HomeMy WebLinkAbout300982 07/25/16 CITY OF CARMEL, INDIANA VENDOR: 370434
6 ONE CIVIC SQUARE FIBERSTORE, INC. CHECK AMOUNT: $*****1,560.00*
CARMEL, INDIANA 46032 331 ANDOVER PARK EAST CHECK NUMBER: 300982
SUITE 330 CHECK DATE: 07/25/16
TUKWILA WA 98188
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 34077 FS1607120770 1,560.00 DOM TRANSCEIVER
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED zo
FIBERST.ORE, INC. . ACCOUNTS PAYABLE VOUCHER
331 ANDOVER PARK EAST 1N,sulvl of$ CITY OF CARMEL
,SUITE 330 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
TU KW I LA, WA 98188 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,560.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Information Systems Terms
Date Due
PO# ACCT# DATE. INVOICE# DESCRIPTION
DEPT# :INVOICE#:. . Fund#- :AMOUNT Board Members DEPT# FUND# (or note attached.invoice(s)or bill(s)) AMOUNT
34077 F81607120770 . 44-632.01 $1,560.00 1 hereby,certify that the attached invoice(s),or 7/12/16 FS1607120770 $1,560.00
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
Thursday, July 14,2016
Terry Crockett
Director
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
Fberstore.lnc:.. PROFORMA INVOICE
33i_Andover Park East Ste330;
GO Tukwila,WA 98188,.
United:Wds. Date 07/12/16
F .0 Tel x1;253-277 3058 Invoice No. FS1607120770
PO No. 34077
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: +1-253-277-3058 Tel:317-571-2576
Consignee:Terry Crockett
INDIANA RETAIL TAX EXEMPT CERTIFICATE NO.003120155 002 0
FEDERAL EXCISE TAX EXEMPT 35-6000972
I 11111 S 1-
HP JG661A Compatible 40GBASE-LR4 QSFP+
SK000329E1 1310nm 10km DOM Transceiver 3 $500.00 $1,500.00
HP 5700 switches,HP part#JG896&compatible
Other Comments or Special Instructions: SUBTOTAL $1,500.00
S&H $60.00
TOTAL. $1,560.00
Bank Name: Bank of America
ABA#: 026009593
Routing#:.125000024
Beneficiary Name: FIBERSTORE INC.
BeneficiaryAccount:
CHK: 138101454692
SAV: 138117533947
Della Duan .07/12/16
Authorized by Date