244654 04/29/15 ``yo.s�a4G CITY OF CARMEL, INDIANA VENDOR: 367021
f 1 ONE CIVIC SQUARE AXIS COMMUNICATIONS CHECK AMOUNT: $'`*"***171.00•
q CARMEL, INDIANA 46032 300 APOLLO DRIVE CHECK NUMBER: 244654
�'�rori��EO'` CHELMSFORD MA 01463 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 32676 001015 171.00 AXIS REPAIR
nvoice
#INV-001015
COM MUNI CATIONS
Axis Communications, Inc. Balance Due
300 Apollo Drive $171.00
Chelmsford MA 01463
U.S.A
Bill To
Carmel Communications Center Invoice Date : April 23,2015
31 st Ave NW
Carmel Terms : Net 30
46032 IN
USA Due Date : May 23,2015
Item&Description QtY Rate Am
AXIS P3344-VE 6MM 1 171.00 171.00
s/n 00408cc03064-Repair
Total $171.00
Balance Due $171.00
Notes
Thanks for your business.
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32676
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P'i
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
4/6/2015 Camera Repair
Axis Communications Carmel Communication Center
VENDOR Attn: Accounts Receivable SHIP 31 "i t Ave NW
300 Apollo Dr TO Carmel, IN + 6032
Chelmsford, MA 01824 (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE
DESCRIPTION
UNIT PRICE EXTENSION
Account 43-500.00
1 Each axis P3344 6MM repair 00408cc03064 $171.00 $171.00
Sub Total: $171.00
fes.
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a
<,A ,1J
Case Number'59591l Todid,Luckr sk�l v 3`17 710 61145
Send Invoice To: f j
1
Carmel Communication Center T
31 1 St Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1115 Communications PAYMENT $171.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 32676 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
i
VOUCHER NO._=_WARRANT NO.
ALLOWED 20
IN THE SUM OF$
i
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#frITLE 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
Title
I� ;I
Cost distribution ledger classification if
claim paid motor vehicle highway fund f
l
VOUCHER NO. WARRANT NO.
ALLOWED 20
AXIS COMMUNICATIONS
300 APOLLO DRIVE IN SUM OF $
o I Y63
CHELMSFORD , MA 04-�
$171.00
i
I
ON ACCOUNT OF APPROPRIATION FOR f
Communications
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT
Board Members
32676 I 001015 I 43-500.00 I $171.00 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
Friday, April 24, 2015
//erryv
Crd kelt, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
I
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
I 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))
04/23/15 001015 $171.00
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