HomeMy WebLinkAbout301702 08/08/16 cqp'' CITY OF CARMEL, INDIANA VENDOR: 368825
dj ONE CIVIC SQUARE IMAGING SOLUTIONS AND SERVICES IJIECK AMOUNT: $*******765.00*
x _� CARMEL, INDIANA 46032 Po eox t000 CHECK NUMBER: 301702
9y«oN co DEPT 6 CHECK DATE: 08/08/16
MEMPHIS TN 38148-0006
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463201 34079 M16-1310 765.00 EPSON WORKFORCE
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IMAGING SOLUTIONS AND SERVICES INC
PO Box l000 IN SUM of$ CITY OF CARMEL
DEPT 6 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
MEMPHIS, TN 38148-0006 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$765.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Information Systems Terms
Date Due
PO# r ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE#: Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
34079 M16-1310_ 44-632.01 $765.00 1 hereby certify that the attached invoice(s),or 7/13/11 M16-1310 $765.00
1202 101 Prior Year 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
Monday,August 01,2016
—N
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
Imaging Solutions and Services, Inca Invoice
EIN: 62-1615066
DATE, INVOICE#
Remittance Address: Billing Inquiries: 'I 3 -
P.O. Box 1000, Department 6 (901)767-4636, x1455 7/13/2016 M16-1310
Memphis, TN 38148-0006
BILL TO ?. SHIP TO•'
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City of Carmel City of Carmel
Information Systems Information Systems -
Attn:Terry Crockett Attn: Terry Crockett(317)571-2567
3 Civic Square 3 Civic Square
Carmel, IN 46032 Carmel, IN 46032
P.O.NUMBER,•,' v TERMS DUEaDATt REP SHIP DATE SHIP VIA
34079 Net 15 7/28/2016 MC16 7/13/2016
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QUANTITY, REFERENCEDESCRIPTION ' , - PRICE EACH ' AMOUNT;
3 Epson Workforce DS-510 Document Scanner 230.00 690.00
26ppm/52ipm(includes 1 year.Warranty)
SN: SQWZ101628.
SN: SQWZ101631
SN: SQWZ101636
3 Parcel Delivery Charges 25.00 75.00
UPS Tracking 1ZY42W960351048202
Imaging Solutions and Services,Inc.'s'Terms and Conditions of Sales"
apply and are a part of this invoice. Total $765.00
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Imaging Solutions and Services ISS100
"LSSI
3949 E.LA PALMA AVE PICK TICKET#
ANAHEIM,CA 92807-1714 00542695-Wst-001
Imaging Solutions and Services.Inc.
Page 1 of 1
MCC!/City of Carmel Printed 07/13/2016 @ 3:10:08PM
'S 3 CIVIC Square/ Entered by tking
H PO 34079/Information Systems
I CUSTOMER COPY"
,P` CARMEL,IN 46032-
T ATTN:Terry Crockett 317-571-2567
USA United States(US)
ADDR END USER REFERENCE,, ISS100_ INTERNALORDER DATE' . .SLSP,, ':SHIP CHARGES SHIP VIA
Temp 15904 07/13/2016 063 Prepaid UPS,PARCEL Ground Domestic— -
LINE#: _ITEM' `, 'DESCRIPTION `ORDER ' ` *`$ * . .8/0 FOR WHSE USE't
1 B11B209201 DS-510,26ppnU52ipm 3 $ 0
Epson WorkForce Color Scanner
ea: Wgt 9 Dims 17, 10, 12
SERIAL NO. /
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If you have any questions or concerns about this shipment,
please contact Imaging Solutions and Services,Inc.
(901)767-4636 x1104
If you notice any discrepancies or damage,please contact the carrier and Imaging Solutions ande s ASAP