301352 07/28/16 @' -
CITY OF CARMEL, INDIANA VENDOR: 369344
ONE CIVIC SQUARE CHAMPION OPTICAL NETWORK ENGIN9MFRK AMOUNT: S""'"'"65.00'
CARMEL, INDIANA 46032 PO BOX 636640 CHECK NUMBER: 301352
CINCINNATI OH 45263.6640 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4237000 34081 897902 I 65.00 SFP+DAC
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1965)
.
CHAMPION OPTICAL NETWORK ENGINEERIN ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 636640 wsuM of$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CINCINNATI, OH 45263-6640 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$65.00 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
34081 897902 42-370.00 $65.00 1 hereby certify that the attached invoice(s),or 7/15/16 897902 $65.00
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
Tuesday,July 26,2016
-N
Terry Crockett
Director
I hereby certify that the attached irivoice(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
i
CHAMPION Invoice
� . N . �TM
Invoice: 897902
Customer: CITY OF CARMEL
Account Number: H00014
Date: July 15, 2016
Remit To: CHAMPION OPTICAL NETWORK ENGINEERING LLC Order: 897902
PO BOX: 636640
Cincinnati, OH 45263-6640
(216) 831-1800
Bill To Ship To
CITY OF CARMEL CITY OF CARMEL
ATTN: ACCOUNTS PAYABLE 3 CIVIC SQUARE
3 CIVIC SQUARE INFORMATION SYSTEMS
CARMEL, IN 46032 CARMEL, IN 46032
Tracking# Ship To Attn: TERRY CROCKETT 317-571-2567
Purchase Order Ship Via FOB Order Date Sales repI Terms
34081 FedEx Ground Service Cleveland, OH 7/13/2016 R2 Net 30 Days
fl
Product Quantity Description Unit Price Quantity Quantity Quantity Net
Ordered B/O Shipped Invoiced Amount
1 10GESPDC-05-1-13 1 SFP+DAC 10GBASE-CR 5m, 1-13C 65.00 0 1 1 $65.00
C compatible
I
THANK YOU Sub-total $65.00
Seller represents that with respect to the production of the articles and/or the performance of the services covered by
this invoice, it has fully complied with the provisions of the Fair Labor Standards Act of 1938,as amended.
All returns must have written authorization. I Invoice Total $65.00
All invoices not paid within 30 days are subject to 1.5%per month finance charge. Balance Due $65.00