HomeMy WebLinkAbout227283 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 360553 Page 1 of 1
`4 ONE CIVIC SQUARE BRAVO CO
CARMEL, INDIANA 46032 PO BOX 341 CHECK AMOUNT: $553.05
+ + HARTLAND WI 53029 CHECK NUMBER: 227283
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239010 31383 1502 553 . 05 BOLT UPGRADE KITS
Bravo Company USA, Inc. Invoice
Hartland, WI 53029 Y -
F.
.Date � Invoice,#
- ..
12/6/2013 1502
All
v
Bill Tggo Fxt *_ :Ship To �a a
MP
s
Carmel Police Department Carmel Police Department
Attn: Pat Young Attn: Ryan Jellison
3 Civic Square 3 Civic Square
Carmel,TN 46032 Carmel,IN 46032
#�4F
I
Email I s PLO No i iTerms il
31384 Net 15
Item a M rX Description Qty Unit'Price Amount
INVENTORY-SALE BCM SOPMOD Bolt Upgrade/Rebuild Kit 18 29.95 539.10
Shipping Ship Via UPS Ground 1 13.95 13.95
Total $553.05
A r.'.'� PR
Email Web Situ
A d
°
262-367-4009 262-367-0989 admin @bravocompanyusa.com www.bravocompanyusa.com
INDIANA RETAIL TAX EXEMPT PAGE
City of c aanal CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 223
35-60000972 cJ tJ
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i 21R201 3
d.��';!F"�'i�' ?F� ���:��Df=►Y':���i.. ..'...� .. .. .a�iYY 77i �-�Lil�l��$�C� 4Y71.�ii\-�'-
VENDOR SHIP 3 CIVIC squ
TO
P.O. Box 349 Comol, IN 4
Haftland, W WM.Mi (W)571-2574
4
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
Account UNIT OF MEASURE - DESCRIPTION UNIT.PRICE EXTENSION
account 42 UIU.90
10 Each Bolt Upgrade Kits $29.95 $339.10
Sub Total: $539.10
f
g
Aare
?
s
v
�* ea
gm*' 1 -
Ilk
} a '
Send Invoice To: � � ' G '
�j�p/� �py�p p epy' q� �q pp—�`
Carmol / ollco Dop2rtm nt
Attn: Pot Young
3 Civic Squm
Carmel, IN 432= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT WMA0
.� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THF7 PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFJJYJ�THATTHERE IS AN UNOBLIGATED BALANCE IN
THIS A� �IATI N SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /Chid OF pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
CLERK-TREASURER
DOCUMENT CONTROL No- 31383 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.
ALLOWED 20
IN THE SUM OF$
GJ
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
......................................----------.................... ....................................................................._.........-.................- . .......
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bravo Company USA, Inc.
IN SUM OF $
P.O. Box 341
Hartland, WI 53029-0341
$553.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
31383 I 1502 I 42-390.10 I $553.05 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, December 12, 2013
(Z"' 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))
12/06/13 1502 bolt upgrade kits $553.05
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