HomeMy WebLinkAbout300955 07/25/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 367250
ONE CIVIC SQUARE DAT-A-SYST COMPUTER SERVICES CHECK AMOUNT: $*"*"'""179.95"
CARMEL, INDIANA 46032 377 RUBIN CENTER DR CHECK NUMBER: 300955
FORT MILL SM 29708 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 157946 179.95 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
DAT-A-SYST COMPUTER SERVICES ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
377 RUBIN CENTER DR IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service .
FORT MILL, SM 29708 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$179.95 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
157946 42-370.00 $179.95 1 hereby certify that the attached invoice(s),or 7/18/16 157946 $179.95
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,July 18,2016
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Customer Invoice#157946
NDAT-A-SYST Tele : 704-523-3548
COMPUTER 803-548-4343 Suite 377 Rubin Center Dr.
Fax: 704-525-0221 �
SERVICES ax: 704 525- 22 Fort M' SC 29708
Your Source for Toner&Ink Supplies
Warranty: Parts&Labor 30 Days
No Return/No Refund on Parts Only Sales Invoice # 157946
Received By :
Date Picked Up : Payment Amount$
❑ Check#
❑ MasterCard ❑ VISA
Reference#
I understand and AGREE that I must report ❑ Other
any physical damage to my equipment In the event this invoice is not paid in full when due,Customer does agree to pay,in addition
at the time of in ckun or I waive to the invoice,any interest as allowed by law,all costs of the collection,including reasonable
attorney's fees as allowed by law.
any claim for damages.
Date of Invoice
CARMEL FIRE DEPT. May 31,2016
2 CIVIC SQUARE
CARMEL, IN 46032 Due Upon Receipt
Technical Contact: BOB VANVOORST (No Terms Established)
Telephone :317-664-0958
Email: BVANVOORST(�.C'ARM , ..IN. OV Client PO Number
po E341
Unit: HID EIKO BALLAST
In-House Service
PO#E341
EIKO BALLAST(1)
Detail Of Services Provided
Service Provided
THANK YOU FOR YOUR ORDER
UPS TRACKING#1Z28537E0353955109
Technician : Rosie Peterson HID Headlights
Shipping&Handling Charges $29.95
Merchandise Purchased
Description Item Price Line Total
QtY Serial Number(s)
EIKO HID BALLAST $150.00 $150.00
Serial # : PM-HID-DI-2
Invoice Total $179.95
https://ice.datasyst.net:3548/invoicing/displaycustomerinvoice.asp?invoiceno=157946[7/5/2016 10:24:46 AM]