253933 01/26/16 i�r-CAAb
,_. CITY OF CARMEL, INDIANA VENDOR: 214002
js I• ONE CIVIC SQUARE MOTOROLA SOLUTIONS INC CHECK AMOUNT: $*******"52.50•
,. ,;� CARMEL, INDIANA 46032 13108 COLLECTIONS CENTER DRIVE CHECK NUMBER: 253933
9M�tori�q� CHICAGO IL 60693 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4237000 33393 13095632 52.50 REPAIR PARTS
INDIANA RETAIL EXEMPT Page 1
of 1
o .. . ...
CC11 y: o arme,
CERTIFICATE NO.003120155'002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33393 �I
ONECIVIC 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
1/4/2016 214002 - Repair parts
MOTOROLA SOLUTIONS INC Communications
VENDOR 13108 COLLECTIONS.CENTER:DRIVE SHIP 31.1st Avenue.N.W.
TO : Carmel, IN.46032-
CHICAGO, IL 60693- (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY.:. UNIT.OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Account., 42-370.00 Fund 101 General Fund
5 Each NNTN7688A. Impress VC Adapter $10.50 $52.50
Sub_Total :: $52,50
Send Invoice To:
Communications: Quote No.'000000346024.
31 1st Avenue N.W.
Carmel,IN 46032-
(317)571-257s . PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT $52.50
SHIPPING INSTRUCTIONS 'AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADEA
PART OF THE VOUCHERAND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN -
•SHIP PREPAID. AFFIDAVIT ATTACHED, THEREBY 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 LABEL
'THIS ORDER ISSUED INCOMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
ORDERED BY..
TITLE Terry.Crockett, Director
CONTROL NO. -33393 CLERK-TREASURER
000000 01 01 000034 000034P
MOTQROLA INVOICE Page 1 of 1
MOTOROLA SOLUTIONS,INC.
1301 E.Algonquin Road TOTAL INVOICE AMOUNT: 552:50
Schaumburg,IL 60196 MOTOROLA INVOICE NUMBER: 13095632
INVOICE DATE: 01/11/2016
Visit our website at:www.motorola.com PAYMENT DUE: 02/10/2016
CUSTOMER ACCOUNT NUMBER: 1036441509 0003
PURCHASE ORDER DATE: 01/04/2016
YOUR P.O.#: 33393
34
BILLTO CARMEL, CITY OF SHIPTO CARMEL, CITY OF
ACCTS PAYABLE Todd Luckoski
1 CIVIC SQ 31 FIRST AVE N W
CARMEL, IN 46032 CARMEL, IN 46032
For questions concerning this Invoice please contact
Motorola at: 1-888-567-7347
00014-00014-00014
Payment Terms: NET: 30 DAYS FROM INVOICE DATEMotorola Solutions, Inc. Federa.l`Tax Id:. 36-1115800
Sales;Order Number: 0958180060007
_Ultimate_Destinat_ion:_CARMEL,_C_LTY OF-, 31 FIRST;AVE N_W. CARMEL, IN 46032
Invoice Detail
Item Model Number Qty Description Unit Price Amount
1 NNTN7688 5 IMPRES VC ADAPTER 10.50 52.50
SUBTOTAL 52.50
Carrier: ABF
PLEASE PAY THIS AMOUNT (PAYMENT DUE: 02/10/2016) 52.50
3rescribed 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))
01/11/16 13095632 Batch Test $52.50
1115 101
1-hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and l have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
MOTOROLA SOLUTIONS INC
IN SUM OF$
13108 COLLECTIONS CENTER DRIVE
CHICAGO, IL 60693
$52.50
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
33393 I 13095632 I 42-370.00 I $52.50 1 hereby certify that the attached invoice(s), or
1115 101
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
Friday, January 22, 2016
i
I
I Terry Crockett, Director
Cost distribution ledger classification if
claim paid motor;vehicle highway fund .: