HomeMy WebLinkAbout257150 04/05/16 a ur_4�A3
CITY OF CARMEL, INDIANA VENDOR: 370434
ONE CIVIC SQUARE FIBERSTORE, INC. . CHECK AMOUNT: $""•1,020.00•
CARMEL, INDIANA 46032 331 ANDOVER PARK EAST CHECK NUMBER: 257150
SUITE 330 CHECK DATE: 04/05/16
TUKWILA WA 98188
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4237000 33569 FS1603220770 1,020.00 HP JG661A COMPATIBLE
VOUCHER NO. WARRANT NO.
FIBERSTORE, INC. ALLOWED 20
331 ANDOVER PARK EAST
IN SUM OF$
SUITE 330
TUKWILA, WA 98188
$1,020.00
ON ACCOUNT OF APPROPRIATION FOR
Information Systems
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
33569 FS1603220770 42-370.00 $1,020.00
' I hereby certify that the attached invoice(s), or
1202 I 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
Tuesday, March 22, 2016
Terry Crockett, Director
Cost distribution ledger classification.if
claim paid motor vehicle highway fund
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))
03/22/16 I FS1603220770 I I $1,020.00
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
F PROFORMA INVOICE
3- J` idove Park East S4e330,
Tukwila,WA'98188,,
�A United Stated Date 03/22/16
F; OIV� Tel t1 253 277 3458 Invoice No. FS1603220770
PO No. 33569
Trade Term DAP
Currency U.S. dollar
Ship method FedEx
Payment Term T/T in Advance
Created By Della Duan
Issued By Deliver To
Fiberstore Inc. Information Systems
331 Andover Park East Ste330, 3 Civic Square
Tukwila,WA 98188, Carmel, IN 46032
United States United States
Tel: t1-253-277-3058 Tel:317-571-2576 .
Consignee:Terry Crockett
INDIANA RETAIL TAX EXEMPT CERTIFICATE NO.003120155 002 0
FEDERAL EXCISE TAX EXEMPT 35-6000972
HP JG661A Compatible 40GBASE-LR4 QSFP+
SK000329E1 1310nm 10km DOM Transceiver 2 .$500.00 $1,000.00
HP 5700 switches,HP part#JG896A.compatible
Other Comments or Special Instructions: SUBTOTAL $1,000.00
— S&H $20.00
TOTAL $1",020.00
TIT,tathe . .
Bank Name: Bank of America
ABA#: 026009593
Beneficiary Name: FIBERSTORE.INC.
Beneficiary Account-
CHK 138101454692
-SAV: 138117533947
Della Duan 03/22/16
Authorized by Date