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Home My WebLink About248031 07/28/15 a°,.cyv4 ,;; ;� CITY OF CARMEL, INDIANA VENDOR: 368012 ® "il ONE CIVIC SQUARE SERVERSUPPLY.COM CHECK AMOUNT: $*****5,440.00* ,a CARMEL, INDIANA 46032 750 SHAMES DRIVE CHECK NUMBER: 248031 .y�_rpN,Eo, WESTBURY NY 11590 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4463201 33061 2655052 5,440.00 DUAL PORT Invoice Order# 2655052 Server,,- 750 Shames Dr. Date 6/26/2015 Westbury, New York 11590 516-334-7700 Time 4:55:09 PM 516-334-7727 Fax Bill To Ship To City of Carmel Information System Carmel Communications Terry Crockett Terry Crockett/317-571-2576 30 Civic Square 3 Civic Square Carmel IN 46032 Carmel , IN 46032 USA 317-571-2567, USA Reference 33061 Rep Terms Delivery Tax Rate THOMAS Net 30 Ground Tax Exempt QTY Part Number Description Unit Cost Sub Total 16718162-1321 HP 1.2TB 6G SAS 10000 RPM SFF(2.5-INCH)SC DUAL PORT $340.00 $5,440.00 ENTERPRISE HOT-SWAP HARD DISK DRIVE WITH TRAY (718162-1321). NEW SEALED SPARE. SubTotal $5,440.00 OPTIONAL Tax $0.00 Shipping $0.00 Total $5,440.00 https:/AAfww.serversupply.com/policies.asp Tracker: : 1ZY5R6930341015054 Shipped Via:UPS Status:Shipping/Shipped Customer PO# : 33061 INDIANA RETAIL TAX EXEMPT Page 1 of 1 City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33061 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AR CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 6/26/2015 368012 SAN Disk Drives t� SERVERSUPPLY.COM Information Systems VENDOR 750 SHAMES DRIVE SHIP 3 Civic Square TO Carmel, IN 46032- 1A WESTBURY NY 11590 - (317) 571-2576 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account. 44-632.01 Department: 1202 Fund.- 101 General Fund 16 Each 718162-B21 HP 1.2TB 6G SAS 10000 RPM SFF SC Dual Port Enterprise $340.00 $5,440.00 Hot-Swap Hard Disk Drive w/tray Sub Total $5,440.00 Send Invoice To: /— Information Systems Quote No. 2655052 Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $5,440.00 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 PROPRIATION SUFFICIENT TO PAY R THE ABOVE ORDE 1 *THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 - AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED B TITL rector DOCUMENT CONTROL NO. 33061 CLERK-TREASURER 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)) 06/26/15 I 2655052 I I $5,440.00 1202 101 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 VOUCHER NO. WARRANT NO. ALLOWED 20 SERVERSUPPLY.COM 750 SHAMES DRIVE IN SUM OF $ WESTBURY , NY 11590 $5,440.00 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 33061 I 2655052 I 44-632.01 I $5,440.00 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 Monday, July 27, 2015 Te Crockett, Director Cost distribution ledger classification if claim paid motor vehicle highway fund