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301054 07/25/16 CITY OF CARMEL, INDIANA VENDOR: 00352211 i;® �•: ONE CIVIC SQUARE KNOX CO CHECK AMOUNT: $*****2,732.00" r ?� CARMEL, INDIANA 46032 1601 W DEER VALLEY ROAD CHECK NUMBER: 301054 9'i1*o`N � PHOENIX AZ 85027 CHECK DATE: 07/25/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467099 INVO0822529 2,732.00 OTHER EQUIPMENT VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) KNOX CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 1601 W DEER VALLEY ROAD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PHOENIX, AZ 85027 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $2,732.00 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 822529 44-670.99 $2,732.00 1 hereby certify that the attached invoice(s),or 7/18/16 822529 $2,732.00 1120 102 1120 102 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer KNOX® Invoice Number .................: INVO0822529 Date .....................: 7/6/2016 The Knox Company Page .....................: 1 of 1 1601 W Deer Valley Road Sales order ..............:S00001613069 Phoenix,AZ 85027 Requisition ..............: New Pumpers Telephone ..............: (800) 552-5669 Your ref. .................:SQT000012646 Fax .......................: (623) 687-2290 Our ref. ..................: DG001 Payment ................. Net 30 Invoice account .......: CUS104304 Mode of delivery .......: FXG Invoice address Delivery address Carmel Fire Dept Carmel Fire Dept 2 CIVIC SQ Bob Van Voorst CARMEL, IN 46032-2584 2 CIVIC SQ CARMEL, IN 46032-2584 Item number Description QuantityUnit Unit price Discount Amount 5201S3Y2R1-A6 MedVaulf@-Mini WITH AUDIT TRAIL,SURFACE 2.00EA 1,336.00 2,672.00 - - — - - MOUNT,WIFI-ENABLED, LIGHT BAR,- - - -- — — -- - - - - -- - ---- ETHERNET, RIGHT ANTENNA JACK, RUBBER DUCKY ANTENNA Master Lock: PS-29-0031-10-89-EMS01 Repair Tech Lock: RTE01 Quantity: 1.00 Serial number:52-002182OU�TCCe3fEFI p�1�1t5 Quantify: 1.00 Serial number:52-002183Please W, Ott us for details �F -. Installation address :2 Civic Sq,,, CARMEL IN,46032 kbenr-r' noA X com 623687-2300 x 559, r Please pay this invoice to Knox address above. Service charge of 1 1/2%will be charged per month after due date. Misc. charges Transaction text value Shipping &Handling 60.00 Sales balance Total discount Misc.charges Sales tax Round-off Total 2,672.00 0.00 60.00 0.00 0.00 $ 2,732.0 Payment per 8/5/2016