251194 11/04/15 CITY OF CARMEL, INDIANA VENDOR: 214002
® it ONE CIVIC SQUARE MOTOROLA SOLUTIONS INC CHECK AMOUNT: S""""""""56.25"
CARMEL, INDIANA 46032 13108 COLLECTIONS CENTER DRIVE CHECK NUMBER: 251 194
CHICAGO IL 60693 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4238000 33119 13084681 56.25 USB DASH SPEAKER
0 MOTOROLA INVOICE 000000 01 01 000076 000016P
Page 1 of 1
MOTOROLA SOLUTIONS,INC.
1301 E.Algonquin Road TOTAL INVOICE AMOUNT: $56.25
Schaumburg, IL 60196 MOTOROLA INVOICE NUMBER: 13084681
INVOICE DATE: 10/20/2015
Visit our website at:www.motorola.com PAYMENT DUE: 11/19/2015
CUSTOMER ACCOUNT NUMBER: 1036441509 0001
PURCHASE ORDER DATE: 10/01/2015
YOUR P.O.#: 33119
16
BILLTO CARMEL, CITY OF SHIPTO CARMEL, CITY OF
ACCTS PAYABLE Todd Luckoski
31 FIRST AVE N W 31 FIRST AVE N W
CARMEL, IN 46032 CARMEL, IN 46032
For questions concerning this Invoice please contact
Motorola at: 1-888-567-7347
00028-00028-00028
Payment-Terms.: NET 30 DAYS FROM.INVOICE DATE Motorola Solutions, Inc. Federal Tax Id: 36-1115800
Sales Order Number: 0958180050456
Ultimate Destination: CARMEL, CITY OF, 31 FIRST AVE N W, CARMEL, IN 46032
Invoice Detail
Item Node] Number Qty Description Unit Price Amount
4 HKN6163C 1 CABLE, DATA, USB, 1-1/2M, XTL5000 56.25 56.25
SUBTOTAL 56.25
Carrier: ABF
PLEASE PAY THIS AMOUNT (PAYMENT DUE: 11/19/2015) 56.25
Detach here and return bottom portion with your payment.
WA-1
(f� INDIANA RETAIL TAX EXEMPT Page 1 of 1
City o fir Carme
� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Jl J� FEDERAL EXCISE TAX EXEMPT 33119 1�
ONE CIVIC SQUARE 35-6000972 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
10/1/2015 214002 Radio Equipment Programming cables
MOTOROLA SOLUTIONS INC Communications
VENDOR 13108 COLLECTIONS CENTER DRIVE SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
CHICAGO, IL 60693 - (317)571-2576
CONFIRMATION I BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Account: 42-380.00 Fund., 101 General Fund
1 Each HKN616313 Assy, Cbl, Data 26Pin USB Dash/Speaker $56.25 $56.25
2 Each HKN6184C CBL ASSY:CABLE CH, PROGRAMMING, USB $40.80 $81.60
5 Each PMKN4012B Portable Programming cable $60.00 $300.00
Sub Total $437.85
Send Invoice To:
Communications QUOTE NO. Q00000335865
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
PAYMENT $437.85
SHIPPING INSTRUCTIONS AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
SHIP PREPAID. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
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 APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
DOCUMENT CONTROL NO. 33119 CLERK-TREASURER �J
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))
10/20/15 I 11084681 I I $56.25
1115 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
MOTOROLA SOLUTIONS INC
13108 COLLECTIONS CENTER DRIVE IN SUM OF $
CHICAGO, IL 60693
$56.25
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
1 33119 I 13084681 I 42-380.00 I $56.25 1 hereby certify that the attached invoice(s), or
r 1115 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
Thursday, October 29, 2015
Terry rockett, Direc or
Cost distribution ledger classification if
claim paid motor vehicle highway fund