The URL can be used to link to this page

Home My WebLink About235493 07/30/14 (9, CITY OF CARMEL, INDIANA VENDOR: 368012 ONE CIVIC SQUARE SERVERSUPPLY.COM CHECKAMOUNT: $*****4,082.00* CARMEL, INDIANA 46032 750 SHAMES DRIVE CHECK NUMBER: 235493 WESTBURY NY 11590 CHECK DATE: 07/30/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4463201 32040 2393065 4,082.00 HARD DISK DRIVE LInvoice/Order# 2393065 h k..,... � ,S,,,, r,. 750 Shames Dr. Date 7/1/2014 Westbury, New York 11590 516-334-7700 Time 11:07:45 AM 516-334-7727 Fax Bill To Ship To City of Carmel Carmel Communications Terry Crockett Terry Crockett 30 Civic Square 3 Civic Square Carmel IN 46032 Carmel , IN 46032 USA 317-571-2567, USA Reference 32040 Rep Terms Delivery Tax Rate JOY Net 30 Ground 0.000% QTY Part Number Description Unit Cost Sub Total 13 619291-1321 HP-90OGB 1000ORPM 2.51NCH SFF SAS 6GBIT DUAL PORT $314.00 $4,082.00 ENTERPRISE HARD DISK DRIVE WITH TRAY(619291-1321) FOR HP PROLIANT DL120 GENERATION 7(G7).NEW SEALED SPARE. SubTotal $4,082.00 OPTIONAL Tax $0.00 - ---- — --- - - Shipping--- $0.00 Total $4,082.00 https://wv.w.serversupply.com/policies.asp Tracker: :1ZY5R6930340584950 Shiped Via:UPS Status:Shipping/Shipped Customer PO# : 32040 INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO.003120155 002 0�i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 32040 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 613012014 SAN Disks ServerSupply.com Inc. Carmel Communications VENDOR SHIP Terry Crockett 750 Shames Drive TO 3 Civic Square Westbury, NY 11590 Carmel, IN 46032 (317)571-2:67 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44-632.01 13 Each HP 90OGB dual part hard disk drive 619291-821 $314.00 $4,082.00 Sub Total: $4,082.00 _ 4 fii�1,' a.F,g I -da 11 i z V / • "[ i ti 1 Send Invoice To: Quote No.23030fi9'/-,-"-� City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT 1202 Carmel IS Dept. PAYMENT $4,092.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. • �y •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / f/ •PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL / SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. �p CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 0 4 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFiCE VOUCHER NO. WARRANT NO. ALLOWED 20 I IN THE SUM OF$ 'i ON ACCOUNT OF APPROPRIATION FOR I' Board Members PO#or INVOICE NO. ACCT#/-rITLE 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 VOUCHER NO. WARRANT NO. ALLOWED 20 ServerSupply.com Inc. IN SUM OF$ 750 Shames Drive Westbury, NY 11590 $4,082.00 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32040 I 2393065 I 44-632.01 I $4,082.00 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 Monday, July 28, 2014 "Z Director, IS 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 IIS Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 07/01/14 2393065 $4,082.00 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