The URL can be used to link to this page

Home My WebLink About236648 09/03/14 `� �qq�f CITY OF CARMEL, INDIANA VENDOR: 178620 J.� . ® �", ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: S"`"""""133.00' ro: q, CARMEL, INDIANA 46032 PO BOX 411662 CHECK NUMBER: 236648 M�roN�, ATTN:ACCTS REC CHECK DATE: 09/03/14 KANSAS CITY MO 641 41-1 882 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4467099 32436 502752 133.00 LASER RADAR CALIBRATI Invoice Number 502752 KUSTOM SIGNALS, INC. 1111111111111111111 A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Invoice Date 08/22/14 1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC. Customer Number 16673 Chanute, KS 66720-0947 PO BOX 411882 Order Number 198637 SR (620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 32436 Page 1 of 1 SOLD TO SHIP TO CARMEL POLICE DEPT CARMEL POLICE DEPT POLICE DEPT HDQTRS POLICE DEPT HDQTRS 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Net Due Date 09/21/14 Terms net 30 Shipping UPS Quantity Part Number DESCRIPTION-Serial.#- Price Extended Shipped Price 1 200-2072-OOR PRO-LITE REPAIR LP02221 OW 3/2/09 PROLITE RECERTIFY BRIAN SMITH 317-571-2594 BMSMITH@CARMEL.IN.GOV ....«...«««ESTIMATE 1 TRACKING DATE SUMMARY FOR THIS REPAIR DATE RECEIVED 8-7-14 POHOLD 8-7-14 Technician Start/End Date:8/18/2014 Technician Start/End Date:8/19/2014 Emailed estimate 8/20/14 Estimate approved 8/21/14 1 888-8888-33 CS FREIGHT GROUND 18.00 18.00 OUTBOUND SHIPPING 10 111-1111-11 OOW Laser Labor tenths of hr OOW Laser Labor tenths of hr Pro-Lite Laser Serial*LP02221 Assessment Finding: Customer has specified(RECERTIFICATION ONLY) Regression test found NO minor or major operating inadequacy Completed verify functions check HUD realignment/Road Test Recertified 7mm TOTAL Pulse Width Calibration 17.06 134.1 30.5 19.999686 1 222-2320-00 RECERTIFICATION,PRO-LITE+ 115.00 115.00 1 222-2312-01 CS ROAD TEST ASSESSMENT REMIT TO: FEDERAL ID# 43-1757730 Subtotal 133.00 KUSTOM SIGNALS, INC. III IIIIIIIIIIIIIIIIIIIIII III %Tax 0.00 PO BOX 411882 KANSAS CITY, MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 133.00 A INDIANA RETAIL TAX EXEMPT PAGE u itof Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 24+ 6 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 Kustom Signals Caffnel Police Department VENDOR SHIP 3 CIYIc Square P.0. Box 411882 TO Cannel, IN 4603.2 Kantas City, MO 641d1m1 (W)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY �gUOFNIIT MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44-670.99 1 Each laser radar calibralicn $133.00 $133.00 Sub Total: $133.00 ` Send Invoice To: / z Cannel Police Department Attn: Pat Young 3 CIVIC squam Carmel, IN 46M2- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT T PROJECT PROJECTACCOUNT AMOUNT Camiel Police Dept. �� < �� PAYMENT $133.001 \ A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THEfVOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER, ORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERIIISAN UNOBLIGATED-BALANCE IN THIS APPROPRIATION OF ICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. U •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. �Jy/ •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �V SHIPPING LABELS. CMI I Pollee •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Pollee AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 2 4 3 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or 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 I 20 Signature - --- Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Kustom Signals IN SUM OF $ P.O. Box 411882 Kansas City, MO 64141-1882 $133.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 32436 502752 44-670.99 $133.00 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 Thursday, August 28, 2014 Chief of Police 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)) 08/22/14 502752 Radar Calibration $133.00 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