HomeMy WebLinkAbout245003 05/05/15 J` ;? CITY OF CARMEL, INDIANA VENDOR: 00352467
ONE CIVIC SQUARE TELCO SYSTEMS CHECK AMOUNT: $*******326.62*
a CARMEL, INDIANA 46032 PO BOX 414626 CHECK NUMBER: 245003
BOSTON MA 02241-4626 CHECK DATE: 05/05/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 491013 326.62 POSTAGE
Remit To SHIPMENT ID 1253614
X
Tivellco P.O. Box 414626 INVOICE Invoice Number Rev Invoice Date
Boston,MA 02241-4626
Q. e 491013 0 04/24/15
YS
11111110 , Tel.781-551-0300 Customer orderaIlSales Order
A B ATM COM P a n Y•Fax 781-255-5326 32678 TR98802
B CITY OF CARMEL S CITY OF CARMEL(650) Bill of Lading Number Date of Shipment
I ATTN:ACCTS PAYABLE H ATTN: BRIAN SMITH 0353204255 04/23/15
LI Shipped VIA Freight Terms
31 FIRST AVE NW 31 FIRST AVE NW
L CARMEL,IN 46032 P UPSG FOB Fact,PREPAY+ADD
T T CARMEL,IN ITerms Taxable
O O 46032 NET 30 N
BILL TO# 60093 SHIP TOM 60093-1
Item Product Number Product Description TaxQuantity Shipped Back Order Qty I Unit Price I Extension
1 CCA520G2R M13 W/OPTICS MED HAUL N 1.00 0.00 316.0000 $316.00
Subtotal. $316.00
Frieght Amount: $10.62
Tax Amount: $0.00
Invoice Total Amount: $326.62
Telco Systems,A BATM Company, 15 Berkshire Rd.,Mansfield,MA 02048
2/2 U.S.EXPORT LAW PROHIBITS EXPORT OF THESE COMMODITIES WITHOUT EXPORT AUTHORIZATION
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INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32678
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
402015 Fiber Mux repair A�
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Telco Systems Carmel Communication Center.-
VENDOR
enter.VENDOR SHIP 31 1 St Ave NW
TO
120 Forbes Blvd Carmel, IN 46032
Mansfield, MA 02M (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-500.00
1 Each Fiber Mux board repair EL100 XT M13 $316.00 $316.00
Sub Total: $316.00
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Send Invoice To: r
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
1115 Communications PAYMENT $316.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BYL'�'L 'C_. !
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE --mrect r-
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 6 7 8 A.P.V. COPT-SIGN AND RETURN TO CLERK'S OFFICE
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
(t)
PO#or Board Members i
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT 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
20
Signature '
I
Title
Cost-distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED
20 �
TELCO SYSTEMS
PO BOX 414626 IN SUM OF $
BOSTON MA 02241-4626
$326.62
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I 491013 43-421.00
I hereby certify that the attached invoice(s), or
I �rt9'62
bill(s) is (are)true and correct and that the
l.Ka a
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, May 01, 2015
x/
erryTC-ro`ck2t, Director
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))
04/24/15 491013 $10.62
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