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Home My WebLink About236149 08/19/14 4�V•C,pff CITY OF CARMEL, INDIANA VENDOR: 366241 ONE CIVIC SQUARE GIBSON TELDATA INC CHECK AMOUNT: $*******228.00* CARMEL, INDIANA 46032 Po Box 3000 CHECK NUMBER: 236149 9M�iuriE°' TERRE HAUTE IN 47803 CHECK DATE: 08/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4463100 32352 INV48524 228.00 TELEPHONE EQUIPMENT � ®�° INDIANA RETAIL TAX EXEMPT PAGE City ,Jlr Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER Lat,,) FEDERAL EXCISE TAX EXEMPT �0 3�� 35-60000972 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 VENDOR $fi b �incenr�¢S Cirde SHIP Lnd�Q��pdi�s, I� L4bo&6' TO CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION chi cl q u afi-e Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1 8PROVED FOR PAYMENT UNLESS THE RO. '�6((/�'J�, Gi J� /�/� /1 �j y/�/� y��/� PAYMENT 01-7, 00 A/P VOUCHER CANNOT BE`y 1 &-3 16CJ f t I 1 1m u!)I (fit 4i�S E p v{p i�`r.n+ NUMBER IS MADE A PART OFTHEVOUCHER AND EVERY INVOICE AND ( VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN TF�ySAP I 10 O PA SHIP REPAID. THE ABOVE ORDER. • (/ •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. c l •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Ael1 \ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 3 5 2 VENDOR COPY - Post Once Box 3000 INVOICE Terre Haute,IN 47803-0115 _�_ry - - d USA Phone:(812)232-6287 Fax:(812)237-9150 P,ep Web Site:http:\Xwww.bgibson.com 1/2 Data 8/6/2014 Invoice Number I NV48524 III To Number 105157 ite Number 2-3 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 Janet Amone Order Number Type Entered By Customer Reference Terms Due Date JOB45351 Move,Add and Change Ordei TBUMPUS 32352 NET 30 DAYS 9/5/2014 Quantity BIO UM Unit Discount Tax Ext Billing Code/Part q Description q q Price Reported Problem Cordless deet Headse for Ext.2795 Ship to Greg Bedell Faults MIT50005711 Cordless Handset&Module Bundle(NA DECT) 1.00 0.00 EA 350.00 133.00 0.00 217.00 Serial Number(s) 1 W6FW1410015 FREIGHT Equipment Freight Charge 1.00 0.00 FLAT 11.00 0.00 0.00 11.00 I, f Post Office Box 3000 Terre Haute,IN 47803-0115 INVOICE- USA Phone:(812)232-6287 Fax:(812)237-9150 Pae• 2/2 Web Site:http:\\Www.bgibson.com Dat• 8/6/2014 Invoice Number I NV48524 Duantfty B/D U/M Unit Discount Tax Ext Billing Code/Part# Description # # Price n.� 11.00 350.00 IN 0.00 361.00 Please remit payment to: Die`°vrrt 133.00 Post Office Box 3000 Less cover Terre Haute, IN 47803-01150.00 USA pluora" 0.00 ' Duo Data 9/5/2014 L°espayment 0.00 Tone NET 30 DAYS Total Due(USD) 228.00 For questions regarding this invoice,please call John Boyd c@ 812-237-9141 or email to:lboyd@bgibsontbm w I� I I Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City FormNo.201(Rev.199 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)) 8115114 INN.148524 ment per the attached $228.00 ,ems Total 228.00 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. ALLOWED 20 _Gibson Tel dela h9e � IN SUM OF $ PO Box 3000 Terre Haute, IN 47803-0115 $ $228.00 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), 00 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 Out 4 TitYe Cost distribution ledger classification if claim paid motor vehicle highway fund