HomeMy WebLinkAbout252804 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 353880
d t'. ONE CIVIC SQUARE TELEMON CORPORATION CHECK AMOUNT: $""`17,000.00'
CARMEL, INDIANA 46032 REGIONS BANK,MSC 410757 CHECK NUMBER: 252804
PO BOX 415000 CHECK DATE: 12/15/15
NASHVILLE TN 37241-5000
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
252 5023990 108321 17,000.00 OTHER EXPENSES
INVOICE
te1amOn T ooamo6 hCoeporation Number: 108321
et Date: 30-NOV-15
Carmel, IN 46032 USA SO#:
Project#/RID#:
Project Name:
Salesperson:
Customer: CFD-TMS
i i
Attn: Accounts Payable
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL IN 46032
i 1 1 ,te
14-JAN-16 Net 45 Days
Line Item Description i UOM ! Quantity Unit Price Tax Total Net
Rate 1
1 MediView Mobile &Trips 1 I 7,500.00 I 7,500.00
Training___
2� �—Program & Protocols Training t 1 7,500.00 7,500.00
3 1 MediView 1 1,000.00 1,000.00
Lice nse_Enterprise_3 Total
(Oct)
4 +^ MediView t 1 1,000.00 1,000.00
I License_Enterprise_3 Total i
-
Unit Total: I 17,000.00
Tax Total: 0.00
Freight Total: 0.00
Trade Discount: 0.00
Adjustment Line Total: 0.00
Adjustment Tax Total: 0.00
Adjustment Freight Total: 0.00
Payment/Credit Amount: 0.00 j
_ Invoice Total: 17,000.00
Please Pay this Amount: 17,000.00
Remit Address:
Telamon Corporation
Regions Bank , MSC 410757 \
P.O.Box 415000
Nashville, TIN
TN
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 Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
108321 MIHP Fees $17,000.00
1 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
Telamon
IN SUM OF $
1000 E. 116th Street
Carmel, IN 46032
$17,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
108321 50Z?qtq(_) $17,000.00 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
DEC i 42915-
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund