249341 09/09/15 i
a� CITY OF CARMEL, INDIANA VENDOR: 178620
® °I ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: $*****1,169.54*
?� CARMEL, INDIANA 46032 PO BOX 411882 CHECK NUMBER: 249341
M,iaH�b ATTN:ACCTS REC CHECK DATE: 09/09/15
KANSAS CITY MO 64141-1882
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 33027 517747 108.94 RADAR REPAIR
1110 4350000 33027 517748 397.30 RADAR REPAIR
1110 4350000 33027 517820 397.30 RADAR REPAIR
1110 4350000 33039 518125 133.00 RADAR REPAIR
1110 4350000 33039 518126 133.00 RADAR REPAIR
Invoice Number 517747
KUSTOM SIGNALS INC. 1111111111111111111
Invoice Date 08/19/15
A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Customer Number 16673
1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC.
Chanute, KS 66720-0947 PO BOX 411882 Order Number 204771 SR
(620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 33027
Page 1 of 1
SOLD TO SHIP TO
CARMEL POLICE DEPT CARMEL POLICE DEPT
POLICE DEPT HDQTRS POLICE DEPT HDQTRS
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Net Due Date 09/18/15 Terms net 30 Shipping UPS
Quantity Part Number DESCRIPTION Serial # Price 'Extended
Shipped I Price
1 165 "'Eagle,Golden—
E-E252F2-6
olden—E-E25325 J
OW
Eagle
Power button sticks
Brian Smith 3175712594
bmsmith@carmel.in.gov
'*est—
1 TRACKING DATE SUMMARY FOR THIS REPAIR
DATE RECEIVED 8-10-15
POHOLD 8-10-15
Technician Start/End Date:8/12/15
Date Repaired:8/19/15
Emailed estimate 8/12/15
Estimate approved 8-19-15
1 155-3382-00 CABLE DIRECTIONAL EAGLE SPKR 12.80 12.80
1 031-0260-01 SW MOMENTARY C&K 2.64 2.64
11 111-1111-13 OOW Radar Labor tenths of hr 8.50 93.50
OOW Radar Labor tenths of hr
Replaced the speaker and power switch in the control head.
Checked both antenna ports.Checked unit functions.
E 25325
REMIT TO: FEDERAL ID# 43-1757730 Subtotal 108.94
KUSTOM SIGNALS, INC. %Tax 0.00
PO BOX 411882 I I(VIII III 1111111 DIIII III
KANSAS CITY, MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 108.94
It((((((( Invoice Number 517748
KUSTOM SIGNALS INC. 1111111111111111111
, 15
A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Customer Number Invoice Date 08/19/8/19/
1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC.
16673
Chanute, KS 66720-0947 PO BOX 411882 Order Number 204772 SR
(620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 33027
Page 1 of 1
SOLD TO SHIP TO
CARMEL POLICE DEPT CARMEL POLICE DEPT
POLICE DEPT HDQTRS POLICE DEPT HDQTRS
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Net Due Date 09/18/15 Terms net 30 Shipping UPS
Quantity Part Number DESCRIPTION Serial # Price Extended
Shipped Price
1 200-1746-OOR KA ANTENNA DIR.EAGLE
C de09974
OW
Eagle antenna
not picking up cars
Brian Smith 3175712594
BMsmith@carmel.in.gov
**est***
1 TRACKING DATE SUMMARY FOR THIS REPAIR
DATE RECEIVED 8-10-15
POHOLD 8-10-15
Technician Start/End Date:8/12/15
Date Repaired:8/19/15
Emailed estimate 8/12/15
Estimate approved 8-19-15
1 015-0808-00 WAVEGUIDE/SOURCE DIR KA ANT 269.00 269.00
2 187-0133-00 O-RING RUBBER KA ANT END 0.40 .80
1 222-2312-00 CS RADAR RECERTIFICATION
1 222-2312-04 CS RADAR SIMULATOR ANALYSIS
15 111-1111-13 COW Radar Labor tenths of hr 8.50 127.50
OOW Radar Labor tenths of hr
Replaced the antenna microwave assembly and antenna seals.
Checked antenna frequency and sensitivity.Certified the
antenna.
DE09974 35.495ghz (28)
REMIT TO: FEDERAL ID# 43-1757730 Subtotal 397.30
KUSTOM SIGNALS, INC. %Tax 0.00
PO BOX 411882 II I I II I II IIII IIIIII�II III
KANSAS CITY, MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 397.30
Invoice Number 517820
!( ST®M SIGNALS, INC.
Invoice Date 08/20/15
A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Customer Number 16673
1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC.
Chanute,KS 66720-0947 PO BOX 411882 Order Number 204773 SR
(620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 33027
Page 1 of 1
SOLD TO SHIP TO
CARMEL POLICE DEPT CARMEL POLICE DEPT
POLICE DEPT HDQTRS POLICE DEPT HDQTRS
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Net Due Date 09/19/15 Terms net 30 Shipping UPS
Quantity Part Number DESCRIPTION Serial #. Extended
Shi ed Price price
1 200-1746-OOR KA ANTENNA DIR.EAGLE
C De09923
OW
Antenna
No distance
Brian Smith 3175712594
bmsmith@carmel.in.gov
est"
1 TRACKING DATE SUMMARY FOR THIS REPAIR
DATE RECEIVED 8-10-15
POHOLD 8-10-15
Technician Start/End Date:8/12/15
Date Repaired:8/20/15
Emailed estimate 8/12/15
Estimate Approved 8-19-15
1 015-0808-00 WAVEGUIDE/SOURCE DIR KA ANT 269.00 269.00
2 187-0133-00 O-RING RUBBER KA ANT END 0.40 .80
1 222-2312-00 CS RADAR RECERTIFICATION
1 222-2312-04 CS RADAR SIMULATOR ANALYSIS
15 111-1111-13 OOW Radar Labor tenths of hr 8.50 127.50
OOW Radar Labor tenths of hr
Replaced the antenna microwave assembly and antenna seals.
Checked antenna frequency and sensitivity.Certified the
antenna.
DE09923 35.501ghz
REMIT TO: FEDERAL ID# 43-1757730 Subtotal 397.30
KUSTOM SIGNALS, INC. %Tax 0.00
PO BOX 411882 II I I I�I II�IIII IIIIIII II II�II
KANSAS CITY, MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 397.30
Invoice Number ,8125_
KUSTOM SIGNALS INC.
' Invoice Date 08/27/15
A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO:
1010 W. Chestnut/P.O. Box 947 KUSTOM SIGNALS, INC. Customer Number 16673
Chanute, KS 66720-0947 PO BOX 411882 Order Number 204775 SR
(620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 33039
Page 1 of 1
SOLD TO SHIP TO
CARMEL POLICE DEPT CARMEL POLICE DEPT
POLICE DEPT HDQTRS POLICE DEPT HDQTRS
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Net Due Date 09/26/15 Terms net 30 Shipping UPS
Quantity I Part Number DESCRIPTION Serial # Price Extended
Shipped Price
1 200-2072-OOR PRO-LITE REPAIR
Ip03014
OW 7-22-09
Pro lite
won't pick up newer cars..old boxy cars are good..
brian smith 3145712594
bmsmith@carmel.in.gov
*'est...
1 TRACKING DATE SUMMARY FOR THIS REPAIR
DATE RECEIVED 8-10-15
POHOLD 8-10-15
Technician Start/End Date:8/17/2015
Technician Start/End Date:8/18/2015
Emailed estimate 8/19/15
Estiamte approved 8-26-15
Technician Start/End Repair Date:8/26/2015
1 888-8888-33 CS FREIGHT GROUND 18.00 18.00
OUTBOUND SHIPPING
18 111-1111-11 OOW Laser Labor tenths of hr
OOW Laser Labor tenths of hr
Pro-Lite Laser Serial#LP03014 Assessment Finding:
MENU Environment(POOR),Minimum Distance Limits set 100
Need MENU reset to normal,Reprogramed,/Rd Test,Recertify
1 222-2312-01 CS ROAD TEST ASSESSMENT
5 111-1111-11 OOW Laser Labor tenths of hr
OOW Laser Labor tenths of hr
7mm TOTAL PW PRF Calibration
19.14 143.4 23.8 200 20.000015
1 222-2320-00 RECERTIFICATION, PRO-LITE+ 115.00 115.00
REMIT TO: FEDERAL ID# 43-1757730 Subtotal 133.00
KUSTOM SIGNALS, INC. %Tax 0.00
PO BOX 411882 Illlillllllllllllllllllll�Il
KANSAS CITY,MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 133.00
Invoice Number ,518126__ --'
�I�I'IIIII��II� II
KUST®M SIGNALS, INC.
Invoice Date 08/27/15
A PUBLIC SAFETY EQUIPMENT COMPANY REMIT TO: Customer Number 16673
1010 W.Chestnut/P.O.Box 947 KUSTOM SIGNALS, INC.
Chanute,KS 66720-0947 PO BOX 411882 Order Number 204777 SR
(620)431-2700 Fax(620)431-2734 KANSAS CITY, MO 64141-1882 Customer PO 33039
Page 1 of 1
SOLD TO SHIP TO
CARMEL POLICE DEPT CARMEL POLICE DEPT
POLICE DEPT HDQTRS POLICE DEPT HDQTRS
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Net Due Date 09/26/15 Terms net 30 Shipping UPS
Quantity, Part Number DESCRIPTION Serial # Price Extended
Shi ed Price
1 200-2072-OOR PRO-LITE REPAIR
Ip02221
ow 3-02-09
pro lite
not picking up newer cars-old boxy cars are good
brian smith 3175712594
bmsmith@carmel.in.gov
**est***
1 TRACKING DATE SUMMARY FOR THIS REPAIR
DATE RECEIVED 8-10-15
POHOLD 8-10-15
Technician Start/End Date:8/17/2015
Technician Start/End Date:8/18/15
Technician Start/End Date:8/19/15
Emailed estimate 8/20/15
Estiamte approved 8-26-15
Technician Start/End Repair Date:8/26/2015
1 888-8888-33 CS FREIGHT GROUND 18.00 18.00
OUTBOUND SHIPPING
18 111-1111-11 COW Laser Labor tenths of hr
COW Laser Labor tenths of hr
Pro-Lite Laser Serial#LP02221 Assessment Finding:
Unfortunately ineffective reproducing clients specific fault
Preventive-maintenance,adjust receiver increase detect pulse
Result robustness numerous Road test Regression performed
1 222-2312-01 CS ROAD TEST ASSESSMENT
5 111-1111-11 OOW Laser Labor tenths of hr
COW Laser Labor tenths of hr
7mm TOTAL PW PRF Calibration
17.02 147.9 23.7 200 19.999760
1 222-2320-00 RECERTIFICATION, PRO-LITE+ 115.00 115.00
REMIT TO: FEDERAL ID'# 43-1757730 Subtotal 133.00
KUSTOM SIGNALS, INC. %Tax 0.00
PO BOX 411882 I I IIIII���IIII��IIII��III
KANSAS CITY, MO 64141-1882 WWW.KUSTOMSIGNALS.COM TOTAL 133.00
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carme-J CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT mm
' 35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
Ctuatom Sign la C@m®I Pollco Dopciftrmont
VENDOR SHIP 3 Civic Squ2m
P.O. Son 4iill TO C@vaol, IN
Kmnns CIS, 90 64949-i (317)571
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
I ��ppqq qq��,,
Account 43.(M.09
9 Each rad@r repair 0003.54 4003.54
Barb Total: $003.54
°fo
vj
000
Send Invoice To:
Cool Police Dopwtmmt
Atte: P@t Young
3 Civic squm
Cwmel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT T1, PROJECT PROJECT ACCOUNT r AMOUNT
C6'f9mal Polka Dept. NC 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 ,HE E IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIO.•S F IGIENT TO PAY FOR T,HE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. of P-ollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE CPO
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. V
®�� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
City
® /r° ������ INDIANA RETAIL TAX EXEMPT PAGE
,Jrl- CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 I VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITYiOF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1�1624G2ai9� �
KuGttom Signals c2mol Polico Dopsoment
VENDOR SHIP 3 CIVIC S'g9d3)JR3
P.O. Bost MIM2 TO Carmol, IN 46M
Kmsm City, NO 641414 (399)574-
1
CONFIflMAT10N BVUNIT
CONTRACT PAYMENTTERMS FREIGHT
QUANTITYOF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-MOD
2 Each radar repair $133.00 $200.00
Sub Total: $206.00
ell
�N,
V.
�( `
,Send Invoice To:
ca Gl Pollco Dopotmont
Attn: Pat Young
3 CIVIC Sgum
Oufflei, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
ffnel P®Iice Dcp4. ��j PAYMENT �5 .uv
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS TqE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CE T THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPRO R ION SU FICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
y
SHIPPING LABELS. hlon a1a
Pollco
I THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE !
1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
`� CLERK-TREASURER
d
IOCUMENT CONTROL NO. ® ' P.•P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE �e
Y -
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))
08/19/15 517748 radar repair $397.30
08/19/15 517747 radar repair $108.94
08/20/15 517820 radar repair $397.30
08/27/15 518126 radar repair $133.00
08/27/15 518125 radar repair $133.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kustom Signals
IN SUM OF $
P.O. Box 411882
Kansas City, MO 64141-1882
$1,169.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33027 517748 43-500.00 $397.30 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
33027 517747 43-500.00 $108.94
materials or services itemized thereon for
33027 517820 43-500.00 $397.30 which charge is made were ordered and
33039 518126 43-500.00 $133.00 received except
33039 518125 43-500.00 $133.00
Wednesday, September 02, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund