HomeMy WebLinkAbout258431 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 368825
;s ® 'I• ONE CIVIC SQUARE IMAGING SOLUTIONS AND SERVICES IWECK AMOUNT: $.....**250.00*
CARMEL, INDIANA 46032 PO BOX 1000 CHECK NUMBER: 258431
t"�TsN DEPT 6 CHECK DATE: 05/10/16
MEMPHIS TN 38148-0006
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 33566 M16-1123 250.00 EPSON WORKFORCE SCANN
VOUCHER NO. WARRANT NO. - Prescribed by Stale Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IMAGING SOLUTIONS AND SERVICES INC
PO Box 1000 IN SUM OF$ CITY OF CARMEL
DEPT 6 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
MEMPHIS,TN 38148-0006 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$250.00 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Information Systems Terms
Date Due
Invoice Date Invoice# Description Amount
PO#'/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Members Dept.. Fund# (or note attached invoice(s)or bill(s))
33566 M16-1123 44-632.01 $250.00 03/18/16 M16-1123 $250.00
I hereby certify that the attached invoice(s),or
1202 101 1202 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,April 29,2016
Terry Crockett
Director
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
20
Clerk-Treasurer
Imaging Solutions and Services, Inc. Invoice
EIN: 62-1615066
DATE-_- INV,OICE,#-
Remittance Address: Billing inquiries:
P.O: Box 1000, Department (901) 767=4636, x1455 3/18/2016 M16-1123
Memphis, TN 38148-0006
BILL TO z,' .SHIP TO:,
,
City of Carmel City of Carmel
One Civic Square Information Systems
Carmel, IN 46032 Terry Crockett
3 Civic Square
Carmel, IN 46032
................................................................................................................................. .......................................................................:........................................................
F.Q.NUMBER ;i TERMS °^ DUE PATE,: REP` ISHIP DATE ;SHIP VIAr_
33566 Net 15 4/2/2016 MC16 3/1.8/2016
QUANTITY REFERENCE -` DESCRIPTION PRICE EACH AMOUNT
1 Epson-Workforce DS-510 Document Scanner 230.00 230.00
26ppm/52ipm (includes 1 year Warranty)
SN: SQWZ106691
1 Parcel Delivery Charges 22.05 22.05
UPS Tracking 1Z5F01W20357240257
Imaging Solutions and Services, Inc.'s'Terms and Conditions of Sales"
apply and are a part of this invoice. Total $252.05