HomeMy WebLinkAbout232798 05/21/14 4,q
`� "''E CITY OF CARMEL, INDIANA VENDOR: 366241
il• ONE CIVIC SQUARE GIBSON TELDATA INC CHECK AMOUNT: $*******730.10*
f _� CARMEL, INDIANA 46032 Po BOX 3000 CHECK NUMBER: 232798
'i„�TON TERRE HAUTE IN 47803 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4463100 31733 INV46518 730.10 PHONE
INDIANA RETAIL TAX EXEMPT PAGE
City ® CarM el CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
btpp ("ry-n+ o fI \ FEDERAL EXCISE TAX EXEMPT 35-60000972 — 1! 33
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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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS - FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
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omm un r Wfi 01^� • 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 RIATION 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.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Y
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT.CONTROL No- 31733 VENDOR COPY
INDIANA RETAIL TAX EXEMPT PAGE
City of Ca' rmel jA CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
r�;x?/-)j- C L G i `r1 35-60000972 J
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
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE ._ _. :„ DESCRIPTION UNIT_PRICE EXTENSION
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DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
(�C� _ L� LI(� - I[)() - PAYMENT i:J o' l L)
(� ��✓1.��� �J 0/1J A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
1 I , 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 A,P�B.O RIAT�FI�O 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. 1 1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �i f�J t"I�Y VlP V
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
3 1 ��� CLERK-TREASURER
DOCUMENT CONTROL NO. 1 A.P.V. COPY-SIGN AND RETURN TO CL.ERK'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_
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Post Office Box 3000 INVOICE
' Terre Haute,IN 4780.3-0115
USA
` Phone:(812)232-6287
Fax:(812)237-9150 i page
1/2
Web Site:http:\\www,bgibson.com
Dace 4/24/2014
Invoice Number INV4651 8
111 To Number 105157 ite Number 23743
Bill TO: City of Carmel Site Address: City of Carmel,Communications Center
31 1st Avenue NW 31 1st Ave NW
Carmel, IN 46032 Carmel, IN 46032
Ann: JanetAmone
Order Number Type Entered By Customer Reference Terms Due Date
JOB44473 Move,Add and Change Ordei JBOYD 31733 NET 30 DAYS 5/24/2014
Quantity BIO u/M Unit Discount Tax Ext
Billing Code/Part# D=ription # #
Price
37940(03280-3300 CX 11 Controller)
Serial Number[SAEEB7 76]
Reported Problem
Ship Phone,Cordless leadset&Handset for Law Office. Ship to Greg Bedell.
Faults
MIT50006476 5330e IP Phone(Backlit) 1.00 0.00 EA 395.00 150.10 0.00 244.90
Serial Numbers)
1 WDFW13481 NE
MIT50006712 Cordless Headset&Module Bundle(NA DECT) 1.00 0.00 EA 470.00 178.60 0.00 291.40
Serial Numbers) 1
1 W7FW14070DM
MIT50005405 Cordless Handsetw/Charging Plate(NA DECT) 1,00 0.00 EA 240.00 91.20 0.00 148.80
Serial Number(s)
1 U7FW1301003
FREIGHT Equipment Freight Charge
1.00 0.00 FLAT 45.00 0.00 0.00 45.00
1
I
_._..._
Post once Box 3000 INVOICE -
- Terre Haute,IN 47803-0115 a
USA
.F4 Phone:(812)232-6287
Fax:(812)237-9150
Web Site:http:\\www.bgibson.com Page 2/2
Qate 4/24/2014
Invoice Number INV46518
Quantity e/o Urta Unit DISCOUht Tax Ext
&Iling Code/Pan# 0e 6ption # #
Price
I
i
I
i
upeemrwrvwex>apMa ee.utwaa.ue.woiousWr Swim
45.00
ame 1,105.00
+ IN 0.00
tectal 1,150.00
Please remit payment to:
Less Discount 419.90
Post Office Box 3000 Less Co er
0.00
PI"`T01
Terre Haute, IN 47803-0115
USA 0.00
Due Date 5!24/2014 Lesa Payment 0.00
Te^ca NET 30 DAYS Total Due(USD) 730.10
Far questions regarding this invoice,please call John Boyd @812.237-9141 or email to:f jboyd@bgrbsoncom
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
Gibson Teldata, Inc.
Purchase Order No.
P. O. Box 3000
Terms
Terre Haute, IN 47803-0115
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/12/14 INV46518 Equipment er the attached
Total
$730.10
1 hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
i ALLOWED 20
G;4a.�.en Tc�a'ta, IRR.
�T �� IN SUM OF $
PO Box 3000
Terre Haute, IN 47803-0115
$ $730.10
ON ACCOUNT OF APPROPRIATION FOR
Deferral - 209
446-3100 Communications Equip.
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
-31Z-43 11SIX148518446-3100 $730,110 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
i
Z 20
ignature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund