247771 07/28/15 a^•`" CITY OF CARMEL, INDIANA VENDOR: 369665
® i'r ONE CIVIC SQUARE BROTHER MOBILE SOLUTIONS CHECK AMOUNT: $********73.83*
CARMEL, INDIANA 46032 PO Box 200877 CHECK NUMBER: 247771
PITTSBURGH PA 15251 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 590068789 73.83 EQUIPMENT REPAIRS & M
INVOICE
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at yours) e 8735 15900687&9 07-08-15 OS-07-15 73.83
BROTHER MOBILE SOLUTIONS, INC PLEASE RETURN THIS PORTION WITH YOUR PAYMENT TO:
100 Technology Drive Suite 250A BROTHER MOBILE SOLUTIONS, INC.
Broomfield, CO 80021-3414 PO BOX 200877
DUNS# 82-738-6330, FED TAX ID# 26-2848065 PITTSBURGH PA 15251-0877
USA
BILL TO:
CITY OF CARMEL
GREG BEDELL
31 1 ST AVE, NW ".:.:.;M ...
CARMEL IN 46032-1715 A 80
USA
PLEASE DETACH HERE AND RETURN THE TOP PORTION WITH YOUR PAYMENT
SOLD TO: SHIP TO:
ONE-TIME SERVICE - N/30 CUSTOMER CITY OF CARMEL
100 TECHNOLOGY DRIVE, STE 250A GREG BEDELL
BROOMFIELD CO 80021 31 1 STAVE, NW
CARMEL IN 46032-1715
USA RR;77:ERM >" ENYE7ICE'l):!
................................:..:..........................
PPA 07-08-15
ACOUNT`;: "FE3ICFlASE"ARDER NO PAYMENT TERMS L}RI�ER#"." DEIJUEEY# ::SALESMAN :StdlP F#tOM.. .kNVr710E ISIGM£3ER::
8735 11012192113 Net 30 570000299 SLM5999 BMS 590068789
€!
PJ REPAIR 2 PJ622 H3Z161044 1 73.83 73.83
SUB-TOTAL: 73.83
dR[tiE#t';'AD.M h115TRATQ#fi;;:;;SALESl1�lAf ::';;::;: ;;::::;:;:>`;;:;;>?is;:<>:;CR1rOlfi:>ADAhi�11$TRA:TOR
.:... ..:.:....:>. ;...:
TAX:,>:::>:.; :.:-:. 0.00..:,,
OMMISSIONABLE Diane Tehan FREIGHT: 0.00
TEL#: TEL#: TEL#: 908-252-3133 TOTAL,',DUE: '.73:83
FAX#: FAX#: FAX#: 908-541-5610
CORRESPOND TO:
Brother Mobile Solutions
ATTN: Credit Department
PO BOX 6911
BRIDGEWATER, NJ 08807-6911
Page 1 of 1
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))
07/08/15 590068789 printer repair $73.83
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Brother Mobile Solutions
IN SUM OF $
PO BOX 200877
Pittsburgh, PA 15251
$73.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 590068789 I 43-500.00 I $73.83 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
Thurs ay, July 23, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund