HomeMy WebLinkAbout301360 07/28/16 9, )
CITY OF CARMEL, INDIANA VENDOR: 150
ONE CIVIC SQUARE DAT-A-SYST COMPUTER SERVICES CHECK AMOUNT: S`'*"`..214.95`
CARMEL, INDIANA 46032 377 RUBIN CENTER DR CHECK NUMBER: 301360
FORT MILL SM 29708 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 158196 214.95 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.
$214.95 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
158196 42-370.00 $214.95 1 hereby certify that the attached invoice(s),or 7/27/16 158196 $214.95
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
-- -- ---- which-charge-is-made-were-ordered-and---
received
nd --received except
Wednesday,July 27,2016
D�'-Zt_
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
. DAT-A-SYST Tele : 704-523-3548
♦ � 377 Rubin Center Dr.
COMPUTER 803-548-4343 Suite 115
Fax: 704-525-0221
SERVICES www.datasyst.net F®rt Mill, SC 29708
Your Source for Toner&Ink Supplies
Warranty:Parts&Labor 30 Days
No Return/No Refund on Parts Only Sales Invoice # 158196
Received By
Pa meet Amount$
Date Picked Up : y
❑ 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 pickup 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. June 22,2016
2 CIVIC SQUARE
CARMEL, IN 46032 Due Upon Receipt
Technical Contact: BOB VANVOORST j (No Terms Established)
Telephone :317-664-0958
Email: BVANVOORSTna.CARMEL.lN,GOV Client PO Number
c ; E341
Unit: HID BALLAST
In-House Service
PURCHASE OF ONE EIKO BALLAST AND ONEi DENSO TO EIKO BALLAST ADAPTER CABLE.
Detail Of Services Provided
Service Provided :
PURCHASE OF ONE EIKO BALLAST AND ONE DENSO TO EIKO BALLAST ADAPTER CABLE.
SHIPPED 6-22-16 VIA UPS. TRACKING#1Z28537E4251723343.
Technician : Michael Ledford HID Headlights
Shipping & Handling Charges $29.95
Merchandise Purchased
Description Item Price Line Total
FQtySerial Number(s)
1 EIKO BALLAST $150.00 $150.00
Serial# : N/A
F1 DENSO TO EIKO BALLAST ADAPTER CABLE $35.00 $35.00
Serial # : N/A
Invoice Total $214.95