241722 02/03/15 � C!IH.
a�,
"� CITY OF CARMEL, INDIANA VENDOR: 354609
® i ONE CIVIC SQUARE GLOBAL GOVT/ED SOLUTIONS INC CHECK AMOUNT: $""" *' 188.94'
CARMEL, INDIANA 46032 PO BOX 935311 CHECK NUMBER: 241722
'M,�roN��a ATLANTA GA 31193-5311 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4237000 32349 L68940750101 188.94 FIBER CONVERTER
(OGLOBAL p 0
PLEASE REMIT TO:
GOV'T/EDUCATION SOLUTIONS INC.
Global GOV/ED Solutions Inc.
Global GOV/ED Solutions Inc. P O Box 935311
7795 West Flagler Street,Suite 35 Atlanta GA 31193-5311
Miami,Florida 33144
Sales/Cust Serv: 1-888-445-2725
Collections: 1-888-237-6696
SHIP TO (IF OTHER THAN "SOLD TO")
PLEASE REFER TO YOUR ACCOUNT NO.,OUR INVOICE AND YOUR ACCOUNT NO. TODD LUCKOSKI
ORDER NO.IN ALL COMMUNICATIONS REGARDING THIS INVOICE 0093676963 CARMEL CLAY COMMUNICATION CENT
31 FIRST AVE NW
SOLD ( CARMEL CLAY COMMUNICATION CENT CARMEL, IN 46032
TO:
ACCOUNTS PAYABLE f
31 1ST AVE L—
CARMEL, IN 46032
32349 01/07/15
LYOUR PURCHASE ORDER NUMBER AND DATE
OUR INV.DATE SHIPPED VIA DATE SHIPPED
INV.NO./ORDER NO-__. --.-- '- - - --- ----
L68940750101 01/09/15 UPS GROUND 01/09/15 Payment Due by 01/24/15
ORDERED SHIPPED ITEM NO. DESCRIPTION UNIT PRICE EXTENDED AMOUNT
4 4 BB11-Q72800 FIBER CONVERTER R345 TO SC 45.00 180.00
t
P �
D -
��aDG ! __- - - -
BUC&TMQ)H 900 L" 0
ORIGINAL SALES TAX FOB^ SHIPPING&HANDLING e
ACCOUNTS 30 DAYS AND OVER ARE SUBJECT TO A FINANCE CHARGE OF 1.5%PER MONTH WHICH IS
AN ANNUAL PERCENTAGE RATE OF 18%TO BE APPLIED TO THE UNPAID BALANCE. NAPERVILLE 8.94 $ 188.94
City
®f
����� ` INDIANA RETAIL TAX EXEMPT PAGE
C CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32349
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM.APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1/712015 Fiber Converter
Global Gov't1Ed Solutions Inc. Carmel Communication Canter
VENDOR SHIP 31 1st Ave NW
TO
P.O. Box 935311 Carmel, IN 46032 �
Atlanta,GA 31193.5311 (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-370.00
4 Each Fiber Converter RJ45 to SC TFC-11OMSC $45.00 $180.00
1 Each SHIPPING $8.94 $8.94
Sub Total: $188.94
i h V
It 7
Quote No.3314959V`A"'' �'
Send,Invoice To:
Carmel Communication Center �f
31 9 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1915 Communications PAYMENT $138•94
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
I HIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
1/
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE �✓P"/'. U/ L'G'6?'>`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 33 2349 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--_.___
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#MTLE 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
20
......................._.-........................................................ ..............
Signature
--.................._.._.............................-----------------........................._.............
-..:.-..._.. -..--.........._._-.._..._...
- 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))
01/09/15 I L68940750101 I I $188.94
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
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Global Gov't/Ed Solutions Inc.
IN SUM OF $
P.O. Box 935311
Atlanta, GA 31193-5311
$188.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
--T
32349 I L68940750101 I 42-370.00 I $188.94 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
Tuesday, January 27, 2015
4,
Dir c or
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
■