HomeMy WebLinkAbout252227 12/08/15 CITY OF CARMEL, INDIANA VENDOR: 367021
® 1 ONE CIVIC SQUARE AXIS COMMUNICATIONS CHECK AMOUNT: $*****2,240.00*
,. =4 CARMEL, INDIANA 46032 300 APOLLO DRIVE CHECK NUMBER: 252227
9MTON�` CHELMSFORD MA 01463 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 33115 001751 1,190.00 CAMERA REPAIR
1115 4350000 33125 001752 1,050.00 CAMERA REPAIR
° /\\ Inv® i Ce
AXIS _ _`\ # INV-001752
COMMUNICATIONS
Axis Communications, Inc.
Balance Due
300 Apollo Drive $1,050.00
Chelmsford MA 01824
U.S.A
Invoice Date : December 01, 2015
Bill To Terms : Net 30
City of Carmel
One Civic Square Due Date : December 31,2015
Carmel
46032 l Reference : PO 33125 RMA 154240
M-M
AXIS Q6032-E repair 1 1,050.00 1,050.00
Total $1,050.00
Balance Due $1,050.00
Notes
Thanks for your business.
° /R Invoice
AXI !iA #INV-001751
COMMUNICATIONS
Axis Communications, Inc. Balance Due
300 Apollo Drive $1,190.00
Chelmsford MA 01824
U.S.A
Invoice Date: December 01,2015
Bill To Terms : Net 30
City of Carmel
One Civic Square Due Date : December 31,2015
Carmel
46032 IN Reference: PO 33115 RMA 151244
D- e e ® •
AXIS Q6034-E repair 1 1,190.00 1,190.00
Total $1,190.00
Balance Due $1,190.00
Notes
Thanks for your business.
i
INDIANA RETAIL TAX EXEMPT Page 1 of 1
C(m ty ()d CCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUM ER
FEDERAL EXCISE TAX EXEMPT 33125
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,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 NO. VENDOR NO. DESCRIPTION
10/21/2015 367021 Camera Repair for Artist Statue
AXIS COMMUNICATIONS Communications
VENDOR 300 APOLLO DRIVE SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
CHELMSFORD, MA 01463 - (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Department: 1115 Account: 43-500.00 Fund: 101 General Fund
1 Each 0318-014 Camera Repair $1,050.00 $1,050.00
Sub Total $1,050.00
Send Invoice To:
Communications Serial#00408CAOD71 F, Model #Q6032-E, CST#543876
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $1,050.00
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
`SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
`C.O.D.SHIPMENT CANNOT BE ACCEPTED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS APPR IATION SUFFICIEN PAY FOR THE ABOVE ORDER.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TITL Dir Ct r
DOCUMENT CONTROL NO. 33125 CLERK-TREASURE
v INDIANA RETAIL TAX EXEMPT Page 1 of 1
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33115
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
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 NO. VENDOR NO. j DESCRIPTION
9/18/2015 367021 Camera repair-Center GreenNeterans Memorial
AXIS COMMUNICATIONS Communications
VENDOR 300 APOLLO DRIVE SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
CHELMSFORD , MA 01463 - (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
1 Each Part#0362-004 Camera repair for Model#Q6034-E, SIN 00408cbf873a $1,190.00 $1,190.00
Sub Total $1,190.00
Send Invoice To:
Communications CST Case#537611
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $1,190.00
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
'SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
'C.O.D.SHIPMENT CANNOT BE ACCEPTED. 'I HEREBY CERTIFY TH THERE IS AN UNOBLIGATED BALANCE IN
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS APPROPRIATSUFFICIENT TO PAY FOR THE ABOVE ORDER.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TIAL i irector
DOCUMENT CONTROL NO. 33115 CLERK-TREASURER
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))
12/01/15 001752 $1,050.00
1115 101
12/01/15 001751 $1,190.00
1115 101
I herebycertify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
Y
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
AXIS COMMUNICATIONS
300 APOLLO DRIVE
IN SUM OF $
CHELMSFORD, MA 01463
$2,240.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
33125 I 001752 I 43-500.00 $1,050.00 1 hereby certify that the attached invoice(s), or
1115 101
33115 I 001751 I 43-500.00 I $1,190.00 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
Friday, December 04, 2015
Terry Crockett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund