Loading...
230515 03/26/14 � C4y "�: CITY OF CARMEL, INDIANA VENDOR: 358122 d ONE CIVIC SQUARE L-COM GLOBAL CONNECTIVITY CHECK AMOUNT: $•"'****194.75' t a� CARMEL, INDIANA 46032 PO BOX 55758 CHECK NUMBER: 230515 9M�,roN.�o" BOSTON MA 02205-5758 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 4342100 2309065 10.95 POSTAGE 1115 4237000 31695 2309065 183.80 USB-A -� INVOICE Global Please Remit to: Bank Transfers To: low P O.Box 55758 Citibank,Miami,FL Connectivity Boston,MA 02205-5758 Branch 4 61-Boca Raton,FL. ABA#266-086-554 Phone-978-682-6936 Fax-978-689-9484 Account#9119834971 Swift Code:CITFUS33 Account Name:L-com,Inc Invoice # 2309065 Invoice Date 06-Mar-14 Page# I US funds only Sold CARMEL, CITY OF COMMUNICATIONS DEPT To: 31 FIRST AVE NW Ship CARMEL, CITY OF COMMUNICATIONS DEPT CARMEL, IN 46032 To: Attn: 31695 31 FIRST AVE NW CARMEL, IN 46032 Shi WVia - - Ship Dade Due Date Purchase Order# Our Order# —Order Date- FX GD 06-Mar-14 05-Apr-14 31695 3915860 25-Feb-14 Shipment# Terms Buyer Account# Sales eo le 2262070 NET 30 TODD LUCKOSKI 171655 j 80 1 616 > .. ORD I7NiT LINTE EM.:#i DESCRY"P 1`tQ t c sTaill i2>Trlyr#. urns ;::::A iNt�� . ...S�MPEU.. FRTCR .. AM©zJ v I Thank you for your order,we appreciate your business. I TL-U219-DOOR EA 10 10 .18.38000 183.80 USB-A TOPS/2 IvMD6F KBD/MSE 0 ALL CLAIMS MUST BE MADE SEVEN(7)DAYS AFTER RECEIPT. CERTIFICATE OF COMPLIANCE:This is to certify that the product shipped against your purchase order Subtotal (USD) 183.80 conforms to the requirements of your purchase order. CERTIFICATE OF ORIGIN:This Certifies the items listed above originated in the country indicated on the individual packaging label.Thomas Barczak,Corporate Quality Manager Freight(USD) 10.95 Total (USD) 194.75 SHIPPING TRACKING 4 002191173118260 X Created On: 03/06/14 11:35:47 AM Printed On: 03/06/14 1:30:45 PM INDIANA RETAIL TAX EXEMPT PAGE i II o Car ' el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER co ll�..� JL 'Mel JJLL FEDERAL EXCISE TAX EXEMPT 31695 35-60000972 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION W2412014 PS2 Keybdimouse to USE converters L-Com Global Connectivity Carmel Communication Center VENDOR SHIP 31 1st Ave NW TO P.O. Box 55758 Carmel, IN 46032 Boston, RSA 02205-5758 (317)571-2566 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT T__ QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-370.00 10 Each USB-A to PS/2 MD6F KBD/MSE TL-U219-ODOR $18.38 $183.80 Sub Total: $183.80 (w 44141 01 a �ow_ �°y �q a it % a �. f, vty 'a <f tt� • Send Invoice To: z ,, Carmel Communication Center 31 1 st Ave Nei! Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 111`3 Communications PAYMENT $183.60 • 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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 31695 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO ' ALLOWED 20___ |NTHE SUM OFS ' �. ' . ON ACCOUNT OF APPROPRIATION FOR Board MembersPO#or INVOICE NO. ACCT#/TlTLE AMOUNT ' DEPT# | hereby certify that the attached invoioe(o), or bill(s) is (ane) true and correct and that the materials orservices itemized thereon for which charge is made were ordered and received exo*[t ' ` . ' 20____ ' � Signature� ' ' . Title . ` ' � ^ ' Cost ue:nbunvn lemnencwuum"axnn if � claim paid momrv*mnle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 L - Com Global Connectivity IN SUM OF $ P.O. Box 55758 Boston, MA 02205-5758 $194.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31695 2309065 42-370.00 $183.80 I hereby certify that the attached invoice(s), or _ bill(s) is (are) true and correct and that the 1115 2309065 43-421.00 $10.95 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, March 19, 2014 Director 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)) 03/06/14 2309065 $10.95 03/06/14 2309065 $183.80 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