237016 09/10/14 ♦y ur..FAH,yF.
CITY OF CARMEL, INDIANA VENDOR: 357770
`/ ` CHECKAMOUNT: $*******412.00*
ONE CIVIC SQUARE SENSORY TECHNOLOGIES
r. ,?� CARMEL, INDIANA 46032 6951 CORPORATE CIRCLE CHECK NUMBER: 237016
�M�ioN�° INDIANAPOLIS IN 46278 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4342100 33999 15.00 POSTAGE
1110 4350000 32415 33999 397.00 PROJECTOR LAMP
INVOICE: 33999 Invoice Date:
Project Number: 26848 08/27/2014
For:
riq Client#:C03083
h Carmel Communications
A MARKEY'S VIDEO IMAGES COMPANY Replacement Projector Lamp
Sensory Technologies
6951 Corporate Circle Customer P.O.: 32415
Indianapolis, IN 46278
317-347-5252 Fx 317-347-5262
Bill to: Project Site:
City of Carmel Carmel Communications
Brian Smith Brian Smith
1 Civic Square 31 1 st Ave NW
Carmel, IN 46032 Carmel IN 46032
Tel: 317-571-2448
Terms: Net 30 Days _ J -Invoice Date`�08/27/20'14�"
Authorized Agent: Brian Smith
Qty Mfr-Part No. Description Unit Price Extended
Replcacement Projector Lamp
1 Panasonic-ET-LAF100 Lamp for F100/200/300 397.0.0 397.00
Freight $ 15.00
Balance Due: $ 412.00
Tax ID: 20-4438772
08/27/2014 Sensory Technologies Project: 26848 INVOICE:33999 Page 1 of 1
t ,
INDIANA RETAIL TAX EXEMPT PAGE
cit k a mel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 32415
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
Sonso y T@chnalagiea CarTrlel Polices Department
VENDOR SHIP 3 Civic SquaF
TO
l i C0rPQFate CIFCI15 Carmel, IN 46M
Indianapolis, IN 45279 (317)571,-)559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-600.00
I Each replace meM project®r lamp Panasonic ETT-IAF 100 $397.00 X397.00
Stall Total: $397.00
"I
Tt��,J
s
`'
5%! OnAieei0 1
Can-ael Police Department
Attn: Pat Young
3 CIVIC Sguam
Carmel, IN 46032® PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. ��9 PAYMENT $397.0
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
y� NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS�THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CEF(TFFjTHATTHERE IS AN UNOBLIGATED BALANCE IN
THIS APP I T ON SUFFICIENT TO AY^FOR THE ABOVE ORDER.,
•SHIP REPAID. ) --.-.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. li ,
•PURCHASEORDERNUMBER MUSTAPPEARONALL ORDERED BY +� /A
SHIPPING LABELS. 6
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ! iof of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 4 -1 11; A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
20
Signature i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sensory Technologies
IN SUM OF $
6951 Corporate Circle
Indianapolis, IN 46278
$412.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33999 43-421.00 $15.00 I hereby certify that the attached invoice(s), or
`ra
bill(s) is (are)true and correct and that the
32415 1 33999 1 43-500.00 1 $397.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday,,September 04, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
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))
08/27/14 33999 Shipping $15.00
09/03/14 33999 Projector Lamp $397.00
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