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Home My WebLink About304069 10/10/16 �u!.4ngy CITY OF CARMEL, INDIANA VENDOR: 371019 ONE CIVIC SQUARE LOCKSMITH SERVICES OF INDIANA INCQHECK AMOUNT: $****14,705.00* CARMEL, INDIANA 46032 5327 W.MINNESOTA CHECK NUMBER: 304069 INDIANAPOLIS IN 46241 CHECK DATE: 10/10/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4350100 33734 A-008894 14,705.00 AUTOMATIC DOOR OPENER VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) LOCKSMITH SERVICES OF INDIANA INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 5327 W. MINNESOTA IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46241 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $14,705.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# General Administration 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 33734 A-008894 43-501.00 $14,705.00 1 hereby certify that the attached invoice(s),or 9/28/16 A-008894 $14,705.00 1205 101 1205 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 Wednesday, October 05,2016 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 Locksmith Services of Indiana,Inc. Invoice 5327 W. Minnesota Date Invoice# Indianapolis,Indiana 46241 (317)455-1152 9/28/2016 A-008894 Bill To Ship To City of Carmel One Civic Square Carmel,Indiana 46032 Attn:Jeff Barnes P.O. Number Terms Rep Ship Via F.O.B. Project ;3373 Net 15 ARD 9/28/2016 Quantity Item Code Description Price Each Amount 1 Closer LCN 4841 Surface Mounted Auto Operator 1,402.50 1,402.50T 1 Closer LCN 2614 Concealed Auto Operator 1,462.50 1,462.50T 1 Closer Control Box 3,457.50 3,457.50T 1 Closer 100'Box of Tubing 157.50 157.50T 2 Closer Von Duprin EPT's .382.50 765.00T 3 Closer RF Receivers 285.00 855.00T 1 Closer Wireless Wall Buttons 217.50 217.50T 1 Closer Split Wireless Wall Buttons 637.50 637.50T 1 Closer Ballard Post 615.00 615.00T 1 Closer Wireless Ballard Button 285.00 285.00T 1 Labor Labor to install above material(2 Men 3.5 Days) 4,500.00 4,500.00 1 Labor Charge for Nelson Alarm to integrate ADA Buttons into Access 350.00 350.00 system. Out-of-state sale,exempt from sales tax 0.00% 0.00 Submitted To OCT 0 52016 Clerk Treasurer Total $14,705.00 �".J"A MlA f1G IAIL IAA C7ltMi'I I /� t � r �� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER �,y Jl FEDERAL EXCISE TAX EXEMPT -ry -35-80000972 / ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/ CARMEL, INDIANA 46032-25$4 VOUCHER, DELIVERY MEMO, PACKING SLIPS SHIPPING LABELS AND ANY CORRESPONDENCI FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 IRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION eNC?S ,5'3z-t tJ , Yz'� na�esa�a SHIP tENDOR TO � Stil�i f}fl3/�'pd S 1. MFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION ao Send Invoice To: C,4,qme1 7/UP Co4J1 c DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT ! ZD S' � PAYMENT • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. • I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIPPING INSTRUCTIONS THIS APPROPRIATION SUFFICIENT TO PAY FOR W ABOVE ORDER. • SHIPREPAID. • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY • PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. TITLE •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER )OCUMENT CONTROL NO. 33734 s Locksmith Services of Indiana, Inc. Estimate 5327 W. Minnesota Indianapolis, Indiana 46241 Date Estimate# (317)455-1152 7/14/2016 920 Name/Address City of Carmel One Civic Square Cannel,Indiana 46032 Attn:Jeff Barnes Project Description Qty Rate Total LCN 4841 Surface Mounted Auto Operator 1 1,402.50 1,402.50T LCN 2614 Concealed Auto Operator 1 1,462.50 1,462.50T Control Box 1 3,457.50 3,457.50T 100'Box of Tubing 1 157.50 157.50T Von Duprin EPT's 2 382.50 765.00T RF Receivers 3 285.00 855.00T Wireless Wall Buttons 1 217.50 217.50T Split Wireless Wall Buttons 1 637.50 637.50T Ballard Post 1 615.00 615.00T Wireless Ballard Button 1 285.00 285.00T Labor to install above material(2 Men 3.5 Days) 1 4,500.00 4,500.00 Charge for Nelson Alarm to integrate ADA Buttons into Access 1 350.00 350.00 system. Subtotal $14,705.00 Sales Tax (0.0%) $0.00 Total $14,705.00