236565 08/27/14 CITY OF CARMEL, INDIANA VENDOR: 365557
ONE CIVIC SQUARE WAVELENGTH FIBER OPTICS LLC CHECK AMOUNT: $*******560.00*
CARMEL, INDIANA 46032 836 FRANKLIN LAKES BLVD CHECK NUMBER: 236565
+M�ioN FRANKLIN IN 46131 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350000 31633 142320 560.00 TERMINATE 6 STRAND
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Invoice
WA VE L E N G T H Fiber Optics ttc » xa nvoice
8/21/2014 142320
Wavelength Fiber Optics LLC.
836 Franklin Lakes Blvd.
Franklin, In.46131
Bill To
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Due on receipt 8/21/2014
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Billing for Fiber terminations on Monon tunnel project
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terminated and tested 2-6 strand multimode fiber
cables
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contracted labor. 8 70.001, 560.00
0.00% ' 0.00
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Total $560:00
CBalance Due $560.00
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INDIANA RETAIL TAX EXEMPT PAGE
City-.-of Carmx el CERTIFICATE NO.003120155 002 0 � PURCHASE,ORDER NUMBER gr.
FEDERAL EXCISE TAX EXEMPT
35-60000972 3`1633
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
121212013 116$19 Tunnel Fiber Terminations
Wavelength Fiber Optics LLC: Carmel Communication Center
VENDOR SHIP 31 1st Ave NW
TO
636 Franklin Lake Blvd Carmel, IN 146032
Franklin, IN 46131 (317)671-2566
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-500.00
1 Each Terminate 6 strand moltimode fibers at 2 camera locations $560.00 $560.00
Sub Total: $560.00
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1,Jj ,i1
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Send Invoice To:
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Communications PAYMENT $560.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFF CIENT TO PAY FOR THE ABOVE ORDER.
• -
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 316 3 3 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
PT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
I:
materials or services itemized thereon for
which charge is made were ordered and
received except _
1
20
Signature
Title
Cost,distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wavelength Fiber Optics LLC
IN SUM OF$
836 Franklin Lakes Blvd
Franklin, IN 46131
$560.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
31633 I 142320 I 43-500.00 I $560.00
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
Thursday, August 21, 2014
Di rector
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))
08/21/14 142320 $560.00
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