245165 05/13/15 4�q
CITY OF CARMEL, INDIANA VENDOR: 368825
® 1 ONE CIVIC SQUARE IMAGING SOLUTIONS AND SERVICES IKWECK AMOUNT: $"•"*'""756.00"
CARMEL, INDIANA 46032 DEPT 1000 CHECK NUMBER: 245165
MEMPHISTN 38148-0006 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 32870 W15-1173 756.00 SCANNER MAINTENANCE
Imaging Solutions and Services, Inc. Invoice
EIN: 62-1615066 -
DATE INVOICE#
Remittance Address: Billing Inquiries:
P.O. Box 1000, Department 6 (901)767-4636, x1455 5/5/2015' W15-1173
Memphis, TN 38148-0006
BILL TO: SHIP TO:
Carmel Police Department Carmel Police Department
Attn: Laura Mulligan Attn: Laura Mulligan 317-571-2730
Records Division Supervisor Records Division Supervisor
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
................................................................................................................................. ................................................................................................................................
P.O.NUMBER TERMS DUE DATE REP SHIP DATE SHIP VIA
Net 15 5/20/2015 MC15 5/5/2015
QUANTITY REFERENCE DESCRIPTION PRICE'EACH AMOUNT
4 Advance Exchange Service for fi-6140; 3 Year 189.00 756.00
Advance Exchange 8x5x24, Parts, Labor, Shipping
Serial Numbers:
0220375/1/15-4/30/2018
0228395/1/15-4/30/2018
0229655/1/15-4/30/2018
4020725/18/15-5/17/2018
Payment activates support.
Imaging Solutions and Services,Inc.'s'Terms and Conditions of Sales' apply and are part of
this invoice. Total $756.00
INDIANA RETAIL TAX EXEMPT PAGE
nof
',C,armel.. CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3SIB70
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
gm-raging Sslutiono arab 6ervIces, Inc. Carmel Police Department
VENDOR SHIP 3 Civic quara
830 Box 10m, D@partrowlt 0 TO Carnwi, IN 4 3�-
Wrnphly, TN 3894M (317)571-2550
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.01
4 Each Scanner maintenance contract $189.00 $755.00
Stab Total $756.00
1 ,"J z r
/4`1{
S
Send Invoice To:
Carmel Police Department
Attn: Fat Young
3 Civic SquaFe
Carmel, IN 46M- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. Nx PAYMENT $755.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIA IOMSUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. /"6116f OFPolice
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE //
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 3287 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
_ IN THE SUM OF$
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
— ---- --- ------- Title
1
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Imaging Solutions and Services, Inc.
IN SUM OF$
PO Box 1000, Department 6
Memphis, TN 38148-0006
$756.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32870 I W 15-1173 I 43-515.01 I $756.00 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
li
Friday, ay 08, 2015
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))
05/05/15 W15-1173 scanner maintenance $756.00
1 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