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Home My WebLink About260325 06/28/16 (9, CITY OF CARMEL, INDIANA VENDOR: 362664 ONE CIVIC SQUARE T3 MOTION, INC CHECK AMOUNT: $`•"`3,947.79' CARMEL, INDIANA 46032 970 CHALLENGER ST CHECK NUMBER: 260325 BREA CA 92821 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 26959 268.79 POSTAGE 1.110 4351000 33958 26959 3,679.00 T3 MOTION PATROLLER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) T3 MOTION, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 970 CHALLENGER ST IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service BREA, CA 92821 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. �] o� Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PQ# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 033958 a = 26959 43-510.00 $3,679.00 I hereby certify that the attached invoice(s),or 6/8/16 26959 T3 Motion Patroller refurbish kit $3,679.00 1110 101 1110 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 Wednesday,June 15,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer T3 MOTION, INC Phone: 714-255-0200 970 CHALLENGER STREET BREA CA 92821 United States Invoice:26959INVOICµE ,, _ Page: 1 of 1 Date: 6/8/2016 Sold To: Ship To: Jim Barlow City of Carmel City of Carmel Attn: Pat Young Attn: Pat Young 3 Civic Square 3 Civic Square Carmel IN 46032 Carmel IN 46032 PO Number: 33958 Terms: Net 30 F.O.B: ORIGIN Sales Rep: Jay Whitt Ordered:5/20/2016 Ship Via: FedEx Ground Packing Slip: 19397 Ship Date: 6/8/2016 SO#20548 US Dollars `Line -�yr� � �.sQuantity; Pa`�t Number/Description y, ��t Re�lsion ��: ��.�'' Unit'Price�:�. `;_ °Ext Price 1 1.00 AS-000-112 1 3,679.00000 EA 3,679.00 Line Ref. 1 Refurbish Kit,T3 Patroller Warehouse Code:Main PO Number. 33958 2 1.00 SH-001-001 268.79000 EA 268.79 Line Ref. 2 SHIPPING&HANDLING Warehouse Code:Main PO Number: 33958 Pavme entSedule _. Total: 3,947.79 USD Due Date Moot - 1 7/8/2016 3,947.79 Total 3,947.79 ARForm:001:00 T3 Motion INC 970 Challenger Street Sales Quote: W0001 Brea,CA 92821 Date: 4/11/2016 714-255-0200 Quote Expires: 6/11/2016 Salesperson: Jay Whitt Bill To: Ship To: Lt John Foster Carmel Police Department Carmel Police Department 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 317-571-2570 Line# Part# Description Price Qty Extend 1 AS-000-112 T3 Motion Patroller Refurbishment Kit $3,679 1 $3,679 Call Tags will be provided for return of Qty 2 rims/tires used, 2 batteries and 1 charger Total $3,679.00 1 accept the terms and conditions of this quote, it is understood that applicable sales tax and shipping charges will be added to the final invoice. All orders are Cash in Advance unless previous arrangements have been made,we accept Visa, Mastercard, Discover and American Express. Signature: Print Name: i I August 15th, 20i5 Re: Sole Source letter To Whom it Mal Concern: Please accept this letter as written confirmation that the T3 Motion Patroller and Vision vehicles as well as accessories are available exclusively through T3 Motion, Inc. headquartered in Brea, CA 92821. Additionally, we would like to confirm that all T3 Motion models, options and accessories are manufactured and distributed solely by T3 Motion, Inc., and are only available for purchase through T3 Motion, Inc_ At T3 Motion, Iric,through creative solutions and refined engineering, we endeavor to produce personal mobility vehicles that meet the stringent performance standards and image of the professional. We believe that our technology should be a benefit to both our professional end- users and the environment. Our zero gas emissions all-electric, the T3 and Vision series, proves clean energy is cost-effective. If you desire additional information, please contact us at 714255-0200 or by email sales t3imotion.com_ Best regards Noel Cherowbrier, CEO 9.70 Challenger Street, Brea, CA 92821 f i l INDIANA RETAIL TAX EXEMPT Page 9 of 1 City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 33958 ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP CARMEL,INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 5/18/2016 362664 T3 MOTION,INC Police Department VENDOR 970 CHALLENGER ST SHIP 3 Civic Square TO Carmel, IN 46032- BREA, CA 92821 - PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT 4992 QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Department., 1110 Account., 43-510.00 Fund: 101 General Fund 1 Each AS-000-112 T3 Motion Patroller refurbishment kit $3,679.00 $3,679.00 Sub Total $3,679.00 I' rj r Send Invoice To: Police Department Quote W0001 4a 3 Civic Square Carmel, IN. 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT L PAYMENT $3,679.00 SHIPPING INSTRUCTIONS '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 'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLI GATED BALANCE IN 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICI NT TO PAY FOR THE ABOVE ORDER. 'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABE 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 194 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY TITLE CONTROL NO. 33958 CLERK-TREASURER