249811 09/23/15�f
CITY OF CARMEL, INDIANA VENDOR: 369617
ONE CIVIC SQUARE MONOPRICE INC CHECK AMOUNT: S"'"""""47.11'
CARMEL, INDIANA 46032 PO BOX 740417 CHECK NUMBER: 249811
LOS ANGELES CA 90074-0417 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4230200 12909880 47.11 OFFICE SUPPLIES
INVOICE
Monoprice, Inc. INVOICE
11701 6th Street
Rancho Cucamonga,CA 91730, USA Invoice Number : 12909880
www.monoprice.com Online Store: http://www.monoprice.com ,�
TEL:877-271-2592 ; FAX 909-989-0078
Invoice Number I Ifllf fel fI11Nll�llfl (11111
115U338U
Terry Crockett Terry Crockett
Three Civic Square Shipping Three Civic Square
Carmel, IN 46032 Information . Carmel, IN 46032
UNITED STATES UNITED STATES
PO Number Tracking Number 92748926998277553160272097
Order Date 9/2/2015 849:04 AM Shipping Date 9/2/2015
Due Dote 1012!2015 Email Address a; �ett[carnl_ n ne+i --
Phone Number 3175712567 Shipping Method Small Package delivered by USPS ;
-
I PID Product Qty. Shipped B/O Unit Price Line Total !
11-1-2-78-1-
DisplayPort 1.2a to 4K HDMI®Active Adapter, Black 3 3 0 $14.75 $44.25
Total Weight : 0.45 LBs.
Subtotal : $44.25
Shipping & Handling Cost : $2.86
Order Total: $47.11
Balance Due:$47.11
PLEASE NOTE: NEW ADDRESS FOR MAILING
PAYMENTS
Monoprice, Inc.
PO Box 740417
Los Angeles, CA 90074-0417
USA
i Replacement 8 Return Policy
iWarranty Information
1.All merchandise returned for a refund is subject to NO restocking
icharges. 1.Most items carry a 1 to 2 year warranty depending on the item 1
2. No refunds for returns requested after thirty(30)days of (s). I
receiving merchandise. 2.Any physical damage to the item has to be reported within five
13. Replacements only are issued after thirty(30)days of receiving (5)business days upon receiving it.
I merchandise. 3. You have to fill out the RMA form before returning any items.
4. No refunds given on shipping charge. Please email for an RMA number.
4.Any DOA(Defective on Arrival)merchandise needs to be
j reported within five(5)business days upon receiving it.
I
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))
09/02/15 I 12909880 I I $47.11
1202 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
MONOPRICE INC
PO BOX 740417 IN SUM OF $
LOS ANGELES CA 90074-0417
$47.11
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
12909880 I 42-302.00 I $47.11 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
Friday, September 18, 2015
T/ry/c ro kett, - ector
Cost distribution ledger classification if
claim paid motor vehicle highway fund