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Home My WebLink About252246 12/08/15 "F CITY OF CARMEL, INDIANA VENDOR: 369344 ® it ONE CIVIC SQUARE CHAMPION OPTICAL NETWORK ENGINE!JK AMOUNT: $A"*'""605.00` �. CARMEL, INDIANA 46032 PO Box 636640 CHECK NUMBER: 252246 CINCINNATI OH 45263-6640 CHECK DATE: 12/08/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4237000 889470 11.00 REPAIR PARTS 1202 4237000 33268 889470 594.00 EQUIPMENT So C" HAMPION Invoice u � p s (fan*TM ��`�q fLt Invoice: 889470 Customer: CITY OF CARMEL Account Number: H00014 Date: November 17, 2015 Remit To: CHAMPION OPTICAL NETWORK ENGINEERING LLC Order: 889470 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 INFORMATION SYSTEMS CARMEL, IN 46032 CARMEL, IN 46032 Tracking# 581544833368Ship To Attn: PO#33268 urchase Order Ship Via FOB Order Date Sates rep1 Terms 33268 FedEx Ground Service Cleveland, OH 11/16/2015 R2 Net 30 Days f Product Quantity Description Unit Price Quantity Quantity Quantity Net Ordered 13/0Shipped IlInvoiced Amount 1 10GESFPP-LR-H3 2 SFP+ 10GBASE-LR 10km, H3C Systems 239.00 0 2 2 $478.00 C compatible 2 GESFP-LX-H3C 2 SFP 1000Base-LX 10km, 1-13C Systems 58.00 0 2 2 $116.00 compatible 3 Shipping 1 Shipping 11.00 0 1 1 $11.00 THANK YOU Sub-total $605.00 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 $605.00 All invoices not paid within 30 days are subject to 1.5%per month finance charge. Balance Due $605.00 a INDIANA RETAIL TAX EXEMPT Page 1 of 1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBB .city of C"nrmel FEDERAL EXCISE TAX EXEMPT 33268 ONE CIVIC SQUARE 35-6000972 _..........-------._..___.-------------.-----._--_-; j 7HiSNUMBER MUST APPEAR ONINVOICES,AIP CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 ---------------------- ----.-.----.------.._ PURCHASE ORDER DATE DATE REQUIRED ` REQUISITION N0. VENDOR N0. DESCRIPTION 11/13/2015369344 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 ENT-- - -TERMS-- - -----.. ---------------------.. .- .._- ....-..FREI._,--,GHT..-.._.. ------------ +CONFIRMATION BLANKET CONTRACT __PAYM - ------- - ...._.- -- .._..__..._. —._....._.... QUANTITY UNIT OF MEASURE - DESCRIPTION __.._..-._._.._____. ..._... ....__-_UNIT PRICE EXTENSION Department: 1202 Account: 42-370.00 Fund: 101 General Fund 2 Each 10gesfpp-Ir-h3c SFP+ 10BASE-LR 10KM,1-13C SYSTEMS compatible $239.00 $478.00 2 Each GESFP-LX-H3C SFP 1000BASE-LX 10KM, SYSTEMS capatibie $58.00 $116.00 Sub Total $594.00 I Send Invoice To: Information Systems Quote NO. g889285sr Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE ------------------------ _.... . - -----.... - ---- _ -- -- -- --- -- -- --- -.._....._.. - DEPARTMENT = ACCOUNT PROJECT PROJECTACCOUNT AMOUNT PAYMENT $594.00 SHIPPING INSTRUCTIONS 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 SV40RN 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 ANDACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY - - -- - ---- ...... - --- -- T rector - -------------._.... DOCUMENT CONTROL NO. 33268 CLERK-TREAS 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)) 11/17/15 ( 889470 I I $11.00 1202 101 12/04/15 I 889470 I I $594.00 1202 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 CHAMPION OPTICAL NETWORK ENGINEERIN PO BOX 636640 IN SUM OF $ CINCINNATI, OH 45263-6640 $605.00 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members 88947042-370.00 $11.00 1 hereby certify that the attached invoice(s), or 1202 I I 101 33268 I 889470 I 42-370.00 I $594.00 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 Friday, December 04, 2015 Terry Crockett, Director Cost distribution ledger classification if claim paid motor vehicle highway fund