Loading...
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