HomeMy WebLinkAbout236149 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
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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