231582 04/23/14 CITY OF CARMEL, INDIANA VENDOR: 356389
ONE CIVIC SQUARE BLACK BOX RESALE SERVICES CHECK AMOUNT: $"'"'1,042.00"
f. r� CARMEL, INDIANA 46032 SIDS 12-0976 CHECK NUMBER: 231582
PO Box 86 CHECK DATE: 04/23/14
MINNEAPOLIS MN 55486-0976
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 420958 607.00 OTHER EXPENSES
1110 4239099 31521 4261141 435.00 MITEL CORDLESS HANDSE
®®BLACK
RESALE SERVICES INVOICE
Vibes Technologies, Inc.
BILL TO: 116124
For billing questions, please call
CITY OF CARMEL Mark Ehlers @952-352-4995
CARMEL CLAY COMM CTR/TODD LUCKOSKI
31 1 STAVE NW Invoice#: 4261141
CARMEL IN 46032 Order#: 999495180
UNITED STATES Invoice Date: 04/03/2014
PO#: 31521..
Amount Due: $ . 435.00
ISHIP TO: 116124 US.DoIIar
CTTY_OF_ CARMEL NET 30 FROM INVOICE DATE___
ATTN: BRIAN SMITH
31 1sT AVE NW REMIT PAYMENT TO:
CARMEL, IN 46032 Black Box Resale Services
SDS 12-0976
PO BOX 86
Minneapolis, MN 55486-0976
Line Adj Identifier Description Quantity Unit Amt Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 11.00 11.00
2 N50005711 MITEL CORDLESS HNDST & MODULE 2 212.00 424.00
.Subtotal: 435.00
Total Amount Due : $ 435.00
Original
C0 INDIANA RETAIL TAX EXEMPT PAGE
1t .of Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT r :
35-600009723 2\e
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
301162014
Black Box Ros:alo Sorvices Cumel Pollco Dopadment
VENDORRe 12.276 SHIP 3 Civic Rquam
P.O. Dolt a TO CamQl, IN
Minneapolis„ NN 70 (W)671
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
AccD ,77C'���1
2, Each Mhel cordless handset M50005711 $292.00 $424.00
Saab Total: $424.00
3)7-i
All
. :
1`
Send Invoice To: v `K
Carmol Pollco DepaAmong M .
Attn: Pat Young
3 Civic squmm
Carmol, IN 4 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT $424.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE}S AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION�ICI T TO PAY FOR THE ABOVE ORDER.
TO PAY FOR THE ABOVE ORDER.
• SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. le Gab oq Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1 5 2 1 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
ALLOWED 20
IN THE SUM OF$
Cn..
j
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
i
20
...................... - ...................-..---- ...........
Signature
..................---------...-.......................--.............................-.......---..........................--......-_........-__-........_..-
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))
04/03/14 4261141 cordless handsets $435.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Black Box Resale Services
SDS 12-0976 IN SUM OF $
P.O. Box 86
Minneapolis„ MN 55485-0976
$435.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31521 I 4261141 I 42-390.99 I $435.00 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
Thursd y, April 17, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
*'WI
BLACK BOX
RESALE SERVICES INVOICE
Vibes Technologies, Inc.
BILL TO: 116124
For billing questions, please call
CITY OF CARMEL Mark Ehlers @952-352-4995
CARMEL CLAY COMM CTR/TODD LUCKOSKI
31 1 STAVE NW Invoice#: 4260958
CARMEL IN 46032 Order#: 999495093
UNITED STATES Invoice:Date: 04/02/2014
PO#: :. S13948:;
Amount Due: - $ 607.00
SHIP TO: 116124
Ci$:Doli ._. .
ar.::
-- —
CITY or-CARMEL;-- NET 3n d.. . Ikni�l _'C r ___--
v c ��v! � r yr
ATTN: GREG BEDELL
31 1ST AVE NW REMIT PAYMENT TO:
CARMEL, IN 46032 Black Box Resale Services
SDS 12-0976
PO BOX 86
Minneapolis, MN 55486-0976
Line Adj Identifier Description Quantity Unit Amt Net Amount
1 FREIGHT FREIGHT AND HANDLING 1 16.00 16.00
2 N50006474 MITEL 5320E IP PHONE 3 197.00 591.00
Subtotal: - 607.00
Total Amount Due : $ 60.7.00
Original
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
356389
BLACK BOX RESALE SERVICES Purchase Order No.
SDS 12 -0976 Terms
PO BOX 86 Due Date 4/17/2014
MINNEAPOLIS, MN 55486-0976
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/17/2014 4260958 $607.00
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
Date Officer
VOUCHER # 137868 WARRANT # ALLOWED
356389 IN SUM OF $
BLACK BOX RESALE SERVICES
SDS 12 -0976
PO BOX 86
MINNEAPOLIS, MN 55486-0976
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4260958 01-7202-06 $607.00
Voucher Total $607.00
Cost distribution ledger classification if
claim paid under vehicle highway fund