250233 10/07/15 ♦i,CggMf
q` CITY OF CARMEL, INDIANA VENDOR: 366241
® it ONE CIVIC SQUARE GIBSON TELDATA INC CHECK AMOUNT: S"`""`166.00'
=4 CARMEL, INDIANA 46032 PO Box 3000 CHECK NUMBER: 250233
TERRE HAUTE IN 47803 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 33044 INV55983 166.00 CORDLESS HANSET
Post Office Box 3000 INVOICE
Terre Haute,IN 47800115
3
USA
Phone:(812)232-6287
Fax:(812)237-9150 Page 1/2
Web Site:http:\\www.bgibson.com
8 6 •
Date 9/22/2015
Invoice Number I NV55983
ill To Number 106157 Sne Number 23752
Bill To: City of Carmel Sitenddre— City of Carmel,Police Department
31 1st Avenue NW 3 Civic Square
Carmel,IN 46032 Carmel,IN 46032
A"n Janet Arnone
Order Number Type Entered By Customer Reference Terms Due Date
JOB52914 Equipment Sale- Sales Dept. TBUn1PUs 33044 NET 30 DAYS 10/22/2015
BewgcodefPa"a Dear pnan ouanbty aro Uma Unit Discount Tax Ext
a a
Price
Reported Problem
Need to ship cordless andset
Attn Greg Bedell
City of Carmel 31 1 st kvenue NW
Carmel, IN 46032
Faults
MIT50005405 Cordless Handset w/Charging Plate(NA DECT) 1.00 0.00 EA 250.00 95.00 0.00 155.00
Serial Number(s)
1 U7FW15270GP
FREIGHT Equipment Freight Charge
1.00 0.00 FLAT 11.00 0.00 0.00 11.00
Post Orrice Box 3000 INVOICE
,, Terre Haute,IN 478030115
USA
bPhone:(812)232-6287
4r Fax:(812)237-9150 Page 2/2
Web Site:http:\\www.bgibson.com
O O O
Date 9/22/2015
Invoice Number INV55983
0-1fly BID U/M Unit Discount Tax Ext
Billing Code/Part# Description # #
Price
s.—as 11.00
Items 250.00
I N
000
srrotal 261.00
Please remit payment to:
Less Discount 95.00
Post Office Box 3000 Less Cover
Terre Haute, IN 47803-0115 0.00
USA �'°a T 0.00
Dae Date 10/22/2015 Less Payment 0.00
Terms NET 30 DAYS Total Due(USD) 166.00
For questions regarding this invoice,please call John Boyd 812-237-9141 or email to:Iboydgbgibsoncom
Oty
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INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3M44
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
OHMS
Gibson Toldmtm, Inc Cool P®lleo Doputmont
VENDOR SHIP 3 CIVIC squm
6940 VInconnos Clrelo TO Cool, IN
Indianapolis, IN 4 (w)599
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.22
9 Each Cordless Handset w/chargin0 plate 50005405 $955.00 $955.00
�I
Sub Total: $155.00
,� • —FL,
o °
Frard Doss '
Send Invoice To:
Camel Pollco Dopmftman4
Attn: Pat Young
3 CIVIC squam
CasMol, IN 2- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Policy Dept. PAYMENT 0955.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT7F ER(IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATIO F CIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL �p
SHIPPING LABELS. C of
Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 3304 4 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO._.___......-----WARRANT
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#MTLE AMOUNT
DEPT# I 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--------_---...-..--- ----------
--------------- ......
20
. ................................................................................................................................. .................
Signature
............ .............................................................................................................................
Title
Cost distribution ledger:classification if
claim paid rnotor vehicle highway fund
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))
09/22/15 INV55983 cordless handset $166.00
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
Gibson Teldata, Inc
IN SUM OF $
8940 Vincennes Circle
Indianapolis, IN 46268
$166.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
33044 INV55983
42-390.99 I $166.00 I 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
Tuesday, September 29, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund