251629 11/18/15 Q
CITY OF CARMEL, INDIANA VENDOR: 362168
ONE CIVIC SQUARE L-3 COMMUNICATION MOBILE-VISION IQIJECK AMOUNT: $*******428.00*
CARMEL, INDIANA 46032 PO BOX 5580 CHECK NUMBER: 251629
GENERAL POST OFFICE CHECK DATE: 11/18/15
NEW YORK NY 10087-5580
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 0232166-IN 64.00 EQUIPMENT REPAIRS & M
1110 4467099 33198 0232305-IN 364.00 IN CAR CAMERA REPAIR
Invoice
Mobile-Vision, Inc. WMEMENA
Invoice Number: 0232166-IN
Invoice Date: 10/30/2015
400 Commons Way Ste F
Rockaway NJ 07866 order Number:
Phone: (800) 336-8475 order Date
Fax: 973 257-3024 salesperson: xx
( Customer Number: INCARME
Sold To: Ship To:
Carmel Police Department Carmel Police Department
3 Civic Square 31 First Ave Northwest
Carmel,IN 46032 Carmel,IN 46032
Confirm To:
Pat Young Page: 1
Customer P.O. Ship VIA F.O.B. Terms
UPS GROUND BOONTON,NJ Net 30 Days
Item Number Unit Ordered Shipped Back Order Price Amount
Model#: MONITOR
SN:FB024954 TICKET#190592
FB Monitor:
NO RESPONSE-Unit is being returned NOT REPAIRED.
Changing quote to show for diagnostic fee only
/DIAGNOSTIC 50.00
Diagnostic Charge
Thank you
PLEASE REMIT PAYMENT TO L-3 COM MOBILE-VISION, INC Subtotal: 50.00
PO BOX 5580 NEW YORK, NY 10087-5580
Ship/Handling: 14.00
Sales Tax: 0.00
Invoice Total: 64.00
These commodities are controlled under the Export Administration Regulations(EAR)and may not be
exported without proper authorization by the US Dept of Commerce.
Invoice
Mobile-Vision, Inc.
Invoice Number: 0232305-IN
Invoice Date: 11/3/2015
400 Commons Way Ste F
Rockaway NJ 07866 Order Number:
Phone: (800) 336-8475 Order Date
Fax: (973) 257-3024 Salesperson: XX
Customer Number: INCARME
Sold To: Ship To:
Carmel Police Department Carmel Police Department
3 Civic Square 31 1st Ave NW
Carmel,IN 46032 Carmel,IN 46032
Confirm To:
Pat Young Page: 1
Customer P.O. Ship VIA F.O.B. Terms
UPS GROUND BOONTON,NJ Net 30 Days
Item Number Unit Ordered Shipped Back Order Price Amount
Model#: MONITOR
SN:FB024945 TICKET#197857
MVD-MC EACH 1.00 1.00 0.00 350.00 350.00
Monitor/Console,FB,indoor Whse: 002
FB024945-1A
/SERVICE HOUR 1.00 1.00 0.00 0.00 0.00
Service Labor
Thank you
PLEASE REMIT PAYMENT TO L-3 COM MOBILE VISION, INC Subtotal: 350.00
PO BOX 5580 NEW YORK NY 10087-5580
Ship/Handling: 14.00
Sales Tax: 0.00
Invoice Total: 364.00
These commodities are controlled under the Export Administration Regulations(EAR)and may not be
exported without proper authorization by the US Dept of Commerce.
INDIANA RETAIL TAX EXEMPT PAGE
City oCArmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33998
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
6-1 Communlentions Mobil@-Vision, Inc. Cumol Poll@G Depvtmonk
VENDOR
SHIP 3 CIVIC loqum
P.O. Bolt 660 TO ftrmol, IN 4
Now Ybft' NY IMS 7)679
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-Fd.9
4 Each in car camera repair $378.00 $378.00
Saab Total: $378.00
Iq
� Send Invoice To: "r�-�_LIXj
��1i96t1 i�®llcv ®op�r�ran4
Attn: Pat Young
3 CIVIC squam
Cwm®I' IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
W'Umel Police wf1j.UU
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THFTRE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION UF6IC
SHIP REPAID. IENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
:;/JA
v @�
SHIPPING LABELS. / of OF
pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL N0. 331 98 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
c
C
Board Members
PO#or INVOICE NO. ACCT#/TITLE 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 motor 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))
10/30/15 0232166-IN Diagnotic Charges $50.00
11/03/15 0232305-IN camera repair $364.00
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
L-3 Communications Mobile-Vision, Inc.
IN SUM OF $
P.O. Box 5580
New York, NY 10087-5580
$414.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
, �-'7) 1 hereby certify that the attached invoice(s), or
1110 0232166-IN 43-500.00 `$50�OtT
bill(s) is (are)true and correct and that the
33198 0232305-IN 44-670.99 $364.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Frid , November 13, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund