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HomeMy WebLinkAbout303730 09/30/16 CITY OF CARMEL, INDIANA VENDOR: 368825 ONE CIVIC SQUARE IMAGING SOLUTIONS AND SERVICES IIWECK AMOUNT: $.....**255.00* =a CARMEL, INDIANA 46032 Po Box 1000 CHECK NUMBER: 303730 9M�r6n DEPT 6 CHECK DATE: 09/30/16 MEMPHIS TN 38148-0006 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4230200 24867 M16-1433 255.00 EPSON COLOR SCANNER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) IMAGING SOLUTIONS AND SERVICES INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 1000 IN SUM OF$ 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. $255.00 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 24867 M16-1433 42-302.00 $255.00 1 hereby certify that the attached invoice(s),or 9/23/16 M16-1433 $255.00 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 Friday, September 23,2016 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Imaging Solutions and Services, Inc. Invoice EIN: 62-1615066 DATE -, INVOICE# Remittance Address: Billing Inquiries: P.O. Box 1000, Department (901) 767-4636, x1455 9/16/2016 M16-1433 Memphis, TN 38148-0006 BILL TO <' 'SHIP TO , City of Carmel Fire Department City of Carmel Fire Department 2 Civic Square Attn: Denise Snyder/317-571-2600 Carmel. IN 46032 2 Civic Square Carmel., IN 46032 ................................................................................................................................. ................................................................................................................................ h P.'O NUMBER ' PERMS I]l1E:DATE' REP StHIP DATE SHIP VIA' 24867 Net 15 10/1/2016 MC16 9/16/2016 QUANTILY _REFERENCE DESCRIPTION .PRICE EACH AMOUNT; 1 Epson WorkForce Color Scanner 230.00 230.00 DS-520, 30ppm/60ipm (includes 1 year Warranty) SN:VEBZ017073 1 Parcel Delivery Charges 25.00 25.00 UPS Tracking 1Z5F01W20357149179 Imaging Solutions and Services, Inc.'s"Terms and Conditions of Sales" apply and are a part of this invoice. Total $255.00