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Home My WebLink About251489 11/18/15 °`�w�,q,f� CITY OF CARMEL, INDIANA VENDOR: 369344 b it ONE CIVIC SQUARE CHAMPION OPTICAL NETWORK ENGIN[9!AfaK AMOUNT: $'"""**'69.00* f =4 CARMEL, INDIANA 46032 PO Box 636640 CHECK NUMBER: 251489 9.y_oN�. CINCINNATI OH 45263-6640 CHECK DATE: 11/18/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4342100 888103-1 7.00 POSTAGE 1202 4237000 33121 888103-1 62.00 SFP 1000BASE LJ FANO 10 NInvoice ■ 9 � a Tho Invoice: 888103-1 Customer: CITY OF CARMEL Account Number: H00014 Date: October 31, 2015 Remit To: CHAMPION OPTICAL NETWORK ENGINEERING LLC Order: 888103 PO BOX: 636640 Cincinnati,OH 45263-6640 (216)831-1800 Bill To Ship To CITY OF CARMEL CITY OF CARMEL ATTN: ACCOUNTS PAYABLE 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Tracking# 581544832155 IShip To Atm: INFORMATION SYSTEMS 317-571-2576 Purchase Order Ship Via FOB Order Date Sates rep Terms 33121 FedEx Ground Service Cleveland, OH 10/7/2015 R2 Net 30 Days Line# Product Quantity Description Unit Price Quantity Quantity Quantity Net Ordered 13/0 Shipped invoiced Amount 1 GESFP-LX-H3C 5 SF'P 1000Base-LX 10km, 1-13C Systems 58.00 0 1 1 $58.00 compatible 3 Shipping 1 Shipping 11.00 0 1 1 $11.00 THANKYOU Sub-total $69.00 Seller represents that with respect to the production of the articles and/or the performance of the services covered by this invoice, it has fully complied with the provisions of the Fair Labor Standards Act of 1938,as amended. All returns must have written authorization. Invoice Total $69.00 All invoices not paid within 30 days are subject to 1.5%per month finance charge. Balance Due $69.00 A INDIANA RETAIL TAX-EXEMOT71 i Page S1,��/�L of Carmel ----. KATEN0.003120155002 0! i PURCHASE ORDER NU�9R\��//Jjof Jj 1 FEDERAL EXCISE TAX-EXEMPT 33121 ONE CIVIC SQUARE 35-6000912THIS NUMBER MUST APPEAR ON INVOICES,AIR CARMEL,INDIANA 46032-2584 _ VOUCHER DELIVERY MEMO,PACKING SUPS. !FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING_LABELS AND ANY CORRESPONDENCE ,PURCI IA3E,OROER DATE DATE REOUlRE6 ftEQUiSi710N NO. VENDOR NO. DESCRIPTION 10/6/2015 369344 Spare SFP modules CHAMPION OPTICAL NETWORK ENGINEERIN Information Systems VENDOR PO BOX 636640 SHIP 3 Civic Square TO Carmel,IN 46032- CINCINNATI,OH 45263-6640 (317)571-2576 jCONFIRION-? MATBLANKET,I-.CONTRACT PAYMENT TERMS FREIGHT — !_ QUANTnY UNIT OF MEASURE _-_ !DESCRIPTION _ _ —� UNIT PRICE _ EXTENSION - Department: 1202 Account• 42-370.00 Fund: 101 General Fund 6 Each GESFP-LX-H3C SFP"100013ASE-LX 1OKM,SYSTEMS capatible $58.00 $290.00 1 Each shipping $15.00 $15.00 Sub Total $305.00 Send Invoice To: Information Systems Quote No.g888045sr Terry Crockett 3 Civic Square Carmel,IN 46032- _ PLEASE'INVOI_CE IN DUPLICATE DEPARTMENT 1_______ACCOUNT - PROJECT _J PROJECTACCOUNT_ _ AMOUNT PAYMENT $305:00 SNIP_PING INSTRUCTIONS 'm VOUCHER CANNOT 6E APPROVED FOR PAYMENTUNLESS THE P.O. NUMBEK IS MADE A FAHI UFii Ht,VUUi;1itK ANU tYtiNY INVU7Ct ANU 'SNIPPREPAIO. _ _ VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. 'C,O.D.SHIPMENT CANNOT BE gCCEPTED." - ,- - •1 HEREBY CERTIFY THAT THERE IS AN UNOBUGATEO BALANCE I.J. 'PURCHASE ORDER NUMBER MUST APPEAR ONALC SHIPPING LABELS. THIS PRIATIONSUFFIC7=Ni TO PAY FOR THE ABOVEORDER. 'THIS ORDER ISSUED IN WITH CHAPTER 99.ACTS 1945 1 t7RnERFF.I BY t f4 qt:U ALIS AMENUAI WRY I HEREOF AND SUPPLEMENT THERETO. ------- TI T _ birec _ or DOCUMENT CONTROL NO. 33121 CLERK-TREAStI 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)) 10/31/15 888103-1 $7.00 1202 101 10/31/15 888103-1 $62.00 1202 101 l I 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 CHAMPION OPTICAL NETWORK ENGINEERIN IN SUM OF $ PO BOX 636640 CINCINNATI, OH 45263-6640 $69.00 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 888103-1 43-421.00 $7.00 1 hereby certify that the attached invoice(s), or 1202 I I 101 33121 I 888103-1 I 42-370.00 I $62.00 bill(s) is (are) true and correct and that the 1202 101 materials or services itemized thereon for which charge is made were ordered and received except Monday, November 16, 2015 /-/erry Crockett, Director Cost distribution ledger classification if claim paid motor vehicle highway fund