248904 08/26/15 t�."`�cggMf
;; - CITY OF CARMEL, INDIANA VENDOR: 362168
•i; ® 'r ONE CIVIC SQUARE L-3 COMMUNICATION MOBILE-VISION IpbECK AMOUNT: $***....153.80*
CARMEL, INDIANA 46032 PO BOX 5580 CHECK NUMBER: 248904
'M'roi+�i�.a GENERAL POST OFFICE CHECK DATE: 08/26/15
NEW YORK NY 10087-5580
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 33012 0228887 153.80 CAMERA
Invoice
communications IF-
Mobile-Vision, Inc.
Invoice Number: 0228887-IN
90 Fanny Road Invoice Date: 8/10/2015
Boonton, NJ 07005
Phone: (800) 336-8475 Order Number: 0142514
Fax: 973 257-3024 Order Date a/s/2o15
Salesperson: ZLMB
Tracking Number: 1zx5x9890367435989;
Customer Number: INCARME
Sold To: Ship To:
Carmel Police Department Carmel Police Department
3 Civic Square 3 Civic Square
Attn:Pat Young Attn:Brian Smith
Carmel,IN 46032 Carmel,IN 46032
Confirm To:
Brian Smith Page: 1
Customer P.O. Ship VIA F.O.B. Terms
33012 UPS GROUND BOONTON,NJ Net 30 Days
Item Number Unit Ordered Shipped Back Order Price Amount
MV-CAM COIL CRD EACH 2.00 2.00 0.00 19.95 39.90
Cord,coil,camera,quick-connect(MV201,Nite-Watch) Whse: 000
W-FB-CAMEXT-C14 EACH 2.00 2.00 0.00 49.95 99.90
Cable,exten,camera, 14' Whse: 000
PLEASE REMIT PAYMENT TO L-3 COM MOBILE VISION,INC Subtotal: 139.80
PO BOX 5580 NEW YORK NY 10087-5580
Ship/Handling: 14.00
Sales Tax: 0.00
Invoice Total: 153.80
These commodities are controlled under the Export Administration Regulations(EAR)and may not be
exported without proper authorization by the US Dept of Commerce.
City
(� INDIANA RETAIL TAX EXEMPT PAGE
®1Jjr Car Mel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
�
FEDERAL EXCISE TAX EXEMPT M2
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
L-3 Communic@ long Nobllo Vision, Inc. C@mol Polito DoWmont
VENDOR SHIP 3 Cluic squ@m
P.O. Bou SM TO Cool, IN 41
Nora Yol t, NY imy (317)671
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
Account
gppU,UNITOFMEASURE DESCRIPTION UNIT PRICE EXTENSION
Account �JeY'iTditY.00
a Each camera cable Vol-1=13-CAMEXT-C14 $49.95 $00.90
2 Each camera cord MV-CAA COIL CRD $19.95 $30.00
1 Each shipping charges $14.00 $14.00
i f f Sub Total: $153.80
u !
0 (L
Send
Send Invoice To: � �
Ouffl®1 Pollco ®Opartmont
Attn: Pat Young
3 Civic Sgum
Camol, IN PLEASE INVOICE IN DUPLICATE-
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. �153.uu
PAYMENT
}�
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
• �///�/,//y// fes•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ✓/ _/J/l�G-�
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. , I#lGq
61011,.0
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE a?1 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 3 0 12 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
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))
08/10/15 0228887 camera repair $153.80
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.
L-3 Communications Mobile-Vision, Inc. ALLOWED 20
IN SUM OF $
P.O. Box 5580
New York, NY 10087-5580
$153.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33012 ( 0228887 I 43-500.00 I $153.80 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
Thursday, August 20, 2015
s�
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund