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Home My WebLink About253121 01/11/16 °'4'-A+; CITY OF CARMEL, INDIANA VENDOR: 178620 ONE CIVIC SQUARE KUSTOM SIGNALS, INC CHECK AMOUNT: S*******133.00* ,_� CARMEL, INDIANA 46032 PO BOX 411882 CHECK NUMBER: 253121 y�toN�o. ATTN:ACCTS REC CHECK DATE: 01/11/16 KANSAS CITY MO 64141.1882 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 R4350000 33242 522384 133.00 RADAR REPAIRS Prescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER. . CITY OF CARMEL An invoice or bill to be properiy itemized must show: kind ofservice,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 A. Invoice Date Invoice# Description Amount Dept. Fund# (or dote attached involce(S)or bill(s)) . 12/11/15 522384 radar repair $133.00 . 1110 101 I hereby,certify.that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance. with IC 5-11-10-1.6 20 Clerk-Treasurer VOUCHER NO. WARRANT-NO: ALLOWED 20 KUSTOM SIGNALS, INC Pb BOX 411882 " IN SUM OF$ ATTN: ACCTS:REC KANSAS CITY,.MO.64141A882_ .$133.00 O.N.ACCOUNT.OF APPROPRIATION.FOR 429#/-Dept]: INVOICE No_. :.' ] ACCT#%Fund. " AMOUNT Board Members ��X832429, :52238 4 43-500:00 $138.00 1.hereby certify that-the attached;invoice(s); or 1.1.10 Encugrbered. :I 101, I.Prior Year bills) is(are).true and correct and that the materials or services itemized thereon for which charge is made were ordered and receivedexcept Wednesday, December 30, 2015. Cost distribution ledger classification if claim paid motor vehicle.highway fund �CCCCCCC Remittance Options: Remit checks to; Kustom Signals,Inc. PO Box 776238 KUSTOM SIGNALS,INC. Chicago,IL 60677-6238 AN MPD COMPANY Remit Electronic payments to: PNC Bank,National Association Routing#041000124 9652 Loiret Blvd PNC Swift#PNCCUS33 kustom Signals Acct M 4105770886 Lenexa, KS 66219-2406 (913)492-1400 Fax(913)492-1703 For credit card.payments: www.kustomsignals.com/payments or Call (913)428-3337 Customer#16673 Invoice# 522384 Invoice Date 12/17/15 Kustom Order# 206593 SR Customer PO# 33242 SOLD TO SHIP TO CARMEL POLICE DEPT CARMEL POLICE DEPT POLICE DEPT HDQTRS POLICE DEPT HDQTRS 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Net Due Date 01/16/16 Terms net 30 Shipping UPS Quant �i?arttNum�be� aa� DESCRIPTION�Serial'# � t ' �^ p tY Extended Shi ed t Pfi'ce. 1 200-2072-OOR PRO-LITE REPAIR Ip02221 Ow 3-2-09 Pro lite Failing self test 50%of time Brian Smith 317 571 2594 bmsmith@carmel.in.gov —est"' 1 TRACKING DATE SUMMARY FOR THIS REPAIR DATE RECEIVED 11-19-15 POHOLD 11-19-15 Technician Start/End Date:11/20/2015 Technician Start/End Date:11/20/2015 Emailed estimate 11/23/15 Estimate approved 12-16-15 Technician Start/End Repair Date:12/17/2015 1 888-8888-33 CS FREIGHT GROUND 18.00 18.00 OUTBOUND SHIPPING 28 111-1111-11 OOW Laser Labor tenths of hr DOW Laser Labor tenths of hr Pro-Lite Laser Serial#LP02221 Assessment Finding: Unfortunately ineffective reproducing client's malfunction Prevent-maintenance exchange client's existing Pro-Lite unit 1 047-4409-00 WINDOW-LCD PROLITE 1 0474410-00 WINDOW-HUD PROLITE 1 088-0308-00 GASKET-EYE WINDOW SEAL PROLITE 1 047-4411-00 WINDOW-EYE PROLITE 1 088-0305-00 COVER-RUBBER,PROLITE END CAP 1 088-0306-00 COVER-RUBBER,PROLITE HOUSING 1 222-2320-10 EXCHANGE PRO-LITE+ 1 222-2320-00 RECERTIFICATION,PRO-LITE+ 115.00 115.00 1 222-2312-01 CS ROAD TEST ASSESSMENT 5 111-1111-11 COW Laser Labor tenths of hr FEDERAL ID# 43-1757730 WWW.KUSTOMSIGNALS.COM Subtotal III IIIIIIIII IIIIIIIIIII III Page 1 of 2 TOTAL Continued Remittance Options: C Remit checks to: Kustom Signals,Inc. PO Boz 776238 KUSTOM SIGNALS,INC. Chicago,IL 60677-6238 AN MPD COMPANY Remit Electronic payments to:, PNC Bank,National Association Routing#041000124 9652 Lolret Blvd PNC Swift#PNCCUS33 Kustom Signals Acct#:4105770886 Lenexa, KS 66219-2406 (913)492-1400 Fax(913)492-1703 For credit card payments: www.kustomsignals.com/payments or Call (913)428-3337 Customer#16673 Invoice# 522384 Invoice Date 12/17/15 Kustom Order# 206593 SR Customer PO# 33242 SOLD TO SHIP TO CARMEL POLICE DEPT CARMEL POLICE DEPT POLICE DEPT HDQTRS POLICE DEPT HDQTRS 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Net Due Date 01/16/16 Terms net 30 Shipping UPS Quantity" ,p rtN tuber aDESCRIPTIONaSelnal # "{ `� s °' ° Extended Sl i e Y -k-te K 4'Price OOW Laser Labor tenths of hr 7mm TOTAL Pulse Width PRF Calibration 16.37 125.8 27.5 200 20.000049 FEDERAL ID# 43-1757730 WWW.KUSTOMSIGNALS.COM Subtotal 133.00 Page 2 of 2 III IIIIIIIII IIIIIIIIIII III TOTAL 133.00 INDIANA RETAIL TAX EXEMPT PAGE City ®f Carmel,. CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT =42 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/ CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIP: SHIPPING LABELS AND ANY CORRESPONDENCI FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 JRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION ltW2015 Kuslom Signals Carmel Police Dopartment VENDOR SHIP 3 CiViC SgU2F@ P.O. Box 411882 TO Camel, IN 46032 Kansan City, MO 64141®1 N2 (317).671-2559 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ,CCt unt 43-60.00 1 Each radar repair $133.00 $133.00 Sub Total: $133.00 j s . • ti Send Invoice To: / Camel Police Department Attn: Pat Young 3 CIVICS(luare Carmel, IN 460V-- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT mel Police Dept. PAYMENT .�U r A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATTHFVRE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIONJSUF ICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. / •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �r �%'� - - •PURCHASE ORDER NUMBER MUST APPEAR ON ALL {/�gf SHIPPING LABELS. C'w(Cf of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE V AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 112 A q A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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 20 Signature --- - ---- ---- ....__.._—. Title Cost distribution ledger classification if claim paid motor vehicle highway fund