HomeMy WebLinkAbout233208 06/04/14 u.."q,MF
�" t CITY OF CARMEL, INDIANA VENDOR: 366184
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® ONE CIVIC SQUARE COMMUNICATIONS SPECIALTIES INC CHECK AMOUNT: $ 330.00'
CARMEL, INDIANA 46032 125 COMAC ST CHECK NUMBER: 233208
'�oN L�? RONKONKOMA NY 11779 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 31823 00055055 330.00 REPAIR OF DEUCE SDQ
JUNE
INVOICE
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125 Comac Street,Ronkonkoma,NY 11779 Phone:(631)273-0404 Fax:(631)273-1638 00055055 1 5/14/2014 1
Bill To: Ship To:
CARMEL COMMUNICATION CENTER CARMEL COMMUNICATION CENTER
31 1 STAVE NW 31 1 STAVE NW
CARMEL,IN 46032 CARMEL, IN 46032
USA USA
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BRIAN SMITH I PAUL_SEIDE_N +� -1----5/5/2014 20053016 15983
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01 101 1,00 1.00 RP9115 REPAIR OF 2240 EA 300.0000 $ 300.00
DEUCE SDQ
1z1561270363487911
QCA20050891
AS RECEIVED-UNIT WOULD i I
NOT POWER UP.
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AFTER POWER SUPPLY I `
REPLACEMENT, NOISE IN
VIDEO WHEN USING
COMPONENT INPUT.
RESOLUTION-REPLACED
P.W.B.ASSEMBLY.
RETESTED.
UNIT PASSES ALL TESTS.
WGT: 0.00 EXT WGT: 0.00 Oz
COMM:-NTS:
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LINE ITEM"TOTAI:SS^. .DISCOUNT;`<:x .; :`:-SUB TOTAL FREIGHT,.:=•'• -TA7fABLE AMOUNT _TAk MISG,•.-,, --iNVOiCE,TOTAL-
300.00 0.00 300.00 30.00 0.00 0.00 0.00$ 330.00
*Note: No discounts may be taken on credit card payments
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INDIANA RETAIL TAX EXEMPT PAGE
C14ty0f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 31123
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
511/2014 MCV Video Switcher repair
Communications Specialties, Inc. Carmel Communication Center
VENDOR SHIP 31 1sstAve NW
TO
125 C®mac St Carmel,IN 46032
Ronkonkoma, DIY 11779 (317)571-2576
CONFIRMA7iON• BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43.500.00
1 Each Repair of Deuce SDQ-2240 RP9115 $300.00 $300.00
1 Each shipping $30.00 $30.00
Sub Total: $330.00
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Send Invoice To: —i j
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Carmel Communication Center
31 1 sst Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
1115 Communications PAYMENT X330.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BYr;1�^"t-""� �'�y
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE � /iL i Yc
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v
®® CLERK-TREASURER
DOCUMENT CONTROL NO. 3 1®Z 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER Np. WARRANT
ALLOWED 20
IN THE SUM OF$
CA
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
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))
05/14/14 I 00055055 I I $330.00
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
Communications Specialties, Inc.
IN SUM OF $
125 Comac St
Ronkonkoma, NY 11779
$330.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
31823 I 00055055 I 43-500.00 I $330.00 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
Tuesday, May 27, 2014
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund