HomeMy WebLinkAbout230267 03/25/14 4. CITY OF CARMEL, INDIANA VENDOR: 358913
® ONE CIVIC SQUARE A T &T 911 OPERATIONS CHECK AMOUNT: $ ...350.00*
r CARMEL, INDIANA 46032 Po BOX 5080 CHECK NUMBER: 230267
M,'�N. `, CAROL STREAM IL 60197-5080 CHECK DATE: 03/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4341955 31696 765 R02-2500 350.00 REVERSE 911
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111 N 4TH ST, ROOM 404 {
COLUMBUS OH 43215 ';
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City of Carmel
Attn: Terry Crockett 7�65R0272500g310 ,
3 Civic Square
Carmel IN 46032 "March17 2014
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TOTALAMOUNTDUE
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March`17 201.;4*`
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PaymentsAustrn
dfents Past
Due Curr Chgs TotalAmountDue
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Billing for 765 R02-2500 vkl
$350.00
One Time Charge for Reverse 911
MSAG Extract for City of Carmel Q�
Indiana per Purchase Order v
Number 31696
Grand Total $350.00
MAKE CHECKS PAYABLE TO:
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P O Box 5080
Carol Stream IL 60197-5080
C
�� ®,Jlr� Carmel
INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31696
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 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
212412014 V Reverse 911 MSAG Extract
AT&T-9-1-1 Operabons Carmel Communications
SHIP Terry Crockett
VENDOR P.O. Box 5060 TO 3 Civic Square
Carol Stream, IL 60197-5060 Carmel, IN 46032
(Zi 7)579 2567
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS - FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.499.55
1 Each Reverse 911 MSAG Extract $350.00 $350.00
Sub Total. $350.00
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Send Invoice To: y ✓/ 4e
City of Carmel
Terri!Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNTI AMOUNT
1202 Carmel IS Dept. PAYMENT $350.00
_ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APP PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Director
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 31696 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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 except-- - - - -- - --------------
20
_.......... ..................................................._......-----............_.......-.._.._._.........................-........--...................._...................
Signature
................................................_-----_-.....---.........................
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
AT&T - 9-1-1 Operations
IN SUM OF $
P.O. Box 5080
Carol Stream, IL 60197-5080
$350.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31696 43-419.55 $350.00
I hereby certify that the attached invoice(s), or
I
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
Monday, March 24, 2014
Director , IS
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))
03/17/14 $350.00
1 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