HomeMy WebLinkAbout231569 04/23/14 � CSN .
Mf CITY OF CARMEL, INDIANA VENDOR: 367021
b i'. ONE CIVIC SQUARE AXIS COMMUNICATIONS CHECK AMOUNT: $ .....700.00'
CARMEL, INDIANA 46032 300 APOLLO DRIVE CHECK NUMBER: 231569
9;,,._, .o:� CHELMSFORD MA 01824 CHECK DATE: 04/23/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350000 31629 II804805 700.00 EQUIPMENT
INVOICE ORIGINAL
AXIS" Invoice Date Invoice Number
COMMUNICATIONS 2/11/14 11804805
Order Date Order Number
Our Reference Customer Tax Number 31629
Customer Number Customer Reference
RMA 101681 TECHSUPP 31629
Delivery Address Invoice Address
Technical Support PO's Technical Support PO's
UNITED STATES UNITED STATES
Pay Term Base Date Due Date
2/11/14 3/13/14
Terms of Payment Delivery Date
30 Days Net 2/11/14
Pos Object Description Tax Code Quantity Price Currency Net Curr Amount
1 Axis Camera Repair 1 700.00 USD 700.00
Bill to: Carmel Communication USD
Center, 31 1 st Ave NW,
Carmel, IN 46032, Attn:
Communications Dept
Total Exclusive Tax 700.00
Total Tax 0.00
Total 700.00
Visit Address Invoice Address Phone Fax US TEXT 1 US TEXT 2 Tax Number
I ,
�' INDIANA RETAIL TAX EXEMPT PAGE
C 1 �,O f , Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT F/.
35-60000972 31 6MA
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
1202013 Camera Repair
Axis Communications Carmel Communicatio Cente�
VENDOR Attn: Accounts Receivable TOIP 31 1st Ave NW y /'
300 Apollo Dr Carmel, IN 4 9
Chelmsford. AOA 0102 397 571-2583 VIP
CONFIRMATION BLANKET I CONTRACT PAYMENTTERMS FREIGHT
I
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-500.00
1 Each Part#232D+ S/N#00408C892D51 Case#415339 $700.00 $700.00
Sub Total: $700.00
° ............
iSend Invoice To:
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT 4700.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
I •
J
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING . �L ,on
•THIS ORDERR ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE � /W 64"'_G-ice..
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. -
CLERK-TREASURER
DOCUMENT CONTROL NO. 31629 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. _---
ALLOWED 20
IN THE SUM OF$
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 rnotor 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))
02/11/14 11804805 $700.00
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
Axis Communications
Attn: Accounts Receivable IN SUM OF $
300 Apollo Dr
Chelmsford, MA 01824
$700.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
Encumbered I hereby certify that the attached invoice(s), or
31629 I 11804805 I 43-500.00 I $700.00
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, April-17, 2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund