252294 1 2/08/1 5 CITY OF CARMEL, INDIANA VENDOR: 366241
(9"
ONE CIVIC SQUARE GIBBON TELDATA INCCHECK AMOUNT: $*******237.30*
CARMEL, INDIANA 46032 PO Box 3000 CHECK NUMBER: 252294
TERRE HAUTE IN 47803 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4237000 INV56965 89.84 REPAIR PARTS
1202 R4463201 26638 INVSG965 147.46 20 HANDSETS
t� IJ Post Office Box 3000Ici
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e,IN 47 -_- -_ =�' '.iE' rt�a`P' .yam
Terre Haut 8030115 t^° ' i;, .r s f,' , ;¢ter .1 r...
USA
Phone (812)232-6287
Fax:(612)237-9150 Page 1/2
_ Web Site.http:\\www.bgibson.com
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.. Date 11/17/2015
Invoice Number INV56965
Bw To Number 106157 site Number 121711
Bill To. City of Carmel sitenddress: City of Carmel,Communications Center
31 1 st Avenue NW 31 1 st Ave NW
Carmel,IN 46032 Carmel, IN 46032
Arm JanetArnone
Order Number Type Entered By Customer Reference Terms Due Date
JOB53925 Equipment Sale- Sales Dept. TSUMPUS PO#26638 NET 30 DAYS 12/17/2015
Billing Code/Part# Descnp0on
Quantity B/O U/M Unit Discount Tax Ext
Price
48203(03882-MBG(Mi el Border Gateway)Base)
Serial Number[P021516 x1]
Reported Problem
Greg requested a wi rel ess dect handset to be shipped to his attention at 31 1st venue NW,carmel IN 46032
Faults
MIT50005405 Cordless Handset w/Charging Plate(NA DECT) 1.00 0.00 EA 250.00 23.70 0.00 226.30
Serial Number(s)
1U7FW153200S
FREIGHT Equipment Freight Charge
1.00 0.00 FLAT 11.00 0.00 0.00 11.00
Post Office Box 3000 "i1
r�. INVOICE=:,.
h t
Terre Haute,IN 47803-0115 6,
USA USA a
�� Phone:(812)232-6287
Fax:(812)237-9150 Page 2/2
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Web Site:httP:\\Www.bgibson.com
Date 11/17/2015
Invoice Number I NV56965
ouanny aro u/M Unit Discount Tax Ext
Billing Code/Part# Description # #
Price
services 11.00
Items 250.00
1 N 000
srr cal 261.00
Please remit payment to
Less oiscount 23.70
Post Office Box 3000
Less cover 0.00
Terre Haute, IN 47803-0115 Plus Tax
USA 0.00
Due Dace 12/17/2015 Less Payment 0.00
Terms NET 30 DAYS Total Due(USD) 237.30
For questions regarding this Invoice,please call John Boyd 812-237-9141 or email to:tboyd@?bgibsoncom
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 INV56965 $89.84
1115 101
11/17/15 INV56965 $147.46
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
GIBSON TELDATA INC
I
PO BOX 3000 N SUM OF $
TERRE HAUTE, IN 47803
$237.30
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
r
1 INV56965 I 42-370.00 I $89.84 1 hereby certify that the attached invoice(s), or
1115 101
26638 I INV56965 I 44-632.01 I $147.46 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
■