HomeMy WebLinkAbout252038 1 2/02/15 > ' ;F CITY OF CARMEL, INDIANA VENDOR: 358122
® it ONE CIVIC SQUARE L-COM GLOBAL CONNECTIVITY CHECK AMOUNT: S**.....218.70'
s., ;_ CARMEL, INDIANA 46032 PO BOX 55758 CHECK NUMBER: 252038
<y,�ioN� BOSTON MA 02205-5758 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4342100 2616859 10.95 POSTAGE
1115 4350000 33267 2616859 207.75 INDOOR MP CAT5
�� ° Global INVOICE
Please Remit to: Bank Transfers To:
LM Connectivity P.O Box 55758 Citibank,Miami,FL
Boston,MA 02205-5758 Branch 9 61 -Boca Raton,FL
ABA N 266-086-554
Phone-978-682-6936 Fax-978-689-9484 Account N 9119834971
Swift Code-CITIUS33
Account Name:I:com,Inc
Invoice # 2616859 Invoice Date 13-Nov-15 Page # 1 us rands only
Sold CARMEL, CITY OF COMMUNICATIONS DEPT
To: 31 FIRST AVE NW Ship CARMEL, CITY OF COMMUNICATIONS DEPT
CARMEL, IN 46032 To: Attn: PO# 33267
31 FIRST AVE NW
CARMEL, IN 46032
Slii Via Ship Date Due Date Purchase Order# Our Order# Order gate
UPS GD 13-Nov-15 13-Dec-15 33267 4250324 13-Nov-15
Shipment# Terms Buyer Account# Salespeople
5360548 NET 30 TODD LUCKOSKI 171655 80 616
ORD Q7-11/ UNIT,
LIN/ITEM#/DESCRIPTION CUSTOMER ITEM# U/11 I BALANCE SHIPPED PRICE ANIOUN'1'
Thank you for your order, we appreciate your business.
1 HGLN-CAT5J EA 5 5 41.55000 207.75
LP,INDOOR MP CATS SHIELD RJ45 0
ALL CLAIMS 19USF BE MADE SEVEN(7)DAYS AFTER RECEIPT.
CERTIFICATE OF COi11PLIANCE:This is to certify that the product shipped against your purchase order Subtotal (USD) 207.75
conforms to the requirements of your purchase order.
CERTIFICATE OF ORIGIN:This Certifies the items listed above originated in the country,indicated on the
individual packaging label.Arthur McChesney,Quality Systems Leader,I.-Com Global Connectivity
Freight(USD) 10.95
Total (USD) 218.70
SHIPPING TRACKING# IZ7550610353308771 X
Created On: 11/13/15 1:55:43 PM Printed On: 1 1/16/15 8:12:38 AM
v INDIANA RETAIL TAX EXEMPT Page 1 of 1
JL
}� (() C"gilrmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NU ER
JLFEDERAL EXCISE TAX EXEMPT 33267
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
11113/2015 358122 Surge Protectors
L-COM GLOBAL CONNECTIVITY Communications
VENDOR PO BOX 55758 SHIP, 31 1st Avenue N.W.
TO Carmel, IN 46032-
BOSTON, MA 02205--5758 (317) 571-2576
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Account., 43-500.00 Fund: 101 General Fund
5 Each HGLN-CAT5J LP, Indoor MP CAT5 Shield RJ45 $41.55 $207.75
Sub Total $207.75
Send Invoice To:
Communications Quote No 9856528
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $207.75
SHIPPING INSTRUCTIONS `AQP 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
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
`PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
ORDERED BY
1ND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE
)OWMENT CONTROL NO. 33267 CLERK-TREASURER
WIN
1
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))
11/13/15 2616859 $10.95
1115 101
11/13/15 2616859 $207.75
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
L-COM GLOBAL CONNECTIVITY
PO BOX 55758 IN SUM OF $
BOSTON, MA 02205-5758
$218.70
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
2616859 43-421.00 $10.95 1 hereby certify that the attached invoice(s), or
1115 I I 101
33267 I 2616859 I 43-500.00 I $207.75 bill(s) is (are)true and correct and that the
1115 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Mo `KN' v ber 23, 2015
Cost distribution ledger classification if
claim paid motor vehicle highway fund