .00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT U SS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TYPT MERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIAT SUFFICIEN TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /•
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C Iv of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL N1.
13 i} 8 A.P.Y. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER WARRANT NO.-----
ALLOWED 20
IN THE SUM OF$
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 except______._.__-- —------
-----------
20
..............
............................................. ........... ----------
Signature
............... ........... ................ ...............
iTitle
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 49182 weapon cleaning items $952.50
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
Pro Shot Products
IN SUM OF $
P.O. Box 763
Taylorville, IL 62568
$952.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31378 I 49182 I 42-390.10 I $952.50 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
Wednesday, December 04, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund