247143 07/15/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 367021
ONE CIVIC SQUARE AXIS COMMUNICATIONS CHECK AMOUNT: $*******227.00*
CARMEL, INDIANA 46032 300 APOLLO DRIVE CHECK NUMBER: 247143
CHELMSFORD MA 01463 CHECK DATE: 07/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 33063 001247 227.00 REPAIR
R Invoice
AXIS #INV-001247
COM MUNI CATIONS
Axis Communications, Inc. Balance Due
300 Apollo Drive $227.00
Chelmsford MA 01463
U.S.A
Bill To Invoice Date: July 02,2015
Carmel Communications Center Terms: Net 30
31 st Ave NW
Carmel Due Date: August 01,2015
46032 IN Reference: RMA 144092 PO 33063
USA
Item&Description Qty Rate Amount.
AXIS P3344-VE P/N 0325-041 1 227.00 227.00
Total $227.00
Balance Due $227.00
Notes
Thanks for your business.
i
INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carme
CERTFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33063
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 04
6/30/2015 367021 Camera Repair
AXIS COMMUNICATIONS Communications
VENDOR 300 APOLLO DRIVE SHIP 31 1st Avenue N.W.
v/
TO Carmel,IN 46032- /a I
CHELMSFORD ,MA 01463- (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account., 43-500.00 Department: 1115 Fund., 101 General Fund
1 Each Part#:0325-041 Repair to P3344-VE S/N:00408cb17470 $227.00 $227.00
Sub Total $227.00
Send Invoice To:
Communications CST Case Number-5822192
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $227.00
SHIPPING INSTRUCTIONS 'A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
'SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. 'I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED �/✓ 9
TITLE
DOCUMENT CONTROL NO. 33063 CLERK-TREASURER
VOUCHER NO. WARRANT NO.
ALLOWED 20
AXIS COMMUNICATIONS
300 APOLLO DRIVE
IN SUM OF$
CHELMSFORD MA 01463
$227.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
33063 I 001247 I 43-500.00 I $227.00 1 hereby certify that the attached invoice(s), or
1115 101
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, July 07, 2015
Ter C ckett, 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
07/02/15 001247 $227.00
1115 101
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