HomeMy WebLinkAbout246400 06/17/15 ��.F�g.
�_ ., CITY OF CARMEL, INDIANA VENDOR: 369345
® „ ONE CIVIC SQUARE WORSEN SECURITY TECHNOLOGY CHECK AMOUNT: 5•"•11,694.84'
:. _� CARMEL, INDIANA 46032 6121 E 30TH ST CHECK NUMBER: 246400
9,,___/�, INDIANAPOLIS IN 46219 CHECK DATE: 06/17/15
ICON G�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4463100 32688 117026 11,694.84 AXIS PTZ CAMERA
Koorserf
Project Invoice Koorsen Security Technology-Indianapolis, IN
SECURITY TECHNOLOGY 6121 East 30th Street, Suite A
Indianapolis , IN 46219
REMIT TO: Telephone(317)225-5968
Koorsen Security Technology
6121 East 30th Street,Suite A Fax(317)225-5045
Indianapolis,IN 46219
Prepared By: Christie Yoder
Please include invoice number on check. Email: Chrlstie.Yoder@KSTSecurity.com
Client:
Information&Communication Systems Date: 6/10/2015
31 1st Avenue NW Invoice No.: 117026
Carmel, IN 46032 Client No.: 4486
317.571.2576
Order No.: 803897
Order Date: 6/10/2015
Salesperson: Shannon Martindal
Client P.O. No.: 32688
Terms: Net 25 days
Project Name: Due Date: 7/5/2015
City of Carmel-Axis PTZ
Site Address:
Information&Communication Syste
31 1st Avenue NW
Carmel, IN 46032
317.571.2576
317.571.2588
Description Total
Complete billing for-the 4 Axis cameras as per quote.
Original Contract Amount: $ 11,694.84
Amount Billed This Invoice: 100.00% $ 11,694.84 $11,694.84
Invoice Total: $ 11,694.84 $11,694.84
Koorsen Federal ID#27-2520597 Job Invoice Progress Billing
A Service Charge of 1.5%per month(18%annual)will be charged on past due accounts.
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INDIANA RETAIL TAX EXEMPT Page 1 of 9
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32688
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
5/11/2015 369345 Security Cameras
KOORSEN SECURITY TECHNOLOGY City Of Carmel Communications
VENDOR 6121 E 30TH ST SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
INDIANAPOLIS ,IN 46219- (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-631.00
4 Each Axis PTZ Camera $2,923.71 $11,694.84
Sub Total $11,694.84
Send Invoice To:
City of Carmel Communications Proposal No.708168-02
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
1115 Communications PAYMENT $11,694.84
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
'SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
'C.O.D.SHIPMENT CANNOT BE ACCEPTED, 'I HEREBY CERTIFY THAT THERE IS AN UNOPGATED BALANCE IN
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
THIS APP OPRIATION SUFFICIENT 0 PA T ABOVE ORDER
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. f
Laserfische ID: TI 'E D rt e r
DOCUMENT CONTROL NO. 32688 CLERK-TREASURER
VOUCHER NO. WARRANT NO.
ALLOWED 20
KOORSEN SECURITY TECHNOLOGY
6121 E 30TH ST IN SUM OF $
INDIANAPOLIS , IN 46219
$11,694.84
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
32688 117026 I 44-631.00 $11,694.84
I hereby certify that the attached invoice(s), or
I
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, June 12, 2015
Terry Crockett, 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))
06/10/15 117026 $11,694.84
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