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Home My WebLink About240349 12/16/14 J�% 4Ap''. CITY OF CARMEL, INDIANA VENDOR: 178620 s ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: $*******309.19* r. /?�, CARMEL, INDIANA 46032 PO Box 411882 CHECK NUMBER: 240349 +y._._..,,.! ATTN:ACCTS REC CHECK DATE: 12/16/14 �roN pO KANSAS CITY MO 641 41-1 882 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350000 32208 507210 145.19 RADAR REPAIR 1110 4350000 32248 507353 164.00 REPAIR TO RADAR Invoice Number 507353 KUSTOM SIGNALS' INC. 1111111111111111111 A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Invoke Date 12/11/14 1010W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC. Customer Number 16673 Chanute, KS 66720-0947 PO BOX 411882 Order Number 314189 SK (620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 32248 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 ATTENTION: JASON OGLE CARMEL IN 46032 Net Due Date 01/10/15 Terms net 30 Shipping Quantity Part Number DESCRIPTION Serial# Price Extended —Shipped Price 1 200-2067-01 ACC-GEIIX WIRED REMOTE 82.00 82.00 JASON OGLE 317-571-2546 jogle@cannel.in.gov 1 155-3040-21 PS ACC-CABLE MOLDED ANTENNA 61.00 61.00 1 200-1747-00 ACC-SUN SHIELD'DARK' 7.00 7.00 1 888-8888-03 MISC.FREIGHT&HANDLING 14.00 14.00 REMIT TO: FEDERAL ID# 43-1757730 Subtotal 164.00 KLISTOM SIGNALS, INC. III IIIIIIIIIIIIIIIIIIIIII I� %Tax 0.00 PO BOX 411882 KANSAS CITY, MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 164.00 INDIANA RETAIL TAX EXEMPT PAGE Cit ®f Carmel CERTIFICATE NO.003120155 002 0 � //// 1rL PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32248 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 Carmel Police Depattmerlt VENDOR SHIP —4 CIVIC Square P.C. Box 411882 TO Carmel, IN 460302 Kanr.as City, MO 64141.1882 (317)571-2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 .00 1 Each repair to radar $164.00 $164.00 Sulo Taal: $164.00 fit` .•"�� ' �,a ��•a� �:� J Esti✓,.s ✓�!/:' •_�a a s o z.o .a•�s`ss�/ �� 3f•a` Send Invoice To: rf 1� Catmel Police DepaitITILCIt Attn: Part Young 3 Civic Square Capel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT $184'00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS�I'�JON SUFFICIENT TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. P� •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C�il�1i Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 32211, 8 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 V- Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. I ALLOWED 20 Kustom Signals IN SUM OF$ P.O. Box 411882 Kansas City, MO 64141-1882 $164.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members 32248 507353 43-500.00 $164.00 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 I Friday, December 12, 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)) 12/12/14 507353 Radar Repairs $164.00 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 Invoice Number 507210 KUSTOM SIGNALS, INC. II I I III I II I I I I II III REMIT TO: Invoice Date 12/09/14 A PUBLIC SAFETY EQUIPMENT COMPANY Customer Number 16673 1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC. Chanute, KS 66720-0947 PO BOX 411882 Order Number 200681 SR (620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 32208 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 01/08/15 Terms net 30 Shipping UPS 62093 Quantity Part Number DESCRIPTION Serial # Price Extended Shipped Price 1 165 ***Eagle,Golden— WEB 62093 E 17349 OW 3/23/03 G/E WONT POWER UP JASON OGLE 317-571-2546 JOGLE@CARMEL.IN.GOV ESTIMATE«....«..««.«« 1 TRACKING DATE SUMMARY FOR THIS REPAIR DATE RECEIVED 11-19-14 PO HOLD 11-19-14 Technician Start/End Date:11/21/14 Date Repaired:12/9/14 Emailed estimate 11/24/14 Estimate email 11/25/14 Estimate approved 12/2/14 1 888-8888-33 CS FREIGHT GROUND 18.00 18.00 INBOUND SHIPPING 1 096-1007-08 CAP 10MF 20V10% TNT 1.73 1.73 1 135-0001-00 RES VAR CLAIREX CL905L 19.16 19.16 1 155-3382-00 CABLE DIRECTIONAL EAGLE SPKR 12.80 12.80 11 111-1111-13 COW Radar Labor tenths of hr 8.50 93.50 COW Radar Labor tenths of hr Estimate to replace shorted capacitor,the speaker,and photocell in the control head.Check both antenna ports. Check unit functions. E17349 REMIT TO: FEDERAL ID# 43-1757730 Subtotal 145.19 KUSTOM SIGNALS, INC. III IIIIIIIIIIIIIIIIIIIII IIII %Tax 0.00 PO BOX 411882 KANSAS CITY, MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 145.19 IF INDIANA RETAIL TAX"EXEMPTPAGE City ® I' Carmel CERTIFICATE NO.003120155 002 0 Y PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT - - - - - - ZZ� 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 A•lJ�t'ti� �A Kustom signals Carmel Police Department IP VENDOR SHIP 3 Civic Square P.O. TO Box 411882 Carmel" IN 432 142m,np C ki- M13 944Aim R (W)571-2559 CONFIRMATION BLANKET +CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.600.00 1 Each racier repair $145.19 $145.19 Sub Total: $145.19 pat��( �A. r, �i� y., ^1.�,•,wk� �,'�"... \ �k j�f 4 pf4r ipn n 9i�\'\ Send Invoice To: j Carmel Police Department Attn: Pat Young 3 Civic "guava Careal IN 46M- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT Carpel Police Dept. PAYMENT $145.19 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS 1 HEREBY CER�FY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROJRRITION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D.SHIPMENTS CANNOT BE ACCEPTED.PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY �1 ----- SHIPPING LABELS. •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE ///''FaSP,ra.�w&D3JjAe AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V v ®® CLERK-TREASURER DOCUMENT CONTROL No. 3228 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFr-ICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 T� 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 4 Kansas City, MO 64141-1882 $145.19 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. I ACCT#/rITLE AMOUNT Board Members 32208 507210 43-500.00 $145.19 1 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, December 11, 2014 I 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)) 12/09/14 507210 Radar Repair $145.19 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