247389 07/1 5/1 5 C.Iq
�%' CITY OF CARMEL, INDIANA VENDOR: 00352311
`'° CHECK AMOUNT: $*****1,049.90*
.I; ® � ONE CIVIC SQUARE MARKERTEK VIDEO SUPPLY
s, _� CARMEL, INDIANA 46032 812 KINGS HIGHWAY CHECK NUMBER: 247389
9 «oN�, Box 397 CHECK DATE: 07/15/15
SAUGERTIES NY 12477
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 33059 1215638 1,049.90 AUDIO SPLITTER
INVOICE
.com°
DATE DUE NUMBER PAGE
06/25/2015 07/15/2015 1215638 1 of 1
MARKERTEK VIDE❑ SUPPLY
Division of Tower Products,Incorporated
1 Tower Drive•Box 397 2603652 06/25/2015 554911 RM
Saugerties,NY 12477 ftB
ARKERTEK
www.markertek.com•sales@markertek.comAPERLESS
800-522-2025.845 246-1757LLIPIG WWW•markertek.cOm
Go Green with Paperless Billing. America's Broadcast Supply House
DUNS#11-923-7709•FEDERAL ID#14-1659003 Email:ARDept@markertek.com
• TO: •
Payable Accounts Terry Crockett
CARMEL INFORMATION &COMMUNICATION CARMEL INFORMATION &COMMUNICATION
3 Civic Square Information Systems
Carmel IN 46032 3 Civic Square
USA Carmel IN 46032
USA
•. NUMBER SHIP DATE SHIP VIA T ERMS OF
33059 06/25/2015 UPS Ground NET 20 DAYS
ORDERED SHIPPED B/O ITEM&DESCRIPTION UNIT PRICE EXTENDED
2 2 0 KAN-VGAEXTX8 KanexPro VGAEXTX8 1x8 VGA w/Audio Splitt 524.95 1049.90
A LATE FEE OF 1.5%PER MONTH,WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%,IS SALES AMOUNT 1049.90
ADDED TO AMOUNTS NOT FULLY PAID WITHIN 20 DAYS FROM THE INVOICE DISCOUNT 0.00
1.PLEASE INCLUDE BOTH THE INVOICE AND CUSTOMER NUMBER ON YOUR CHECK STUB. MISC CHARGES 0.00
2."Seller represents that with respect to the production of the article and/or service covered by this invoice,it has SALES TAX 0.00
been fully complied with the provision of the Fair Labor Act of 1938,as amended." FREIGHT 0.00
3.ALL CLAIMS MUST BE MADE WITHIN 7 DAYS AFTER RECEIPT OF GOODS. DEPOSIT 0.00
THANK YOU FOR YOUR ORDER! TOTAL AMOUNT DUE $ 1049.90
INDIANA RETAIL TAX EXEMPT Page 9 of 1
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33059
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
6/25/2015 00352311 Video Extender
MARKERTEK VIDEO SUPPLY Information Systems _
U'
VENDOR 812 KINGS HIGHWAY SHIP 3 Civic Square
BOX 397 TO Carmel, IN 46032- `' �7;
SAUGERTIES NY 12477 317 571-2576
V' lU
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account: 44-632.01 Department: 1202 Fund: 101 General Fund
2 Each KAN-VGAEXTX8 Kanexpro VGAEXTX8 w/audio splitter/CAT5 Extender System $524.95 $1,049.90
Sub Total $1,049.90
Send Invoice To:
Information Systems
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $1,049.90
SHIPPING INSTRUCTIONS `A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O,
`SHIP PREPAID. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
`C.O.D.SHIPMENT CANNOT BE ACCEPTED. `I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL SHIPPING LABELS. THIS APP 0O SUFF IENT TO PAY FOR THE ABOVE ORDER
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITLE DI O
4
DOCUMENT CONTROL NO. 33059 CLERK-TREASURER
VOUCHER NO. WARRANT NO.
`ALLOWED 20
MARKERTEK VIDEO SUPPLY
812 KINGS HIGHWAY IN SUM OF$
BOX 397
SAUGERTIES NY 12477
$1,049.90
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
33059 I 1215638 I 44-632.01 I $1,049.90 1 hereby certify that the attached invoice(s), or
1202 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
Wednesday, July 08, 2015
J/1 r'l
/0 ry rock , 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.
i
Payee
Purchase Order No.
I
Terms
Date Due
Invoice Date invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
06/25/15 1215638 $1,049.90
1202 I 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